Personalized Surgical Planning to Support Interventions and Training of Surgeons

2013 ◽  
pp. 83-90
Author(s):  
Cristina Suárez-Mejías ◽  
Gorka Gómez-Ciriza ◽  
Purificación Gacto-Sánchez ◽  
Tomás Gómez-Cía ◽  
Carlos Parra-Calderón
Keyword(s):  
Surgical Planning ◽  
Training Of Surgeons ◽  
And Training

scholarly journals TELEMENTORING IN TIMES OF COVID-19 FOR TRAINING IN GENERAL SURGERY

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
A Suárez Sánchez ◽  
T Diaz Vico ◽  
M Fernández Hevia ◽  
M García Munar ◽  
C Ramos Montes ◽  
...  
Keyword(s):  
General Surgery ◽  
Teaching Tool ◽  
Virtual Library ◽  
Digital Platforms ◽  
Surgical Department ◽  
Study And Teaching ◽  
Safe Technique ◽  
Training Of Surgeons ◽  
Remote Assistance ◽  
And Training

Abstract INTRODUCTION Telemedicine applied to surgery is called telementorization (TM). It allows remote assistance by expert surgeons to others with less experience in certain techniques, thus guaranteeing learning that overcomes the barriers of time and location without being associated with a higher rate of complications. The objective is to publicize the use of this type of technology in our surgical department, particularly needed with the current restrictions. MATERIAL AND METHODS In our center, the Proximie platform (www.proximie.com) is used as a tool for TM. It allows to remotely broadcast live procedures performed by expert surgeons, as well as to create a virtual library of our own procedures that can be used as study and teaching tool by residents. This platform transmits not only bidirectional image and sound, but it also allows the active participation of a remote assistant with interactive features that are projected directly on the screen of the local surgeon. RESULTS The Proximie platform is being used frequently (and more intensively during this time of greatest restrictions) in advanced colorectal surgeries, with TM by remote experts and in our department for the continuing training program for residents. It also offers the possibility of conducting multidisciplinary sessions and webinars with subsequent availability control online. CONCLUSIONS TM and digital platforms such as Proximie provide important benefits in the practical learning and training of surgeons, especially with the current restrictions, being a safe technique and a teaching tool to be exploited.

Three-dimensional printed temporal bone models: Are they more effective than virtual ones as anatomy education, surgical planning and training tools?

2021 ◽  
Author(s):  
Georgios P. Skandalakis ◽  
Marios Salmas ◽  
George Noussios ◽  
Georgios Paraskevas ◽  
Nikolaos Lazaridis ◽  
...  
Keyword(s):  
Temporal Bone ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Anatomy Education ◽  
And Training

Establishment and Evaluation of Patient-Specific Virtual Ureteroscopy in Assisting Flexible Ureteroscopy for Urolithiasis

2017 ◽  
Vol 24 (5) ◽  
pp. 440-445 ◽  
Author(s):  
Yi Zhang ◽  
Cheng-fan Yu ◽  
Jun-hui Zhang ◽  
Lu-dong Qiao ◽  
Wei Yan ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Renal Stone ◽  
Rating Scales ◽  
Upper Urinary Tract ◽  
Patient Specific ◽  
Flexible Ureteroscopy ◽  
Novice Group ◽  
Computed Tomography Urography ◽  
Visualization Tools ◽  
And Training

Objectives. To establish virtual ureteroscopy (VU) through computed tomography urography (CTU) data from patients with upper urinary tract (UUT) stones indicated for flexible ureteroscopy (fURS) and to validate its effectiveness. Methods. Patient-specific VU generation was accomplished through incorporating CTU data into specialized software (Crusher) developed on the open access Visualization Tools Kit (VTK). These were then presented to fURS experts and novice urologists for evaluation and comparison using modified Likert-type questionnaire of 10-point rating scales (1 = not at all useful/not at all realistic/poor, 10 = very useful/very realistic/ excellent). Results. Face and content validation of VU from 5 fURS experts in 3 different centers: overall usefulness 7.4 ± 0.5, graphics 7.4 ± 0.5, intrarenal anatomy 8.4 ± 0.5, stone details 7.8 ± 0.4, usefulness in surgical planning and training 7.6 ± 0.9. Significant increase of detection in the number of calyces and stones was found from using CTU only to CTU-VU combined in the novice group ( P = .000). Before VU observation, novices found much fewer calyces and stones than experts ( P = .004 and .000, respectively). However, this gap disappeared after VU observation ( P = .327 and .292, respectively). VU feedback from the novices was superb. Conclusions. Establishing patient-specific VU through CTU data from renal stone patients is feasible. The present VU can significantly improve novice urologists’ comprehension of intrarenal anatomy and stone information before fURS procedures. Face and content validity is also proved. This novel modality may serve as an important tool for fURS surgical planning, navigation, and training.

scholarly journals Feasibility and adaptation of three-dimensional model for surgical planning and training: A pilot study

