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Results for “Surgical simulation”

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At least 145 records · Page 8Linked to original sources
PubMed1996

Real-time visually and haptically accurate surgical simulation.

The Visible Human Database provides a complete submillimeter photographic and radiological description of both a male and a female cadaver. The Center for Human Simulation has developed real-time algorithms that allow a user to wield a virtual scalpel and produce arbitrary cuts into the reconstructed body. Real-time interaction is achieved by producing the appropriate texture mapped surfaces directly from the Visible Human Database. We are currently combining a 3 degree of freedom PHANToM haptic device (SensAble Devices) with our surgical cutting algorithms to produce a system with the look and feel of surgical cutting.

Anatomy, Cross-Sectional↗
PubMed2000

Web-based surgical simulation for ventricular catheterization.

We have used new developments in computer technology and the Internet to create a small program that simulates catheterization of the lateral ventricle. The program can run on most personal computers connected to the Internet. The program allows trainee surgeons to practice the technique with varying degrees of visual feedback--and no risk to the patient. It allows them to learn both the technique and the associated anatomy. The trainees can be assessed while performing the procedure. This is a small, early-stage application of virtual reality in surgical education. There is a demand for surgical training techniques that expose the patient to no risk; the use of computers is appropriate to meet this demand. The technique presented here requires further development; in particular, it needs a standardized assessment element that will allow it to be tested by established surgeons and trainees. The real test of a good training technique is how well it discriminates between trainee and trainer.

Cerebral Ventricles↗
PubMed1991

Surgical simulation for general practitioners.

The White Paper (1) and its implementation means that general practitioners will perform many more minor procedures. Training and retraining will be required in the manual skills necessary to handle instruments and remove such conditions as surface lesions. We describe a training aid based on porcine dermis which allows a practitioner the opportunity to acquire such skills. It may also be useful for training paramedical personnel.

Animals↗
PubMed1997

[Imaging networks, surgical simulation, computer-assisted neurosurgery].

OBJECTIVE: In 1988, the neurosurgeons and neuroradiologists at the Val-de-Grâce hospital decided to create a stereotaxis site using advanced medical imaging date (CT-scan or MRI). METHODS: Two MRI machines and on CT unit were linked to a network (ETHERNET) available for radiologists in 1989. Neurosurgeons adapted stereotaxis sites using Leksell, Fisher and CRW software for MRI. A data processing program recognizing these sites was developed for stereotaxic biopsies based on MRI data. The network was extended in 1992 to the radiotherapy unit for multiple beam stereotaxic irradiations. Finally from 1994, when a computer-guided microscope (Zeiss MKM) was installed, nearly all neurosurgical procedures were conducted under stereotaxic conditions. RESULTS: Since 1989, approximately 900 computer-guided stereotaxic biopsies have been performed with precision in the millimeter range. Since 1994, the Zeiss MKM microscope has been used for 120 computer-guided procedures with the frameless stereotaxic technique guided from landmarks on the outer cranium or attached to the scalp. Mean precision obtained with landmarks was 1.2 mm and 2.8 mm with scalp markers. CONCLUSION: These techniques of computer-assisted neurosurgery based on advanced medical imaging techniques has been revolutionary for surgical approach to intracranial and intracerebral diseases. Smaller assess routes and precise pathways allow an approach to formerly inoperable lesions with minimal risk.

Biopsy↗
PubMed1996

Virtual reality surgical simulation and otolaryngology.

Large-scale flight simulation was pioneered in the 1940s to help meet the training requirements and demand for pilots in World War II. Flight simulators have been effective for training, evaluating, and certifying military and commercial pilots. Accurate scenarios have been developed that allow pilots in training to gain experience without the risk and expense of learning while in flight. The research in aviation simulation suggests a transfer effectiveness ratio of 0.48. This means that 1 hour in the simulator saves a half hour in the air. Because of the successful use of flight simulation as a training technique, computer-based simulators are now used in a variety of domains.

Computer Simulation↗
PubMed1994

Improved survival in simulated surgical infection with combined cytokine, antibiotic and immunostimulant therapy.

A study was performed to find an ideal combination and sequence of cytokines, antibiotics and immunorestorative agents to enhance survival from serious infection. The effects of combinations of granulocyte-macrophage colony-stimulating factor (GM-CSF), tumour necrosis factor (TNF) alpha, the immune adjuvant muramyl dipeptide (MDP) and two systemic antibiotics were studied in a validated murine model of surgical infection. A single cotton suture containing absorbed Klebsiella pneumoniae was placed into the thighs of mice to produce local and systemic infection. Control mice received a volume of subcutaneous saline equal to that of the therapeutic agent; only 18 per cent survived 9 days after infection. The survival time of mice treated with any single agent was similar to that of controls. The group given maximal combined therapy (65 mice) received GM-CSF, TNF-alpha, MDP, and ampicillin-sulbactam or cefoxitin for 6 days. The survival rate in this group 9 days after the introduction of infection was 84-90 per cent (P < 0.0001), suggesting that specific combinations of cytokines, immunostimulants and antibiotics may be useful in combating lethal infection.

Acetylmuramyl-Alanyl-Isoglutamine↗
PubMed2004

Qualitative and quantitative analysis of the learning curve of a simulated surgical task on the da Vinci system.

