Simulation of the critical steps of the Nuss procedure

Autor: Mohammad F. Obeid, Salim Chemlal, Krzysztof J. Rechowicz, Frederic D. McKenzie
Rok vydání: 2014
Předmět:
Zdroj: Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization. 3:189-203
ISSN: 2168-1171
2168-1163
Popis: Simulation can be a critical component in the surgical training, planning and rehearsal process of difficult or new procedures. This is true for the Nuss procedure, which is a minimally invasive surgery for correcting pectus excavatum (PE) – a congenital chest wall deformity. Surgeons who routinely perform this surgery identified the most critical steps during the procedure. We chose to simulate these components which involve the process of creating a pathway anterior to the pericardium underneath the sternum as this step can, if incorrectly performed, lead to the death of a patient or, at least, serious complications. In this paper, we describe the hardware setup of the Nuss procedure surgical simulator, the constructed virtual environment, modelling of anatomical structures, surgical instrument and its insertion point without the aid of physical components, reproducing PE deformity, and eventually physics of the tunnelling process.
Databáze: OpenAIRE