Video-Assisted Telescope Operating Monitor 3D System in Microsurgical Varicocelectomy: A Preliminary Report.

Autor:	Duarsa GWK; Department of Urology, Faculty of Medicine, Prof. Dr. I.G.N.G Ngoerah General Hospital, Universitas Udayana, Denpasar, Indonesia., Kloping YP; Department of Urology, Faculty of Medicine, Soetomo General-Academic Hospital, Universitas Airlangga, Surabaya, Indonesia., Duarsa GWD; Department of Urology, Faculty of Medicine, Saiful Anwar General Hospital, Universitas Brawijaya, Malang, Indonesia., Daryanto B; Department of Urology, Faculty of Medicine, Saiful Anwar General Hospital, Universitas Brawijaya, Malang, Indonesia., Satyagraha P; Department of Urology, Faculty of Medicine, Saiful Anwar General Hospital, Universitas Brawijaya, Malang, Indonesia.
Jazyk:	angličtina
Zdroj:	Surgical innovation [Surg Innov] 2024 Jun; Vol. 31 (3), pp. 240-244. Date of Electronic Publication: 2024 Mar 04.
DOI:	10.1177/15533506241237555
Abstrakt:	Introduction: Video-assisted telescope operating monitor (VITOM®) with 3D Visualization technology was developed and has been used with favorable results by several surgical specialties. Our study aims to be a preliminary report for initial experience using the VITOM® 3D system for microsurgical varicocelectomy on varicocele patients. Methods: We performed 35 microsurgical varicocelectomy procedures using the VITOM® 3D system on varying types and grades of varicoceles. The surgeon had the option of using either a 2.5 or 3.5 magnifying loupe in addition to the exoscope for each operation evaluated. The exoscope is a standalone camera head with an integrated 3D telescope and remote control with zoom and focus functions. It is connected to the 3D monitor via a mechanical holding arm. During the procedure, surgeons, assistants, and observers were able to view the 3D high-definition stream displayed on a 26-inch 3D monitor at a convenient viewing angle and distance. The varicocele ligation was performed using a Carl Zeiss Meditec AG microscope. Results: There were 35 patients with varicocele aged 31.51 years old on average, which were included in this report. Most patients had grade 3 bilateral varicocele (n = 13, 37.1%). All procedures were performed without any intraoperative complications. After the procedures, only a few patients suffered from postoperative complications. Three patients suffered scrotal edema (8.6%), while another had hydrocele (2.9%). The postoperative pain results were also very minimal from .89 1 day after the operation to .26 3 days after the operation. Conclusion: The VITOM® 3D system showed promise in microsurgical varicocelectomy. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
Databáze:	MEDLINE
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