Introducing Exoskeletons into the Operating Room: A pilot study with vascular surgeons

2021 ◽  
Vol 65 (1) ◽  
pp. 1376-1380
Author(s):  
Tianke Wang ◽  
Bernardo. C Mendes ◽  
M. Susan Hallbeck ◽  
Emmanuel Tetteh ◽  
Tianqi Smith ◽  
...  
Keyword(s):  
Pilot Study ◽  
Operating Room ◽  
Surgical Procedures ◽  
Academic Hospital ◽  
Post Surgery ◽  
Abdominal Aortic ◽  
Physical Comfort ◽  
Passive Exoskeleton ◽  
Data Collections ◽  
Ergonomic Intervention

The main goal of this pilot study was to create, implement and evaluate a strategy for introducing exoskeletons in the operating room (OR) at a quaternary care academic hospital. The strategy consisted of operating-room-specific considerations, introducing exoskeletons to surgeons, and a post-surgery survey. Three male attending vascular surgeons participated in eleven data collections to date. Low interference with surgeon’s ability to perform surgery was found for all surgical procedures, except for two open abdominal aortic procedures. The surgeons reported little to no limit on range of motion, except for one open abdominal aortic procedure. Lower than expected perceived improvement of ability to perform surgery and increase of physical comfort was self-reported. The responses indicate that the surgeons are willing to keep trying an exoskeleton intervention. In conclusion, a feasible process was created to introduce passive exoskeleton as an ergonomic intervention to vascular surgeons in their ORs.

scholarly journals Serum proteins associated with periodontitis relapse post‐surgery: A pilot study

2021 ◽  
Author(s):  
Anders Esberg ◽  
Catrine Isehed ◽  
Anders Holmlund ◽  
Susanne Lindquist ◽  
Pernilla Lundberg
Keyword(s):  
Pilot Study ◽  
Serum Proteins ◽  
Post Surgery

scholarly journals Assessing Risks Awareness in Operating Rooms among Post-Graduate Students: A Pilot Study

2021 ◽  
Vol 13 (7) ◽  
pp. 3860
Author(s):  
Anna Rita Corvino ◽  
Pasquale Manco ◽  
Elpidio Maria Garzillo ◽  
Maria Grazia Lourdes Monaco ◽  
Alessandro Greco ◽  
...  
Keyword(s):  
Risk Perception ◽  
Pilot Study ◽  
Graduate Students ◽  
Ionizing Radiation ◽  
Operating Room ◽  
Training Programs ◽  
Occupational Risk ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Post Graduate

Background: In this study, we promote a global approach to occupational risk perception in order to improve occupational health and safety training programs. The study investigates the occupational risk perception of operating room healthcare workers using an Analytic Hierarchy Process approach. Methods: A pilot study was carried out through a cross-sectional survey in a university hospital in Southern Italy. An ad hoc questionnaire was administered to enrolled medical post-graduate students working in the operating room. Results: Fifty medical specialists from seven fields (anaesthetists, digestive system surgeons, general surgeons, maxillofacial surgeons, thoracic surgeons, urologists, and gynaecologists) were questioned about perceived occupational risk by themselves. Biological, ionizing radiation, and chemical risks were the most commonly perceived in order of priority (w = 0.300, 0.219, 0.210). Concerning the biological risk, gynaecologists unexpected perceived this risk as less critical (w = 0.2820) than anaesthesiologists (w = 0.3354), which have the lowest perception of the risk of ionizing radiation (w = 0.1657). Conclusions: Prioritization methods could improve risk perception in healthcare settings and help detect training needs and perform sustainable training programs.

scholarly journals Robotics and AI for Teleoperation, Tele-Assessment, and Tele-Training for Surgery in the Era of COVID-19: Existing Challenges, and Future Vision

2021 ◽  
Vol 8 ◽  
Author(s):  
Navid Feizi ◽  
Mahdi Tavakoli ◽  
Rajni V. Patel ◽  
S. Farokh Atashzar
Keyword(s):  
Surgical Procedures ◽  
Disease Transmission ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Daily Basis ◽  
Future Research ◽  
Risk Of Infection ◽  
Post Surgery ◽  
Operative Assessment

The unprecedented shock caused by the COVID-19 pandemic has severely influenced the delivery of regular healthcare services. Most non-urgent medical activities, including elective surgeries, have been paused to mitigate the risk of infection and to dedicate medical resources to managing the pandemic. In this regard, not only surgeries are substantially influenced, but also pre- and post-operative assessment of patients and training for surgical procedures have been significantly impacted due to the pandemic. Many countries are planning a phased reopening, which includes the resumption of some surgical procedures. However, it is not clear how the reopening safe-practice guidelines will impact the quality of healthcare delivery. This perspective article evaluates the use of robotics and AI in 1) robotics-assisted surgery, 2) tele-examination of patients for pre- and post-surgery, and 3) tele-training for surgical procedures. Surgeons interact with a large number of staff and patients on a daily basis. Thus, the risk of infection transmission between them raises concerns. In addition, pre- and post-operative assessment also raises concerns about increasing the risk of disease transmission, in particular, since many patients may have other underlying conditions, which can increase their chances of mortality due to the virus. The pandemic has also limited the time and access that trainee surgeons have for training in the OR and/or in the presence of an expert. In this article, we describe existing challenges and possible solutions and suggest future research directions that may be relevant for robotics and AI in addressing the three tasks mentioned above.

