Simulation of the critical steps of the Nuss procedure

Simulation can be a critical component in the surgical training, planning and rehearsal process of difficult or new procedures. This is true for the Nuss procedure, which is a minimally invasive surgery for correcting pectus excavatum (PE) - a congenital chest wall deformity. Surgeons who routinely...

Full description

Saved in:
Bibliographic Details
Published in:Computer methods in biomechanics and biomedical engineering. 2015-10, Vol.3 (4), p.189-203
Main Authors: Rechowicz, Krzysztof J., Obeid, Mohammad F., Chemlal, Salim, McKenzie, Frederic D.
Format: Article
Language:English
Subjects:
haptics
Nuss procedure
pectus excavatum
surgical simulation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Simulation can be a critical component in the surgical training, planning and rehearsal process of difficult or new procedures. This is true for the Nuss procedure, which is a minimally invasive surgery for correcting pectus excavatum (PE) - a congenital chest wall deformity. Surgeons who routinely perform this surgery identified the most critical steps during the procedure. We chose to simulate these components which involve the process of creating a pathway anterior to the pericardium underneath the sternum as this step can, if incorrectly performed, lead to the death of a patient or, at least, serious complications. In this paper, we describe the hardware setup of the Nuss procedure surgical simulator, the constructed virtual environment, modelling of anatomical structures, surgical instrument and its insertion point without the aid of physical components, reproducing PE deformity, and eventually physics of the tunnelling process.
ISSN:2168-1163
2168-1171
DOI:10.1080/21681163.2014.895681