Water, a powerful tool in surgery

Inflammation of the gallbladder, also known as acute cholecystitis, may be caused by infection and inflammation gallbladder wall due to bile stasis, with or without gallstones. It is one most common surgical procedures that are performed laparoscopically. Gangrenous gallbladders difficult conditions treat clinically surgically, being cause many medical malpractice litigations. constitute 15% all laparoscopic surgeries, cost these surgeries approximately $48,000, compared other around $7,000. Dr. Dinesh Vyas his team have worked together develop novel HydroLap, which a tool utilizes hydrodissection technology during cholecystectomies remove delicate, dead tissue while preserving healthy surrounding structures. This decade-long journey began in operating room resulted an innovation awaiting Food Drug Administration (FDA) approval for use 2023. “HydroLap harnesses energy from water pressure act dissector knife”“the high volume treating gangrenous resources utilized operation its associated complications, financially unviable healthcare system.”“HydroLap can improve patient care 750,000 patients requiring each year” Acute cholecystitis gallbladder. occur when gallstone becomes lodged at entrance within duct drains contents blockage prevents proper drainage contents, thus creating buildup causing inflammation. When this occurs, experiences intense stomach pain require even treatment. The treatment removal termed cholecystectomy. current gold standard procedure perform it laparoscopically using camera visualize abdominal avoiding need large incision. One rare, but serious, complication occurs loses oxygen supply, resulting death, becoming delicate surgically handle. Among cholecystectomies, challenging damage tissue. results incidence complications including either partially completely abandoned. In last 35 years, not seen improvements outcome. continues litigious procedure. introducing gallbladders. modification (FDA)-approved irrigation tool. knife,” removing inflamed live important backstory discusses serendipity team’s create HydroLap aid surgeons performing surgeon noticed there better way building researchers, engineers, financial advisors bring fruition. commonly fact among professionals, learned early one’s education, cholecystectomy United States. (Adventist Health Dameron Hospital) general who practices busy city Stockton, CA. Every year he encounters roughly 200 cases was Surgical Residency Program Director local community hospital, San Joaquin General Hospital, “the system.” Realizing huge impact on system, decided explore techniques used fields outcome research because very common, States.1Vollmer C.M. Callery M.P. Biliary injury following cholecystectomy: why still problem?.Gastroenterology. 2007; 133: 1039-1041https://doi.org/10.1053/j.gastro.2007.07.041. PMID: 17854607Crossref PubMed Scopus (0) Google Scholar Though rare population, they morbidity mortality, greatly impacting system terms time finances.2Umemoto K.K. Ananth S. Ma A. Ullal Ramdass P.V.A. Lo P.C. D. Novel application gallbladders.J. Surg. Res. 2023; 283: p1124-p1132https://doi.org/10.1016/j.jss.2022.11.060Abstract Full Text PDF To give sense scale impact, management ranges $100,000 $1.5 million per health insurance companies, burdens range $250,000 $1.2 lawsuit.3Schreuder A.M. Busch O.R. Besselink M.G. Ignatavicius P. Gulbinas Barauskas G. Gouma D.J. van Gulik T.M. Long-term iatrogenic injury.Dig. 2020; 37: 10-21https://doi.org/10.1159/000496432Crossref (58) methodology research, different ways utilize were analyzed. Using basic physics equation, A1∗V1 = A2∗V2, where A cross-sectional area tube v velocity, jet stream generate powerful enough like knife. aperture then adjusted enhance force enabled disruption perforating surrounding, organs (Figure 3). creation called HydroLap. First, retrospective study conducted, determining efficacy. Then created convert idea into reality. composed biomedical, mechanical, human factor engineers addition product development company design Additionally, finance assembled raise $3 funded designing fully disposable kit could room. As any complete cohesive every role filled. Many instruments designed specifically task For specific technology, correct motor must created. Since belongs such niche part workforce, greatest challenge entailed finding right both knowledge surgery expertise miniaturizing application. conducted analyzing efficacy relative care, blunt dissection. demonstrated statistically significant (p < 0.05) decreases rate conversion open procedure, under anesthesia, number days had stay hospital after operation.2Umemoto There 35% reduction time.2Umemoto These indicate that, if global, has potential save much managing $250 costs.3Schreuder hope upcoming patented will tested ready production. If utility realized community, whole, lessen burden system. five major, fields, hopefully future. include thoracic trauma, chest empyema, complicated gastrointestinal gynecology (i.e., hard-to-treat endometriosis), urology nephrectomy adrenalectomy). more larger-scale studies further values limitations example, feasible train already thousands their practice? How about residents years training? disseminate rooms?