Novel 3D Head-Mounted Display For Microsurgery Combined With an Exoscope Device

Area of Science:

• Microsurgery
• Surgical Technology
• Medical Imaging

Background:

• Three-dimensional (3D) monitor-assisted microsurgery offers ergonomic benefits but faces challenges with monitor and assistant placement.
• Exoscopes and digital microscopes are increasingly used in microsurgery.

Purpose of the Study:

• To evaluate the usability of the 3D View Vision head-mounted 3D display with the ORBEYE exoscope.
• To assess improvements in surgeon ergonomics and visualization during microsurgical procedures.

Main Methods:

• A prospective observational study involving 5 patients undergoing head and neck reconstruction.
• Procedures utilized the head-mounted 3D display in conjunction with the ORBEYE exoscope.
• Data collected on procedure completion, time, visualization, ergonomics, and complications.

Main Results:

• Successful microvascular anastomosis was achieved in all 5 patients.
• The head-mounted 3D display enabled improved ergonomic positioning for the surgeon and assistant.
• Mean times for arterial and venous anastomosis were 23.0 and 24.6 minutes, respectively.
• No major intraoperative complications were reported.

Conclusions:

• Integrating a head-mounted 3D display with an exoscope enhances surgeon ergonomics and visualization in microsurgery.
• This technology streamlines the operating room by removing the need for external monitor setup.
• The findings suggest potential for improved surgical workflow and collaboration.