Design of a Universal Laparoscopic Suturing Device

Author(s):  
Sinan Onal ◽  
Susana Lai-Yuen ◽  
Stuart Hart

Minimally invasive surgery (MIS) or laparoscopic surgery has changed the focus of surgery and has become an alternative to open surgical procedures. Operations are performed through small incisions in the abdomen thus avoiding the need for large incisions. This results in less tissue trauma, less scarring, and faster post-operative recovery time. However, the inherent challenges of laparoscopic procedures include limited visibility, constrained working space and the need for advanced surgical tools to safely and efficiently perform the surgical procedure. It is also necessary for surgeons to obtain advanced surgical training to perform these procedures.

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yunjin Wang ◽  
Liu Chen ◽  
Xu Cui ◽  
Chaoming Zhou ◽  
Qing Zhou ◽  
...  

Abstract Background The purpose of this study was to investigate the clinical effect of minimally invasive surgery for inguinal cryptorchidism. Methods The patients were divided into the minimally invasive surgery group (n = 100) and the traditional surgery group (n = 58). In the minimally invasive surgery group, patients with low inguinal cryptorchidism (n = 54) underwent surgery with a transscrotal incision, and patients with high inguinal cryptorchidism (n = 46) underwent laparoscopic surgery. Results There was no difference in the hospital stay duration or cost between the minimally invasive surgery group and the traditional surgery group (P > 0.05). As for the operative time, minimally invasive surgery of low inguinal cryptorchidism was shorter than traditional surgery (P = 0.033), while minimally invasive surgery of high inguinal cryptorchidism was comparable to traditional surgery (P = 0.658). Additionally, there were no cases of testicular atrophy, testicular retraction, inguinal hernia or hydrocele in either group. There was no significant difference in the incidence of poor wound healing between the two groups (P > 0.05). Although there was no significant difference in the incidence of scrotal hematoma between the two groups (P > 0.05), the incidence in the minimally invasive surgery group was higher than that in the traditional surgery group. Conclusions Minimally invasive surgery including a transscrotal incision for low inguinal cryptorchidism and laparoscopic surgery for high inguinal cryptorchidism is as safe and effective as traditional surgery, and could also provide a good cosmetic effect for children.


2020 ◽  
Vol 3 (68) ◽  
pp. 116
Author(s):  
Cătălin Bogdan Coroleucă ◽  
Manu Andrei ◽  
Alexandra Bauşic ◽  
Ana-Maria Rădulescu ◽  
Ciprian Andrei  Coroleucă ◽  
...  

2015 ◽  
Vol 23 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Osa Emohare ◽  
Molly Stapleton ◽  
Alejandro Mendez

Resection of large presacral schwannomas can present a challenge. The posterior approach is commonly associated with coccygeal disarticulation, partial sacral resection, and muscular disarticulation, which can all result in significant morbidity. Minimally invasive surgery may obviate some of the morbidity traditionally associated with this approach. The authors present the case of a morbidly obese 49-year-old man with an enlarging presacral schwannoma. The patient refused laparoscopic resection because of the morbidity he had experienced with a previous laparoscopic surgery. The tumor was resected using a minimally invasive paracoccygeal approach, which affords improved access with minimal morbidity.


2020 ◽  
Author(s):  
Yunjin Wang ◽  
Liu Chen ◽  
Xu Cui ◽  
Chaoming Zhou ◽  
Qing Zhou ◽  
...  

Abstract Background: The purpose of this study was to investigate the clinical effect of minimally invasive surgery for inguinal cryptorchidism.Methods: The patients were divided into the minimally invasive surgery group (n=100) and the traditional surgery group (n=58). In the minimally invasive surgery group, patients with low inguinal cryptorchidism (n=54) underwent surgery with a transscrotal incision, and patients with high inguinal cryptorchidism (n=46) underwent laparoscopic surgery. Results: There was no difference in the hospital stay duration or cost between the minimally invasive surgery group and the traditional surgery group (P>0.05). As for the operative time, minimally invasive surgery of low inguinal cryptorchidism was shorter than traditional surgery (P=0.033), while minimally invasive surgery of high inguinal cryptorchidism was comparable to traditional surgery (P=0.658). Additionally, there were no cases of testicular atrophy, testicular retraction, inguinal hernia or hydrocele in either group. There was no significant difference in the incidence of poor wound healing between the two groups (P>0.05). Although there was no significant difference in the incidence of scrotal hematoma between the two groups (P>0.05), the incidence in the minimally invasive surgery group was higher than that in the traditional surgery group. Conclusions: Minimally invasive surgery including a transscrotal incision for low inguinal cryptorchidism and laparoscopic surgery for high inguinal cryptorchidism is as safe and effective as traditional surgery, and could also provide a good cosmetic effect for children.