BACKGROUND: Robotic telemanipulation systems provide solutions to the problems of less dexterity and visual constraints of minimally invasive surgery (MIS). However, their influence over surgeons' dexterity and learning curve needs to be assessed. We present motion analysis as an objective method to measure performance and learning progress.METHODS. Thirteen surgeons completed five synthetic small bowel anastomoses using the da Vinci system. Objective Structured Assessment of Technical Skills (OSATS) allowed qualitative analysis. Quantitative analysis used API software of the system to retrieve real-time robotic signal data of time, path length, and number of movements. Wilcoxon signed ranks test was used for statistical analysis. A p value <0.05 was considered significant.RESULTS. OSATS global scores were 18.6 points for the first attempt and 26 for the fifth attempt ( p < 0.02, Cronbach's alpha = 0.894). Paired data of motion analysis for attempts 1 vs 5 showed significant change: time taken 3507 sec and 2287 sec ( p < 0.008), total number of movements 2411 and 1387 ( p = 0.01), total path length 21,630 cm and 13,941 cm ( p = 0.01).CONCLUSIONS. A rapid learning curve to a competent level using the da Vinci system is possible aided by the system's intuitive motion. Motion analysis is a useful tool to measure performance in the da Vinci system compared to OSATS and time alone.

Anastomosis, Surgical↗
PubMed2004

Construct validity for the LAPSIM laparoscopic surgical simulator.

BACKGROUND: The skills required for laparoscopic surgery are amenable to simulator-based training. Several computerized devices are now available. We hypothesized that the LAPSIM simulator can be shown to distinguish novice from experienced laparoscopic surgeons, thus establishing construct validity. METHODS: We tested residents of all levels and attending laparoscopic surgeons. The subjects were tested on eight software modules. Pass/fail (P/F), time (T), maximum level achieved (MLA), tissue damage (TD), motion, and error scores were compared using the t-test and analysis of variance. RESULTS: A total of 54 subjects were tested. The most significant difference was found when we compared the most (seven attending surgeons) and least experienced (10 interns) subjects. Grasping showed significance at P/F and MLA (p < 0.03). Clip applying was significant for P/F, MLA, motion, and errors (p < 0.02). Laparoscopic suturing was significant for P/F, MLA, T, TD, as was knot error (p < 0.05). This finding held for novice, intermediate, and expert subjects (p < 0.05) and for suturing time between attending surgeons and residents (postgraduate year [PGY] 1-4) (p < 0.05). CONCLUSIONS: LAPSIM has construct validity to distinguish between expert and novice laparoscopists. Suture simulation can be used to discriminate between individuals at different levels of residency and expert surgeons.

Clinical Competence↗
PubMed2000

[Computerised three-dimensional surgical simulator. Introduction and precision analysis of a new system].

Computed tomography (CT)-based anatomic three-dimensional (3D) models have become important tools in oral maxillofacial surgery. There are three problems involved in the precise transfer of the experience gained and the results of simulation surgery to the patient: (1) 3D models have no precise reference points; (2) it is difficult to measure translations three-dimensionally; and (3) exact transfer to the patient intraoperatively is impossible. We have introduced a new system which solves these problems. In the first step 3D dental arches are replaced by plaster models, using an occlusal device with three radioopaque hemispheres as reference. A computerised electromagnetic tracker makes 3D measurements possible during simulated surgery, and a newly developed transfer system with a neurosurgical head frame to provide stable anchorage is used for positioning during surgery. We present our experience with this system in 15 orthognathic patients undergoing bimaxillary surgery. With the 3D computerised simulation surgery and model operation transfer system (3D-COSMOS) the dental arches can be replaced with a mean accuracy of 0.03 mm. The 3D translations of jaw segments can be measured precisely (0.11 mm) and simultaneously at the osteotomy line and the teeth. The new jaw position is transferred mechanically with a precision of 0.05 mm. Operation time is prolonged only by 15 min.

Cephalometry↗
PubMed1982

Three dimensional surgical simulations of the spine.

A finite element model of a complete vertebra has been formulated. It is used to simulate the laminectomy and Harrington rod procedures. The results indicate that high tensile stresses occurred on the affected side in the region of the pars interarticularis after laminectomy. High tensile stresses near the pars interarticularis and at the posterior junction of lamina and pedicles are predicted due to Harrington rod loading.

Humans↗
PubMed2004

Removing tetrahedra from manifold tetrahedralisation: application to real-time surgical simulation.

This paper proposes an efficient method for removing tetrahedra from a tetrahedral mesh while keeping its manifold property. We first define precisely the notion of manifold tetrahedral mesh and stress its relevance in the context of real-time surgery simulation. We then provide a method for removing a tetrahedron that complies with the manifold definition. This removal may require in some cases the removal of neighboring tetrahedra. After providing an exhaustive description of the tetrahedron removal algorithm, its efficiency is evaluated for different mesh configurations. This algorithm is currently used in the context of real-time surgery simulation where the action of an ultrasonic lancet can be simulated by the removal of small set of tetrahedra from a tetrahedralisation.

Algorithms↗
PubMedDate not supplied

[Three-dimensional computer reconstruction of the pelvic and hip area in the preoperative planning of orthopedic interventions and surgical simulation].

RESEARCH QUESTION: Osteotomies are elective operations which require exact pre-operative planing. Computer assisted three-dimensional planning of orthopedic procedures requires a three-dimensional reconstruction of the region of interest. To be applicable, such a three-dimensional reconstruction must be an accurate mathematical description of the region of interest, and not only a 3-D-image. The purpose of this study was to create such an accurate 3-D reconstruction. METHODS: We describe a method to create an exact reconstruction from CT-data, from the data acquisition, contour determination by an algorithm, triangulation of the resulting data and reconstruction of the region of interest. CONCLUSION: The described method is a useful tool to obtain exact individual three-dimensional reconstructions of any skeletal region of interest. This makes pre-operative planning and simulation of the results of orthopedic procedures at the computer possible.

Computer Simulation↗