Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application

Jana Steger; Stefanie Ficht; Daniel Ostler; Alissa Jell; Hubertus Feubner; Petra Mela; Markus Eblenkamp; Dirk Wilhelm

doi:10.1109/CSCI49370.2019.00186

Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application

Jana Steger, Stefanie Ficht, Daniel Ostler, Alissa Jell, Hubertus Feubner, Petra Mela, Markus Eblenkamp, Dirk Wilhelm

Technical University of Munich

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

Abstract

The anastomosis of two bowel segments is one of the core competences in visceral surgery. However, postoperative complication rates and intraoperative trauma are still too high despite numerous methods and products available. The aim of this paper is to show the first approach towards the development of a transluminal system to enable micro invasive anastomosing just using natural orifices. In this context a requirements analysis based on expert discussions and literature evaluation focusing on postoperative complications was carried out. A testing model was developed and a pressure test setup was designed to derive optimal compression zone geometry, based on the material behavior of porcine bowel tissue. For the task of transluminal anastomization a highly adaptable and flexible system must be developed. From some initial experimental trials within an abstracted bowel model, we were able to reveal first promising results concerning feasibility of transluminal anastomosis generation. In the following an experimental protocol has to be developed to assess relevant parameters as a basis for an objective comparison of the different implant models.

Original language	English
Title of host publication	Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019
Publisher	Institute of Electrical and Electronics Engineers Inc.
Pages	983-986
Number of pages	4
ISBN (Electronic)	9781728155845
DOIs	https://doi.org/10.1109/CSCI49370.2019.00186
State	Published - Dec 2019
Event	6th Annual International Conference on Computational Science and Computational Intelligence, CSCI 2019 - Las Vegas, United States Duration: 5 Dec 2019 → 7 Dec 2019

Publication series

Name	Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019

Conference

Conference	6th Annual International Conference on Computational Science and Computational Intelligence, CSCI 2019
Country/Territory	United States
City	Las Vegas
Period	5/12/19 → 7/12/19

Keywords

Anastomosis
Applicator
Implant
Surgical procedure
Transluminal

Access to Document

10.1109/CSCI49370.2019.00186

Cite this

Steger, J., Ficht, S., Ostler, D., Jell, A., Feubner, H., Mela, P., Eblenkamp, M., & Wilhelm, D. (2019). Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application. In Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019 (pp. 983-986). Article 9071018 (Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/CSCI49370.2019.00186

Steger, Jana ; Ficht, Stefanie ; Ostler, Daniel et al. / Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application. Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019. Institute of Electrical and Electronics Engineers Inc., 2019. pp. 983-986 (Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019).

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title = "Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application",

abstract = "The anastomosis of two bowel segments is one of the core competences in visceral surgery. However, postoperative complication rates and intraoperative trauma are still too high despite numerous methods and products available. The aim of this paper is to show the first approach towards the development of a transluminal system to enable micro invasive anastomosing just using natural orifices. In this context a requirements analysis based on expert discussions and literature evaluation focusing on postoperative complications was carried out. A testing model was developed and a pressure test setup was designed to derive optimal compression zone geometry, based on the material behavior of porcine bowel tissue. For the task of transluminal anastomization a highly adaptable and flexible system must be developed. From some initial experimental trials within an abstracted bowel model, we were able to reveal first promising results concerning feasibility of transluminal anastomosis generation. In the following an experimental protocol has to be developed to assess relevant parameters as a basis for an objective comparison of the different implant models.",

keywords = "Anastomosis, Applicator, Implant, Surgical procedure, Transluminal",

author = "Jana Steger and Stefanie Ficht and Daniel Ostler and Alissa Jell and Hubertus Feubner and Petra Mela and Markus Eblenkamp and Dirk Wilhelm",

note = "Publisher Copyright: {\textcopyright} 2019 IEEE.; 6th Annual International Conference on Computational Science and Computational Intelligence, CSCI 2019 ; Conference date: 05-12-2019 Through 07-12-2019",

year = "2019",

month = dec,

doi = "10.1109/CSCI49370.2019.00186",

language = "English",

series = "Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019",

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Steger, J, Ficht, S, Ostler, D, Jell, A, Feubner, H, Mela, P , Eblenkamp, M & Wilhelm, D 2019, Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application. in Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019., 9071018, Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019, Institute of Electrical and Electronics Engineers Inc., pp. 983-986, 6th Annual International Conference on Computational Science and Computational Intelligence, CSCI 2019, Las Vegas, United States, 5/12/19. https://doi.org/10.1109/CSCI49370.2019.00186

Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application. / Steger, Jana; Ficht, Stefanie; Ostler, Daniel et al.
Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019. Institute of Electrical and Electronics Engineers Inc., 2019. p. 983-986 9071018 (Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

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AU - Ostler, Daniel

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AU - Feubner, Hubertus

AU - Mela, Petra

AU - Eblenkamp, Markus

AU - Wilhelm, Dirk

PY - 2019/12

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N2 - The anastomosis of two bowel segments is one of the core competences in visceral surgery. However, postoperative complication rates and intraoperative trauma are still too high despite numerous methods and products available. The aim of this paper is to show the first approach towards the development of a transluminal system to enable micro invasive anastomosing just using natural orifices. In this context a requirements analysis based on expert discussions and literature evaluation focusing on postoperative complications was carried out. A testing model was developed and a pressure test setup was designed to derive optimal compression zone geometry, based on the material behavior of porcine bowel tissue. For the task of transluminal anastomization a highly adaptable and flexible system must be developed. From some initial experimental trials within an abstracted bowel model, we were able to reveal first promising results concerning feasibility of transluminal anastomosis generation. In the following an experimental protocol has to be developed to assess relevant parameters as a basis for an objective comparison of the different implant models.

AB - The anastomosis of two bowel segments is one of the core competences in visceral surgery. However, postoperative complication rates and intraoperative trauma are still too high despite numerous methods and products available. The aim of this paper is to show the first approach towards the development of a transluminal system to enable micro invasive anastomosing just using natural orifices. In this context a requirements analysis based on expert discussions and literature evaluation focusing on postoperative complications was carried out. A testing model was developed and a pressure test setup was designed to derive optimal compression zone geometry, based on the material behavior of porcine bowel tissue. For the task of transluminal anastomization a highly adaptable and flexible system must be developed. From some initial experimental trials within an abstracted bowel model, we were able to reveal first promising results concerning feasibility of transluminal anastomosis generation. In the following an experimental protocol has to be developed to assess relevant parameters as a basis for an objective comparison of the different implant models.

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KW - Applicator

KW - Implant

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M3 - Conference contribution

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T3 - Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019

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BT - Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019

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Y2 - 5 December 2019 through 7 December 2019

ER -

Steger J, Ficht S, Ostler D, Jell A, Feubner H, Mela P et al. Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application. In Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019. Institute of Electrical and Electronics Engineers Inc. 2019. p. 983-986. 9071018. (Proceedings - 6th Annual Conference on Computational Science and Computational Intelligence, CSCI 2019). doi: 10.1109/CSCI49370.2019.00186

Anastomoses in visceral surgery-first approach towards a universal transluminal system for micro invasive application

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