2008 ◽  
Vol 90 (2) ◽  
pp. 48-49
Author(s):  
Mark Coleman

Over the last two decades, minimally invasive surgery (MIS) has become the mainstream method for the treatment of many abdominal diseases previously treated by open surgery. It has resulted in improvements in many outcomes during and after surgery. The Royal College of Surgeons of England has always played an active role in training both consultant surgeons and trainees in minimally invasive surgery with courses such as the Intercollegiate Basic Surgical Skills Courses (BSS) and laparoscopic cholecystectomy courses run in the College itself and in regional units. Laparoscopic surgery itself presents unique challenges that demand that courses be designed specifically with these in mind.


2006 ◽  
Vol 18 (3) ◽  
pp. 249-256 ◽  
Author(s):  
Makoto Jinno ◽  
◽  
Takamitsu Sunaoshi ◽  
Toyomi Miyagawa ◽  
Takehiro Hato ◽  
...  

Minimally invasive surgery accelerates postoperative recovery, but can only be applied by surgeons having advanced conduct skills. We developed a master-slave manipulator, i.e., robotic forceps for laparoscopic surgery that enhances surgical skill. Robotic forceps consists of a master-slave manipulator, a support component, a controller, an operating conditions display, and a foot switch for changing operating conditions. This paper details specifications and components of robotic forceps and evaluates conductance, such as measurement of the slave hand’s grip and suturing and ligaturing, conducted on a sponge stomach model. A comparison of support function in experiments demonstrates their effectiveness.


Author(s):  
Hossein Dehghani ◽  
Shane Farritor ◽  
Dmitry Oleynikov ◽  
Benjamin Terry

Minimally invasive surgery (MIS) has substantially improved surgery by reducing patient pain, discomfort, and tissue trauma [1]. MIS, however, has shortcomings including limited workspace, reduced surgeon’s dexterity, and poor eye-hand coordination [2]. Robot-assisted minimally invasive surgery (RMIS) has aimed to mitigate these limitations [3]. The da Vinci® Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA) is the-state-of-the-art RMIS, in which the surgeon operates by using the console’s master controllers to maneuver the patient-side robotic arms, where the surgeon’s hand movements are refined through motion scaling and tremor reduction. Over half a million procedures are performed using the da Vinci annually [4].


2008 ◽  
Vol 23 (6) ◽  
pp. 1279-1285 ◽  
Author(s):  
M. J. van Det ◽  
W. J. H. J. Meijerink ◽  
C. Hoff ◽  
E. R. Totté ◽  
J. P. E. N. Pierie

Author(s):  
Lindsay O. Long ◽  
Chris C. Pagano ◽  
Ravikiran B. Singapogu ◽  
Timothy C. Burg

Accurately perceiving biomechanical properties of tissues is imperative for minimizing tissue trauma and preventable injuries in minimally invasive surgery (MIS). Research has demonstrated that novice observers are able to perceive and use the higher-order mechanical information in compliant, deformable materials which denotes the point at which the material will fail, or break, known as Distance -to-Break (DTB). The present study explored the effect of experience on the perception of DTB. Specifically, this study investigated whether surgeons are able to perceive and utilize DTB in compliant tissue materials more precisely than novices. Using a simulated probing task, results demonstrated that surgeons were more sensitive to DTB, were more accurate at estimating the point at which materials would fail, and were more accurate at applying force onto materials without breaking them. Findings underscore the importance of haptic invariants such as DTB in surgical tasks and the efficacy of using simulators to train haptic skills.


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