scholarly journals Endoscopic tattoo: the importance and need for standardised guidelines and protocol

2017 ◽  
Vol 110 (7) ◽  
pp. 287-291 ◽  
Author(s):  
Mei Yang ◽  
Daniel Pepe ◽  
Christopher M Schlachta ◽  
Nawar A Alkhamesi
Keyword(s):  
Minimally Invasive Surgery ◽  
Clinical Practice ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Best Practice ◽  
Operative Time ◽  
Evidence Based ◽  
Intraoperative Endoscopy ◽  
Evidence Based Guidelines ◽  
Prolonged Operative Time

Preoperative endoscopic tattoo is becoming more important with the advent of minimally invasive surgery. Current practices are variable and are operator-dependent. There are no evidence-based guidelines to aid endoscopists in clinical practice. Furthermore, there are still a number of issues with endoscopic tattoo including poor intraoperative visualisation, complications from tattooing and inaccurate documentation leading to the need for intraoperative endoscopy, prolonged operative time and reoperation due to lack of oncologic resection. This review aims to collate and summarise evidence for the best practice of endoscopic tattoo for colorectal lesions in order to provide guidance for endoscopists.

scholarly journals An evidence-based review of enhanced recovery interventions in knee replacement surgery

2013 ◽  
Vol 95 (6) ◽  
pp. 386-389 ◽  
Author(s):  
MS Ibrahim ◽  
S Alazzawi ◽  
I Nizam ◽  
FS Haddad
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Knee Replacement ◽  
Invasive Surgery ◽  
Enhanced Recovery ◽  
Surgical Techniques ◽  
Cochrane Library ◽  
Computer Assisted ◽  
Evidence Based ◽  
Healthcare Budget

Introduction Total knee replacement (TKR) is a very common surgical procedure. Improved pain management techniques, surgical practices and the introduction of novel interventions have enhanced the patient’s postoperative experience after TKR. Safe, efficient pathways are needed to address the increasing need for knee arthroplasty in the UK. Enhanced recovery programmes can help to reduce hospital stays following knee replacements while maintaining patient safety and satisfaction. This review outlines common evidence-based pre, intra and postoperative interventions in use in enhanced recovery protocols following TKR. Methods A thorough literature search of the electronic healthcare databases (MEDLINE®, Embase™ and the Cochrane Library) was conducted to identify articles and studies concerned with enhanced recovery and fast track pathways for TKR. Results A literature review revealed several non-operative and operative interventions that are effective in enhanced recovery following TKR including preoperative patient education, pre-emptive and local infiltration analgesia, preoperative nutrition, neuromuscular electrical stimulation, pulsed electromagnetic fields, perioperative rehabilitation, modern wound dressings, different standard surgical techniques, minimally invasive surgery and computer assisted surgery. Conclusions Enhanced recovery programmes require a multidisciplinary team of dedicated professionals, principally involving preoperative education, multimodal pain control and accelerated rehabilitation; this will be boosted if combined with minimally invasive surgery. The current economic climate and restricted healthcare budget further necessitate brief hospitalisation while minimising costs. These non-operative interventions are the way forward to achieve such requirements.

Intraoperative Endoscopy as an Adjuvant to Minimally Invasive Surgery in Pediatrics

2021 ◽  
Author(s):  
Carlos García-Hernández ◽  
Lourdes Carvajal-Figueroa ◽  
Christian Archivaldo-García ◽  
Sergio Landa-Juárez ◽  
Gerardo Izundegui-Ordoñez
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Intraoperative Endoscopy

scholarly journals Application of Mixed Reality in Medical Training and Surgical Planning Focused on Minimally Invasive Surgery

2021 ◽  
Vol 2 ◽  
Author(s):  
Juan A. Sánchez-Margallo ◽  
Carlos Plaza de Miguel ◽  
Roberto A. Fernández Anzules ◽  
Francisco M. Sánchez-Margallo
Keyword(s):  
Minimally Invasive Surgery ◽  
Clinical Practice ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Surgical Planning ◽  
Mixed Reality ◽  
Preoperative Planning ◽  
Medical Training ◽  
Preoperative Imaging ◽  
Planning Tool

Introduction: Medical training is a long and demanding process, in which the first stages are usually based on two-dimensional, static, and unrealistic content. Conversely, advances in preoperative imaging have made it an essential part of any successful surgical procedure. However, access to this information often requires the support of an assistant and may compromise sterility in the surgical process. Herein, we present two solutions based on mixed reality that aim to improve both training and planning in minimally invasive surgery.Materials and Methods: Applications were developed for the use of the Microsoft HoloLens device. The urology training application provided access to a variety of anatomical and surgical training contents. Expert urological surgeons completed a questionnaire to evaluate its use. The surgical planning solution was used during laparoscopic renal tumorectomy in an experimental model and video-assisted right upper lobectomy in an adult patient. Surgeons reported their experience using this preoperative planning tool for surgery.Results: The solution developed for medical training was considered a useful tool for training in urological anatomy, facilitating the translation of this knowledge to clinical practice. Regarding the solution developed for surgical planning, it allowed surgeons to access the patient’s clinical information in real-time, such as preoperative imaging studies, three-dimensional surgical planning models, or medical history, facilitating the surgical approach. The surgeon’s view through the mixed reality device was shared with the rest of the surgical team.Conclusions: The mixed reality-based solution for medical training facilitates the transfer of knowledge into clinical practice. The preoperative planning tool for surgery provides real-time access to essential patient information without losing the sterility of the surgical field. However, further studies are needed to comprehensively validate its clinical application.

Sign in / Sign up

Export Citation Format

Share Document