Benchmarks for the Durations of Ambulatory Surgical Procedures in Otolaryngology

2011 ◽  
Vol 120 (11) ◽  
pp. 727-731 ◽  
Author(s):  
Neil Bhattacharyya
Keyword(s):  
United States ◽  
Operating Room ◽  
Surgical Procedures ◽  
Ambulatory Surgery ◽  
Secondary Analysis ◽  
The United States ◽  
Tube Placement ◽  
The Mean ◽  
Room Time ◽  
Ambulatory Procedures

Objectives: I undertook to determine benchmarks and variability for the surgical times associated with ambulatory otolaryngological procedures in the United States. Methods: I examined the 2006 release of the National Survey of Ambulatory Surgery and extracted all cases of otolaryngological surgery in which one, and only one, otolaryngological procedure was performed. The mean surgical times and operating room times were determined for each procedure that met reliability criteria for their estimates. A secondary analysis was computed for tonsillectomy and for tonsillectomy plus adenoidectomy according to a patient age of greater than 12 years. Results: An estimated 1.68 ± 0.23 million otolaryngological procedures were analyzed as solitary procedures, including 507,000 cases of myringotomy with ventilation tube placement, 136,000 cases of tonsillectomy, and 429,000 cases of tonsillectomy plus adenoidectomy. The mean (±SE) surgical times were 8.0 ± 0.5, 23.9 ± 1.8, and 20.3 ± 0.8 minutes, respectively. The total operating room times were 17.6 ± 0.9, 48.2 ± 2.0, and 40.7 ± 1.1 minutes, respectively. Septoplasty with turbinectomy was the most common rhinologic procedure performed (48,000 cases analyzed) and had surgical and operating room times of 49.6 ± 4.78 and 79.8 ± 5.8 minutes, respectively. The surgical times for tonsillectomy and tonsillectomy plus adenoidectomy did not differ significantly in magnitude according to standard age cutoffs, although the operating room time was slightly (11.7 minutes) longer for tonsillectomy in patients more than 12 years of age (p = 0.034). Conclusions: The surgical times for the performance of the most common otolaryngological ambulatory procedures are remarkably consistent in the United States. Given the volume and consistency of these surgical procedures, they are ideal candidates for studies of cost and efficiency.

scholarly journals Initial Operating Room Experience with Digital Variance Angiography in Carbon Dioxide-Assisted Lower Limb Interventions: A Pilot Study

2020 ◽  
Vol 43 (8) ◽  
pp. 1226-1231 ◽  
Author(s):  
Marcell Gyánó ◽  
Csaba Csobay-Novák ◽  
Márton Berczeli ◽  
István Góg ◽  
János P. Kiss ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Pilot Study ◽  
Operating Room ◽  
Lower Limb

scholarly journals Prevalence, repairs and complications of hypospadias: an Australian population-based study

2015 ◽  
Vol 100 (11) ◽  
pp. 1038-1043 ◽  
Author(s):  
Francisco Javier Schneuer ◽  
Andrew J A Holland ◽  
Gavin Pereira ◽  
Carol Bower ◽  
Natasha Nassar
Keyword(s):  
Surgical Procedures ◽  
Hospital Admissions ◽  
Primary Repair ◽  
Population Based ◽  
Late Complications ◽  
Hospital Data ◽  
Australian Population ◽  
Post Surgery ◽  
South Wales ◽  
Increased Risk

ObjectiveTo investigate hypospadias’ prevalence and trends, rate of surgical repairs and post-repair complications in an Australian population.MethodsHypospadias cases were identified from all live-born infants in New South Wales, Australia, during the period 2001–2010, using routinely collected birth and hospital data. Prevalence, trends, surgical procedures or repairs, hospital admissions and complications following surgery were evaluated. Risk factors for reoperation and complications were assessed using multivariate logistic regression.ResultsThere were 3186 boys with hypospadias in 2001–2010. Overall prevalence was 35.1 per 10 000 live births and remained constant during the study period. Proportions of anterior, middle, proximal and unspecified hypospadias were 41.3%, 26.2%, 5.8% and 26.6%, respectively. Surgical procedures were performed in 1945 boys (61%), with 1718 primary repairs. The overall post-surgery complication rate involving fistulas or strictures was 13%, but higher (33%) for proximal cases. Complications occurred after 1 year post-repair in 52.3% of cases and up to 5 years. Boys with proximal or middle hypospadias were at increased risk of reoperation or complications, but age at primary repair did not affect the outcome.ConclusionOne in 285 infants were affected with hypospadias, 60% required surgical repair or correction and one in eight experienced complications. The frequency of late complications would suggest that clinical review should be maintained for >1 year post-repair.

scholarly journals Correction to: The potential of cardiac rehabilitation as a method of suppressing abdominal aortic aneurysm expansion: a pilot study

2019 ◽  
Vol 34 (12) ◽  
pp. 2040-2040
Author(s):  
Atsuko Nakayama ◽  
Eisuke Amiya ◽  
Hiroyuki Morita ◽  
Kanako Hyodo ◽  
Naoko Takayama ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Pilot Study ◽  
Aortic Aneurysm ◽  
Cardiac Rehabilitation ◽  
Abdominal Aortic
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