Improvement of Working Volume and Applications of Retractors Used in Surgical Operations
Abstract
Retractor systems are crucial in assisting physicians during surgical operations, ensuring optimal access to the surgical site, holding necessary equipment, and facilitating various procedures such as holding open wounds, stretching tissues, and removing them from the surgery site. Currently, retractors are tailored to specific anatomical regions. For instance, thyroid surgery presents unique challenges due to the gland's location and proximity to vital structures. Accessing the thyroid tissue amid the complexities of the neck region, which includes muscles like sternohyoid, sternothyroid, thyrohyoid, and omohyoid, requires careful retraction for a safe and effective procedure. The success of thyroid surgery relies on distinguishing the thyroid gland from surrounding structures, precisely determining surgical margins, and ensuring a clear view of the surgical field to mitigate potential complications. In this study, two distinct retractor holder designs, versatile for various operations, were developed and evaluated for their working volume, degrees of freedom in design, and applicability in surgical procedures. These designs aim to contribute to improving surgical outcomes, reducing complications, and general advances in the field of surgical instrumentation
Keywords
References
- Tang R, Ma LF, Rong ZX, et al. Augmented reality technology for preoperative planning and intraoperative navigation during hepatobiliary surgery: A review of current methods. Hepatobiliary Pancreat Dis Int. 2018;17(2):101-112. doi:10.1016/j.hbpd.2018.02.002
- Older J. Anatomy: A must for teaching the next generation. Surgeon. 2004;2(2):79-90. doi:10.1016/S1479-666X(04)80050-7
- Chidambaram S, Stifano V, Demetres M, et al. Applications of augmented reality in the neurosurgical operating room: A systematic review of the literature. J Clin Neurosci. 2021;91:43-61. doi:10.1016/j.jocn.2021.06.032
- Greenfield JP, Cobb WS, Tsouris AJ, Schwartz TH. Stereotactic minimally invasive tubular retractor system for deep brain lesions. Neurosurgery. 2008;63(4 SUPPL.):334-340. doi:10.1227/01.NEU.0000334741.61745.72
- Kossmann T, Jacobi D, Trentz O. The use of a retractor system (SynFrame) for open, minimal invasive reconstruction of the anterior column of the thoracic and lumbar spine. Eur Spine J. 2001;10(5):396-402. doi:10.1007/s005860100330
- Echeverry N, Mansour S, MacKinnon G, Jaraki J, Shapiro S, Snelling B. Intracranial Tubular Retractor Systems: A Comparison and Review of the Literature of the BrainPath, Vycor, and METRx Tubular Retractors in the Management of Deep Brain Lesions. World Neurosurg. 2020;143:134-146. doi:10.1016/j.wneu.2020.07.131
- Tae K. Transoral robotic thyroidectomy using the da Vinci single-port surgical system. Gland Surg. 2020;9(3):614-616. doi:10.21037/GS.2020.03.37
- Park JO, Lee D hyun, Kim MR, Kim SY, Han JH, Sun D Il. Transoral endoscopic thyroidectomy using a self-retaining retractor as an alternative to carbon dioxide gas insufflation: A comparative analysis of 131 cases. Oral Oncol. 2021;121(July):105463. doi:10.1016/j.oraloncology.2021.105463
- Tiwari R. Comparison of Normal Retractor and Inbuilt Suction Retractor in Third Molar Surgery to Develop a Neo Retractor: An Original Research. J Maxillofac Oral Surg. 2023;22(S2). doi:10.1007/s12663-023-02037-9
- Espinosa A, Ringel MJ, Heiselman JS, et al. Modeling retraction for breast conserving surgery guidance. In: Linte CA, Siewerdsen JH, eds. Medical Imaging 2023: Image-Guided Procedures, Robotic Interventions, and Modeling. SPIE; 2023:78. doi:10.1117/12.2655662