Since introduction of laparoscopy in the 1980s, field surgery has rapidly transitioned toward minimal access techniques and procedures. Along with this shift, many new surgical devices instruments have been developed. The design implementation these is complex expensive

BACKGROUND AND OBJECTIVES Specially designed surgical instruments have been developed for single-incision laparoscopic surgery, but high instrument costs may impede the implementation of these procedures. The aim of this study was to compare the cost of operative implements used for elective cholecystectomy performed as conventional laparoscopic 4-port cholecystectomy or as single-incision lapa...

BACKGROUND Abnormal uterine anatomy, especially leiomyomas, can significantly impact the difficulty and potential morbidity of surgical uterine evacuation. To avoid hysterotomy and/or hysterectomy, limited evidence exists to guide surgical uterine evacuation when pregnancy tissue is inaccessible with routine instruments. CASE PRESENTATION A 41-year-old G4P1021 African American woman at 14 4/7...

Intraoperative assistance systems aim to improve the quality of the surgery and enhance the surgeon’s capabilities. Preferable would be a system which provides support depending on the surgery context and surgical skills accomplished. Therefore, the automated analysis and recognition of surgical skills during an intervention is necessary. In this paper a robust tracking of instruments in minima...

1 BackGROund Surgical instruments are essential helpers on the way to better results. As in the surgical procedure itself, also with the equipment, even small changes in details may make a big difference concerning handling, potentially affecting the outcome. Over many years of practicing rhinoplasty, the author has repeatedly asked the manufacturer to optimize the design of instruments, leadin...