2021 ◽  
Vol 10 (4) ◽  
pp. 220
Author(s):  
Binita Chaudhary ◽  
Utpal Anand ◽  
Veena Kumari ◽  
Prabhat Agrawal ◽  
Prem Kumar ◽  
...  
Keyword(s):  
Pilot Study ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Dimensional Model ◽  
Three Dimensional Model ◽  
And Training

scholarly journals A simplified fascial model of pelvic anatomical surgery: going beyond parametrium-centered surgical anatomy

2020 ◽  
Author(s):  
Stefano Cosma ◽  
Domenico Ferraioli ◽  
Marco Mitidieri ◽  
Marcello Ceccaroni ◽  
Paolo Zola ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Umbilical Artery ◽  
Holistic Approach ◽  
Surgical Anatomy ◽  
Female Pelvis ◽  
Anatomical Structures ◽  
Anatomical Knowledge ◽  
Fresh Frozen ◽  
And Training ◽  
Anatomical Area

Abstract The classical surgical anatomy of the female pelvis is limited by its gynecological oncological focus on the parametrium and burdened by its modeling based on personal techniques of different surgeons. However, surgical treatment of pelvic diseases, spreading beyond the anatomical area of origin, requires extra-regional procedures and a thorough pelvic anatomical knowledge. This study evaluated the feasibility of a comprehensive and simplified model of pelvic retroperitoneal compartmentalization, based on anatomical rather than surgical anatomical structures. Such a model aims at providing an easier, holistic approach useful for clinical, surgical and educational purposes. Six fresh-frozen female pelves were macroscopically and systematically dissected. Three superficial structures, i.e., the obliterated umbilical artery, the ureter and the sacrouterine ligament, were identified as the landmarks of 3 deeper fascial-ligamentous structures, i.e., the umbilicovesical fascia, the urogenital-hypogastric fascia and the sacropubic ligament. The retroperitoneal areolar tissue was then gently teased away, exposing the compartments delimited by these deep fascial structures. Four compartments were identified as a result of the intrapelvic development of the umbilicovesical fascia along the obliterated umbilical artery, the urogenital-hypogastric fascia along the mesoureter and the sacropubic ligaments. The retroperitoneal compartments were named: parietal, laterally to the umbilicovesical fascia; vascular, between the two fasciae; neural, medially to the urogenital-hypogastric fascia and visceral between the sacropubic ligaments. The study provides the scientific rational for a model of pelvic retroperitoneal anatomy based on identifiable anatomical structures and suitable for surgical planning and training.

scholarly journals ENT Outreach in Africa: Rules of Engagement

OTO Open ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 2473974X1877722 ◽  
Author(s):  
Wakisa Mulwafu ◽  
Johannes J. Fagan ◽  
Kaitesi Batamuliza Mukara ◽  
Titus S. Ibekwe
Keyword(s):  
Best Practice ◽  
Developed Countries ◽  
Developing Nations ◽  
Sub Saharan Africa ◽  
Personal Experiences ◽  
Training Of Surgeons ◽  
Sub Saharan ◽  
And Training ◽  
Clinical Officers ◽  
Nose And Throat

To address inequality of access to ear, nose, and throat (ENT) care, there must be significant and sustained investment in education and training of surgeons, audiologists, speech therapists, clinical officers, anesthetists, and specialized nurses engaged in ENT in sub-Saharan Africa and other developing nations. Outreach by ENT surgeons from developed countries is essential if we are to address the critical lack of access to ENT care in SSA. However, it should be based on mutual respect, shared values, aspirations, a desire to create a durable and sustainable impact, and internationally accepted best practice. In this article, we propose rules of engagement for outreach projects in SSA and other developing countries to optimize their contributions by making them useful, sustainable, productive, and developmental. These proposed rules of engagement are based on our personal experiences and observations—good and bad—of outreach activities in our countries.

Applications of Three-Dimensional Printing in Surgery

2016 ◽  
Vol 24 (1) ◽  
pp. 82-88 ◽  
Author(s):  
Chi Li ◽  
Tsz Fung Cheung ◽  
Vei Chen Fan ◽  
Kin Man Sin ◽  
Chrisity Wai Yan Wong ◽  
...  
Keyword(s):  
3D Printing ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Education And Training ◽  
School Curriculum ◽  
Ear Reconstruction ◽  
Printing Technology ◽  
Three Dimensional Printing ◽  
Dimensional Printing ◽  
And Training

Three-dimensional (3D) printing is a rapidly advancing technology in the field of surgery. This article reviews its contemporary applications in 3 aspects of surgery, namely, surgical planning, implants and prostheses, and education and training. Three-dimensional printing technology can contribute to surgical planning by depicting precise personalized anatomy and thus a potential improvement in surgical outcome. For implants and prosthesis, the technology might overcome the limitations of conventional methods such as visual discrepancy from the recipient’s body and unmatching anatomy. In addition, 3D printing technology could be integrated into medical school curriculum, supplementing the conventional cadaver-based education and training in anatomy and surgery. Future potential applications of 3D printing in surgery, mainly in the areas of skin, nerve, and vascular graft preparation as well as ear reconstruction, are also discussed. Numerous trials and studies are still ongoing. However, scientists and clinicians are still encountering some limitations of the technology including high cost, long processing time, unsatisfactory mechanical properties, and suboptimal accuracy. These limitations might potentially hamper the applications of this technology in daily clinical practice.

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