Randomized study of the influence of two-dimensional versus three-dimensional imaging using a novel 3D head-mounted display (HMS-3000MT) on performance of laparoscopic inguinal hernia repair

Surgical Endoscopy
M PatrzykK Beyer

Abstract

3D laparoscopy has proven to be superior to the 2D approach in experimental settings. The aim of the present study was to investigate the influence of 3D laparoscopy using a novel head-mounted display on the performance of defined steps within a laparoscopic inguinal hernia repair. This effect was investigated both in laparoscopically advanced surgeons and in beginners. Patients suffering from symptomatic inguinal hernia were randomly assigned to laparoscopic hernia repair using either a head-mounted 3D display or a conventional 2D laparoscopic approach. Operative performance of both groups was compared in terms of the time taken for mesh placement and for peritoneal suturing. Additionally, quality of imaging and physical discomfort were assessed. The use of a head-mounted 3D display was able to shorten the time required for placement of the mesh as well as that for peritoneal suturing, both for experienced and novice surgeons when compared to the conventional 2D approach. 3D laparoscopy was significantly superior to 2D laparoscopy in terms of depth perception, image sharpness and image contrast. Additionally, increased impairment caused by ghosting effects could not be detected in 3D laparoscopy. Evaluation of image quality wa...Continue Reading

References

Mar 14, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M MiserezJ B Flament
Nov 28, 2008·Alimentary Pharmacology & Therapeutics·F KeusC J H M Van Laarhoven
Jul 29, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P SimonsM Miserez
Sep 1, 2006·Journal of Minimal Access Surgery·R BittnerJ Schwarz
May 17, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Kazunori KiharaKazuyuki Kojima
Apr 5, 2015·Surgical Endoscopy·Stine Maya Dreier SørensenFlemming Bjerrum
Jun 9, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Iman KomaeiGiuseppe Currò

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