Is haptic feedback necessary to microsurgical suturing? Comparative study of 9/0 and 10/0 knot tying operated by 24 surgeons.
Identifieur interne : 000F23 ( PubMed/Corpus ); précédent : 000F22; suivant : 000F24Is haptic feedback necessary to microsurgical suturing? Comparative study of 9/0 and 10/0 knot tying operated by 24 surgeons.
Auteurs : Irakli Panchulidze ; Stacey Berner ; Gustavo Mantovani ; Philippe LiverneauxSource :
- Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand [ 1793-6535 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Suture Techniques.
- methods : Microsurgery.
- Arthroscopy, Clinical Competence, Feedback, Female, Humans, Male, Materials Testing, Sutures, Tensile Strength.
Abstract
Robotically assisted telemanipulators are often criticised for their lack of direct haptic feedback. However, robotically assisted microsurgical sutures have already been achieved successfully. The aim of this study was to demonstrate that haptic feedback is not necessary in microsurgery. Our series included 24 surgeons of whom 14 were micro-surgeons. Each of them had to tighten a 9/0 and a 10/0 pre-tied nylon thread until getting the sensation of optimal knot tying. The procedure was performed four times, with open and closed eyes. The quality of knot tying was evaluated (fully tied, fairly or incompletely tied, or broken thread). The results obtained with the eyes open were significantly better. Neither the material size, nor the surgeon's expertise was shown to have an impact on knot tying quality. Our results demonstrate the uselessness of haptic feedback in microsurgery.
DOI: 10.1142/S0218810411004984
PubMed: 21348023
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pubmed:21348023Le document en format XML
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Comparative study of 9/0 and 10/0 knot tying operated by 24 surgeons.</title><author><name sortKey="Panchulidze, Irakli" sort="Panchulidze, Irakli" uniqKey="Panchulidze I" first="Irakli" last="Panchulidze">Irakli Panchulidze</name><affiliation><nlm:affiliation>Department of Hand Surgery, Strasbourg University Hospitals, Illkirch, France.</nlm:affiliation></affiliation></author><author><name sortKey="Berner, Stacey" sort="Berner, Stacey" uniqKey="Berner S" first="Stacey" last="Berner">Stacey Berner</name></author><author><name sortKey="Mantovani, Gustavo" sort="Mantovani, Gustavo" uniqKey="Mantovani G" first="Gustavo" last="Mantovani">Gustavo Mantovani</name></author><author><name sortKey="Liverneaux, Philippe" sort="Liverneaux, Philippe" uniqKey="Liverneaux P" first="Philippe" last="Liverneaux">Philippe Liverneaux</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21348023</idno><idno type="pmid">21348023</idno><idno type="doi">10.1142/S0218810411004984</idno><idno type="wicri:Area/PubMed/Corpus">000F23</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Is haptic feedback necessary to microsurgical suturing? Comparative study of 9/0 and 10/0 knot tying operated by 24 surgeons.</title><author><name sortKey="Panchulidze, Irakli" sort="Panchulidze, Irakli" uniqKey="Panchulidze I" first="Irakli" last="Panchulidze">Irakli Panchulidze</name><affiliation><nlm:affiliation>Department of Hand Surgery, Strasbourg University Hospitals, Illkirch, France.</nlm:affiliation></affiliation></author><author><name sortKey="Berner, Stacey" sort="Berner, Stacey" uniqKey="Berner S" first="Stacey" last="Berner">Stacey Berner</name></author><author><name sortKey="Mantovani, Gustavo" sort="Mantovani, Gustavo" uniqKey="Mantovani G" first="Gustavo" last="Mantovani">Gustavo Mantovani</name></author><author><name sortKey="Liverneaux, Philippe" sort="Liverneaux, Philippe" uniqKey="Liverneaux P" first="Philippe" last="Liverneaux">Philippe Liverneaux</name></author></analytic><series><title level="j">Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand</title><idno type="eISSN">1793-6535</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arthroscopy</term><term>Clinical Competence</term><term>Feedback</term><term>Female</term><term>Humans</term><term>Male</term><term>Materials Testing</term><term>Microsurgery (methods)</term><term>Suture Techniques (instrumentation)</term><term>Sutures</term><term>Tensile Strength</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Suture Techniques</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Microsurgery</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Arthroscopy</term><term>Clinical Competence</term><term>Feedback</term><term>Female</term><term>Humans</term><term>Male</term><term>Materials Testing</term><term>Sutures</term><term>Tensile Strength</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Robotically assisted telemanipulators are often criticised for their lack of direct haptic feedback. However, robotically assisted microsurgical sutures have already been achieved successfully. The aim of this study was to demonstrate that haptic feedback is not necessary in microsurgery. Our series included 24 surgeons of whom 14 were micro-surgeons. Each of them had to tighten a 9/0 and a 10/0 pre-tied nylon thread until getting the sensation of optimal knot tying. The procedure was performed four times, with open and closed eyes. The quality of knot tying was evaluated (fully tied, fairly or incompletely tied, or broken thread). The results obtained with the eyes open were significantly better. Neither the material size, nor the surgeon's expertise was shown to have an impact on knot tying quality. Our results demonstrate the uselessness of haptic feedback in microsurgery.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21348023</PMID><DateCreated><Year>2011</Year><Month>02</Month><Day>24</Day></DateCreated><DateCompleted><Year>2011</Year><Month>07</Month><Day>12</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1793-6535</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>1</Issue><PubDate><Year>2011</Year></PubDate></JournalIssue><Title>Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand</Title><ISOAbbreviation>Hand Surg</ISOAbbreviation></Journal><ArticleTitle>Is haptic feedback necessary to microsurgical suturing? Comparative study of 9/0 and 10/0 knot tying operated by 24 surgeons.</ArticleTitle><Pagination><MedlinePgn>1-3</MedlinePgn></Pagination><Abstract><AbstractText>Robotically assisted telemanipulators are often criticised for their lack of direct haptic feedback. However, robotically assisted microsurgical sutures have already been achieved successfully. The aim of this study was to demonstrate that haptic feedback is not necessary in microsurgery. Our series included 24 surgeons of whom 14 were micro-surgeons. Each of them had to tighten a 9/0 and a 10/0 pre-tied nylon thread until getting the sensation of optimal knot tying. The procedure was performed four times, with open and closed eyes. The quality of knot tying was evaluated (fully tied, fairly or incompletely tied, or broken thread). The results obtained with the eyes open were significantly better. Neither the material size, nor the surgeon's expertise was shown to have an impact on knot tying quality. 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