Design and analysis of an intra-abdominal wall-lifting device for vNOTES
Natural orifice transluminal endoscopic surgery (NOTES) associated with less pain, shorter hospital stay, and outstanding cosmetic results has drawn considerable attention from the academic community. For NOTES, pneumoperitoneum is an essential technology to obtain intraperitoneal surgical space, wh...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Biomimetic Intelligence and Robotics |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667379723000049 |
| _version_ | 1797867585102938112 |
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| author | Jie Wang Yue Zhou Xiao Xiao Jiaole Wang Li Liu |
| author_facet | Jie Wang Yue Zhou Xiao Xiao Jiaole Wang Li Liu |
| author_sort | Jie Wang |
| collection | DOAJ |
| description | Natural orifice transluminal endoscopic surgery (NOTES) associated with less pain, shorter hospital stay, and outstanding cosmetic results has drawn considerable attention from the academic community. For NOTES, pneumoperitoneum is an essential technology to obtain intraperitoneal surgical space, which, however, can have some serious adverse hemodynamic effects. In this paper, we propose a novel intra-abdominal wall-lifting device that can replace the pneumoperitoneum functionally for transvaginal NOTES (vNOTES). The device consists mainly of two layers of elastic strips, namely, the outer strips that are used to lift the abdominal wall for surgical exposure and the inner strip with a camera mounted that can rotate to provide a wide surgical field of view. With the design, gasless vNOTES can be carried out with 82.74% of the operative field provided by pneumoperitoneum, eliminating all complications associated with gas insufflation. The design principle and kinematic analysis of the device are discussed in detail and validated by experiments. Finally, a prototype is fabricated to demonstrate the feasibility of the proposed concept. |
| first_indexed | 2024-04-09T23:42:33Z |
| format | Article |
| id | doaj.art-40ade067a6814376b1c5877d54c99d47 |
| institution | Directory Open Access Journal |
| issn | 2667-3797 |
| language | English |
| last_indexed | 2024-04-09T23:42:33Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Biomimetic Intelligence and Robotics |
| spelling | doaj.art-40ade067a6814376b1c5877d54c99d472023-03-18T04:43:12ZengElsevierBiomimetic Intelligence and Robotics2667-37972023-03-0131100090Design and analysis of an intra-abdominal wall-lifting device for vNOTESJie Wang0Yue Zhou1Xiao Xiao2Jiaole Wang3Li Liu4Department of Electronic Engineering, The Chinese University of Hong Kong, Hong Kong 999077, China; Department of Biomedical Engineering, Tsinghua University, Beijing 100084, ChinaDepartment of Electronic Engineering, The Chinese University of Hong Kong, Hong Kong 999077, ChinaDepartment of Electronic and Electrical Engineering, Southern University of Science and Technology, Shenzhen 518055, China; Corresponding authors.Department of Mechanical Engineering and Automation, Harbin Institute of Technology (Shenzhen), Shenzhen 518055, ChinaDepartment of Electronic Engineering, The Chinese University of Hong Kong, Hong Kong 999077, China; Corresponding authors.Natural orifice transluminal endoscopic surgery (NOTES) associated with less pain, shorter hospital stay, and outstanding cosmetic results has drawn considerable attention from the academic community. For NOTES, pneumoperitoneum is an essential technology to obtain intraperitoneal surgical space, which, however, can have some serious adverse hemodynamic effects. In this paper, we propose a novel intra-abdominal wall-lifting device that can replace the pneumoperitoneum functionally for transvaginal NOTES (vNOTES). The device consists mainly of two layers of elastic strips, namely, the outer strips that are used to lift the abdominal wall for surgical exposure and the inner strip with a camera mounted that can rotate to provide a wide surgical field of view. With the design, gasless vNOTES can be carried out with 82.74% of the operative field provided by pneumoperitoneum, eliminating all complications associated with gas insufflation. The design principle and kinematic analysis of the device are discussed in detail and validated by experiments. Finally, a prototype is fabricated to demonstrate the feasibility of the proposed concept.http://www.sciencedirect.com/science/article/pii/S2667379723000049Gasless NOTESTransvaginal NOTESAbdominal lifting deviceLarge deflection compressive column |
| spellingShingle | Jie Wang Yue Zhou Xiao Xiao Jiaole Wang Li Liu Design and analysis of an intra-abdominal wall-lifting device for vNOTES Biomimetic Intelligence and Robotics Gasless NOTES Transvaginal NOTES Abdominal lifting device Large deflection compressive column |
| title | Design and analysis of an intra-abdominal wall-lifting device for vNOTES |
| title_full | Design and analysis of an intra-abdominal wall-lifting device for vNOTES |
| title_fullStr | Design and analysis of an intra-abdominal wall-lifting device for vNOTES |
| title_full_unstemmed | Design and analysis of an intra-abdominal wall-lifting device for vNOTES |
| title_short | Design and analysis of an intra-abdominal wall-lifting device for vNOTES |
| title_sort | design and analysis of an intra abdominal wall lifting device for vnotes |
| topic | Gasless NOTES Transvaginal NOTES Abdominal lifting device Large deflection compressive column |
| url | http://www.sciencedirect.com/science/article/pii/S2667379723000049 |
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