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Use of 4K3D Video Microscope in Male Infertility Microsurgery

OBJECTIVE: To evaluate a 4K3D video microscope in the operating room of an outpatient surgical center during male infertility microsurgery procedures. DESIGN: Video presentation SETTING: University of Miami outpatient surgical center PATIENT(S): All patients undergoing microsurgical procedures who s...

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Autores principales: Best, Jordan C., Gonzalez, Daniel, Alawamlh, Omar Al Hussein, Li, Philip S., Ramasamy, Ranjith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7357899/
https://www.ncbi.nlm.nih.gov/pubmed/32661513
http://dx.doi.org/10.1016/j.urolvj.2020.100046
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author Best, Jordan C.
Gonzalez, Daniel
Alawamlh, Omar Al Hussein
Li, Philip S.
Ramasamy, Ranjith
author_facet Best, Jordan C.
Gonzalez, Daniel
Alawamlh, Omar Al Hussein
Li, Philip S.
Ramasamy, Ranjith
author_sort Best, Jordan C.
collection PubMed
description OBJECTIVE: To evaluate a 4K3D video microscope in the operating room of an outpatient surgical center during male infertility microsurgery procedures. DESIGN: Video presentation SETTING: University of Miami outpatient surgical center PATIENT(S): All patients undergoing microsurgical procedures who signed a written, informed consent for video and audio recording. INTERVENTION(S): vasovasotomy, vasoepididymostomy, varicocele repair, microsurgical testicular sperm extraction MAIN OUTCOME MEASURE(S): Operating room times and surgeon fatigue RESULT(S): This video demonstrates the potential advantages of a 4K3D video microscope in the operating room compared to the standard optical operating microscope (SOM), as well as robotic assisted microsurgery. Operating times for all varicocele repair cases performed with the 4k3D video microscope during the 4-week trial period (6), were compared to the 6 most recent varicocelectomies done with a SOM. We observed a decrease in the median operating room times (74.5 minutes vs 96.5 minutes) for those surgeries involving the 4k3D video microscope. Mann Whitney U test was used to compare median operating times, however, because of our small sample size this was not statistically significant (p=0.092) (Figure 1). Additionally, between cases, the transport of microscope from room to room, draping and setup of the 4k3D video microscope required less time and was less strenuous for the OR staff. The 4k3D video microscope allows the surgeon to operate in a more ergonomic position compared to the SOM and comes at a price point which is more reasonable than a surgical robot (DaVinci). CONCLUSION: The 4K3D video microscope offers potential ergonomic and logistical advantages over the SOM and robotically assisted surgery. Future studies with larger sample sizes are needed to evaluate these potential advantages and objectively study the ergonomic improvements that the 4k3D video microscope offers over the SOM.
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spelling pubmed-73578992020-09-01 Use of 4K3D Video Microscope in Male Infertility Microsurgery Best, Jordan C. Gonzalez, Daniel Alawamlh, Omar Al Hussein Li, Philip S. Ramasamy, Ranjith Urol Video J Article OBJECTIVE: To evaluate a 4K3D video microscope in the operating room of an outpatient surgical center during male infertility microsurgery procedures. DESIGN: Video presentation SETTING: University of Miami outpatient surgical center PATIENT(S): All patients undergoing microsurgical procedures who signed a written, informed consent for video and audio recording. INTERVENTION(S): vasovasotomy, vasoepididymostomy, varicocele repair, microsurgical testicular sperm extraction MAIN OUTCOME MEASURE(S): Operating room times and surgeon fatigue RESULT(S): This video demonstrates the potential advantages of a 4K3D video microscope in the operating room compared to the standard optical operating microscope (SOM), as well as robotic assisted microsurgery. Operating times for all varicocele repair cases performed with the 4k3D video microscope during the 4-week trial period (6), were compared to the 6 most recent varicocelectomies done with a SOM. We observed a decrease in the median operating room times (74.5 minutes vs 96.5 minutes) for those surgeries involving the 4k3D video microscope. Mann Whitney U test was used to compare median operating times, however, because of our small sample size this was not statistically significant (p=0.092) (Figure 1). Additionally, between cases, the transport of microscope from room to room, draping and setup of the 4k3D video microscope required less time and was less strenuous for the OR staff. The 4k3D video microscope allows the surgeon to operate in a more ergonomic position compared to the SOM and comes at a price point which is more reasonable than a surgical robot (DaVinci). CONCLUSION: The 4K3D video microscope offers potential ergonomic and logistical advantages over the SOM and robotically assisted surgery. Future studies with larger sample sizes are needed to evaluate these potential advantages and objectively study the ergonomic improvements that the 4k3D video microscope offers over the SOM. 2020-06-15 2020-09 /pmc/articles/PMC7357899/ /pubmed/32661513 http://dx.doi.org/10.1016/j.urolvj.2020.100046 Text en This is an open access article under the CC BY-NC-ND license. (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Article
Best, Jordan C.
Gonzalez, Daniel
Alawamlh, Omar Al Hussein
Li, Philip S.
Ramasamy, Ranjith
Use of 4K3D Video Microscope in Male Infertility Microsurgery
title Use of 4K3D Video Microscope in Male Infertility Microsurgery
title_full Use of 4K3D Video Microscope in Male Infertility Microsurgery
title_fullStr Use of 4K3D Video Microscope in Male Infertility Microsurgery
title_full_unstemmed Use of 4K3D Video Microscope in Male Infertility Microsurgery
title_short Use of 4K3D Video Microscope in Male Infertility Microsurgery
title_sort use of 4k3d video microscope in male infertility microsurgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7357899/
https://www.ncbi.nlm.nih.gov/pubmed/32661513
http://dx.doi.org/10.1016/j.urolvj.2020.100046
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