Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Microsurgery without a microscope: laboratory evaluation of a three-dimensional on-screen microsurgery system

R J Franken1, S C Gupta, J C Banis

  • 1Department of Surgery, University of Louisville School of Medicine, KY, USA.

Microsurgery
|January 1, 1995
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Chewing with a cleft palate: a randomized controlled trial. Effect of timing of surgical closure of the palate on mastication in infants with clefts.

Clinical oral investigations·2025
Same author

Correction: Evidence-Based Classification for Post-bariatric Weight Regain from a Benchmark Registry Cohort of 18,403 Patients and Comparison with Current Criteria.

Obesity surgery·2024
Same author

Evidence-Based Classification for Post-bariatric Weight Regain from a Benchmark Registry Cohort of 18,403 Patients and Comparison with Current Criteria.

Obesity surgery·2023
Same author

Commentary on: computed tomography-derived fractional flow reserve (FFR<sub>CT</sub>) has no additional clinical impact over the anatomical Coronary Artery Disease - Reporting and Data System (CAD-RADS) in real-world elective healthcare of coronary artery disease.

Clinical radiology·2022
Same author

Biofabrication of a shape-stable auricular structure for the reconstruction of ear deformities.

Materials today. Bio·2021
Same author

Engaging stakeholders in bioprinting research: Views and concerns of microtia patients' parents on bioprinted auricular cartilage.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2020

This study introduces the Three-dimensional On-screen Microsurgical System (TOMS) to reduce physical strain during microvascular surgery. TOMS may enhance surgeon comfort and decrease fatigue in demanding procedures.

Area of Science:

  • Microsurgical techniques
  • Surgical ergonomics
  • Medical device innovation

Background:

  • Microvascular surgery demands precision and endurance, often leading to surgeon fatigue.
  • Current microscope systems require sustained, fixed viewing, causing positioning issues and discomfort.
  • Surgeon and assistant positioning challenges are significant in prolonged microsurgical operations.

Purpose of the Study:

  • To evaluate a novel microscope system, the Three-dimensional On-screen Microsurgical System (TOMS), as an alternative to traditional eyepiece viewing.
  • To assess the impact of TOMS on surgeon comfort, instructional capabilities, and technological performance in microsurgery.
  • To determine if TOMS can mitigate the physical and mental fatigue associated with demanding microvascular procedures.

Main Methods:

Related Experiment Videos

  • A laboratory-based comparative study contrasting TOMS with conventional microsurgical techniques.
  • Standardized questionnaires were used to evaluate surgeon comfort, teaching ability, and system performance.
  • Objective and subjective assessments of the surgical procedure and surgeon/assistant ergonomics were conducted.

Main Results:

  • The Three-dimensional On-screen Microsurgical System (TOMS) showed potential in reducing physical demands on the surgeon.
  • Surgeon and assistant comfort levels were potentially improved with the TOMS compared to traditional methods.
  • Technological performance and instructional capabilities require further refinement for widespread adoption.

Conclusions:

  • The TOMS offers a promising approach to alleviate physical strain and enhance comfort in prolonged microvascular surgery.
  • Decoupling the surgeon's view from microscope eyepieces may revolutionize surgical ergonomics.
  • Further technological advancements are necessary to optimize the TOMS for clinical application.