127 lines
4 KiB
YAML
127 lines
4 KiB
YAML
abstract: 'Laparoscopic surgery is the standard of care in high-income countries
|
|
|
|
for many procedures in the chest and abdomen. It avoids large incisions
|
|
|
|
by using a tiny camera and fine instruments manipulated through keyhole
|
|
|
|
incisions, but it is generally unavailable in low- and middle-income
|
|
|
|
countries (LMICs) due to the high cost of installment, lack of qualified
|
|
|
|
maintenance personnel, unreliable electricity, and shortage of
|
|
|
|
consumable items. Patients in LMICs would benefit from laparoscopic
|
|
|
|
surgery, as advantages include decreased pain, improved recovery time,
|
|
|
|
fewer wound infections, and shorter hospital stays. To address this
|
|
|
|
need, we developed an accessible laparoscopic system, called the
|
|
|
|
ReadyView laparoscope for use in LMICs. The device includes an
|
|
|
|
integrated camera and LED light source that can be displayed on any
|
|
|
|
monitor. The ReadyView laparoscope was evaluated with standard optical
|
|
|
|
imaging targets to determine its performance against a state-of-the-art
|
|
|
|
commercial laparoscope. The ReadyView laparoscope has a comparable
|
|
|
|
resolving power, lens distortion, field of view, depth of field, and
|
|
|
|
color reproduction accuracy to a commercially available endoscope,
|
|
|
|
particularly at shorter, commonly-used working distances (3-5 cm).
|
|
|
|
Additionally, the ReadyView has a cooler temperature profile, decreasing
|
|
|
|
the risk for tissue injury and operating room fires. The ReadyView
|
|
|
|
features a waterproof design, enabling sterilization by submersion, as
|
|
|
|
commonly performed in LMICs. A custom desktop software was developed to
|
|
|
|
view the video on a laptop computer with a frame rate greater than 30
|
|
|
|
frames per second and to white balance the image, which is critical for
|
|
|
|
clinical use. The ReadyView laparoscope is capable of providing the
|
|
|
|
image quality and overall performance needed for laparoscopic surgery.
|
|
|
|
This portable low-cost system is well suited to increase access to
|
|
|
|
laparoscopic surgery in LMICs.'
|
|
affiliation: 'Fitzgerald, TN (Corresponding Author), Duke Global Hlth Inst, Durham,
|
|
NC 27710 USA.
|
|
|
|
Mueller, Jenna L., Univ Maryland, Clark Sch Engn, College Pk, MD 20742 USA.
|
|
|
|
Rozman, Natalie; Sunassee, Enakshi D.; Gupta, Aryaman; Schuval, Cayla; Biswas, Arushi;
|
|
Kulkarni, Shreyas; Ramanujam, Nimmi, Duke Univ, Pratt Sch Engn, Durham, NC USA.
|
|
|
|
Knight, Bailey; Brown, Meredith, Duke Univ, Trinity Sch Arts \& Sci, Durham, NC
|
|
USA.
|
|
|
|
Ramanujam, Nimmi; Fitzgerald, Tamara N., Duke Global Hlth Inst, Durham, NC 27710
|
|
USA.
|
|
|
|
Fitzgerald, Tamara N., Duke Univ, Sch Med, Durham, NC USA.'
|
|
author: Mueller, Jenna L. and Rozman, Natalie and Sunassee, Enakshi D. and Gupta,
|
|
Aryaman and Schuval, Cayla and Biswas, Arushi and Knight, Bailey and Kulkarni, Shreyas
|
|
and Brown, Meredith and Ramanujam, Nimmi and Fitzgerald, Tamara N.
|
|
author-email: tnfitz@hotmail.com
|
|
author_list:
|
|
- family: Mueller
|
|
given: Jenna L.
|
|
- family: Rozman
|
|
given: Natalie
|
|
- family: Sunassee
|
|
given: Enakshi D.
|
|
- family: Gupta
|
|
given: Aryaman
|
|
- family: Schuval
|
|
given: Cayla
|
|
- family: Biswas
|
|
given: Arushi
|
|
- family: Knight
|
|
given: Bailey
|
|
- family: Kulkarni
|
|
given: Shreyas
|
|
- family: Brown
|
|
given: Meredith
|
|
- family: Ramanujam
|
|
given: Nimmi
|
|
- family: Fitzgerald
|
|
given: Tamara N.
|
|
da: '2023-09-28'
|
|
doi: 10.1007/s10439-020-02707-6
|
|
earlyaccessdate: MAR 2021
|
|
eissn: 1573-9686
|
|
files: []
|
|
issn: 0090-6964
|
|
journal: ANNALS OF BIOMEDICAL ENGINEERING
|
|
keywords: Biomedical devices; Laparoscopic surgery; Global surgery
|
|
keywords-plus: SURGICAL CARE; COST
|
|
language: English
|
|
month: JUL
|
|
number: '7'
|
|
number-of-cited-references: '39'
|
|
orcid-numbers: 'Knight, Bailey/0000-0001-7813-5624
|
|
|
|
Biswas, Arushi/0000-0001-9785-1466
|
|
|
|
Kulkarni, Shreyas/0000-0002-6723-515X'
|
|
pages: 1657-1669
|
|
papis_id: 76ba11ce59ba282d73417b95e2d8f895
|
|
ref: Mueller2021accessiblelaparoscop
|
|
times-cited: '3'
|
|
title: An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries
|
|
type: article
|
|
unique-id: WOS:000626407700006
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '1'
|
|
volume: '49'
|
|
web-of-science-categories: Engineering, Biomedical
|
|
year: '2021'
|