A novel laparoscopic mesh placement part task trainer

• Published in: The international journal of medical robotics + computer assisted surgery 2006-12, Vol.2 (4), p.312-320
• Main Authors: Devarajan, Venkat, Wang, Xiuzhong, Shen, Yunhe, Eberhart, Robert, Watson, Mark J., Jones, Dan, Villegas, Leo
• Format: Article
• Language: English
• Subjects: collision detection; Computer-Assisted Instruction - methods; haptics; Hernia, Inguinal - surgery; Humans; Imaging, Three-Dimensional - methods; Laparoscopy - methods; physically based deformation modelling; Postoperative Complications; Prosthesis Implantation - methods; Prosthesis-Related Infections; surgery simulation; Surgery, Computer-Assisted - methods; Surgical Mesh; User-Computer Interface; virtual reality
• ISSN: 1478-5951; 1478-596X
• DOI: 10.1002/rcs.107

Background We present a surgical simulator, developed for the training of a laparoscopic surgery and in particular for mesh placement during an inguinal herniorrhaphy. Methods Major technical issues related to virtual surgery training systems include virtual patient modelling, collision detection and collision response, haptic and graphic rendering, 3‐D motion tracking and some special effects, such as bleeding, cauterizing and so on. Among these problems, real‐time deformation modelling and collision detection are the most challenging research topics. Results In this paper, we describe novel approaches addressing the above issues, which have been successfully adopted in our bimanual hernia repair simulator. Conclusion The implementations of our new collision detection and deformation appear to work well, even at haptic rates for the limited scope of mesh placement training. More sophisticated techniques are needed for full organ deformation especially for blunt dissection simulation. Copyright © 2006 John Wiley & Sons, Ltd.