The Clinical Impact of New Technologies in Diagnosis and Disease Management

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 20 December 2024 | Viewed by 1524

Special Issue Editors


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Guest Editor
Department of Surgery, St. Spiridon Emergency University Hospital, Grigore T. Popa University of Medicine and Pharmacy, 16 University Street, 700115 Iassy, Romania
Interests: laparoscopic surgery; general surgery; hepato-biliary surgery; endocrine surgery; oncologic surgery
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Guest Editor
Department of Surgery, Grigore T Popa University of Medicine and Pharmacy Iasi, Iasi, Romania
Interests: laparoscopy; surgical emergency; minimally invasive videoassisted approach; liver surgery; pancreatic surgery; endocrine surgery; colo-rectal surgery; VAC therapy

Special Issue Information

Dear Colleagues,

Artificial intelligence and innovations in digital technology have begun to transform the practice of surgery, as they have helped surgeons make more personalized patient care decisions. Machine learning models have the potential to learn complex relationships between a great number of clinical variables, which helps us better predict the surgical outcomes of patients, which is important in deciding which patients would be candidates for surgery and in predicting postoperative risk of complications.

Laparoscopic surgery is a transitional technology that has conquered the present and will dominate the future. Robotic surgery is the latest frontier in surgery. Most surgeries can be performed in a minimally invasive video-assisted manner, and the benefits of this approach are incontestable: decreased surgical aggression, shorter operating time, more and rapid achievement of normal bowel function, postoperative pain, decreased morbidity (surgical site infection), mortality, reduced duration of postoperative hospitalization and its costs, short postoperative socio-professional reintegration, and excellent aesthetic results. Moreover, minimally invasive video-assisted procedures are feasible and safe for selected cases, even in emergency surgery. Robotic devices were developed to overcome the disadvantages of conventional laparoscopic surgery. Moreover, the robotic system provides excellent ergonomics, tremor stabilization, enhanced ambidextrous capability, motion scaling, and instruments capable of moving with multiple degrees of freedom. Robotic surgery has its drawbacks of diminished haptic feedback, increased operative times, and increased procedural cost.

Other impacts of new technologies are represented by the use of negative pressure therapy in the treatment of acute and chronic surgical wounds, which will allow: evaluation of the time required for healing after applying the method; assessment of the extent of the surgical procedure and the consequences for the patient from a functional point of view; tracking the effectiveness of negative pressure therapy in the treatment of acute and chronic surgical wounds; and estimating the benefits of negative pressure therapy in various applications in surgical practice and in the context of limiting the risk of infection associated with medical care.

We invite you and your colleagues to submit your articles concerning this topic. Original research articles, reviews, or case reports focusing on the minimally invasive video-assisted approach, robotics, innovative procedures, individualized therapy, surgical training, artificial intelligence, genomics, training, translational research, machine learning, computer vision, wearable devices, or other impacts of new technologies are welcome.

Dr. Alin Mihai Vasilescu
Dr. Bogdan-Mihnea Ciuntu
Guest Editors

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Keywords

  • surgery
  • recent advances in laparoscopic surgery
  • surgical training in minimally invasive video-assisted surgery
  • endoscopy
  • robotics
  • artificial intelligence
  • genomics
  • training
  • translational research
  • machine learning
  • computer vision
  • wearable devices
  • impact of new technologies in surgery

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Published Papers (1 paper)

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15 pages, 4103 KiB  
Case Report
The Management of Wound Healing in Infections after Hip Arthoplasty Using Stimulan and Negative Pressure Wound Therapy
by Florentin Dimofte, Cristina Dimofte, Sorin Ungurianu, Cristina Serban, George Țocu, Nicoleta Cârneciu, Iulia Filip, Laura Bezman, Ana Fulga, Dana Tutunaru, Irina Mihaela Abdulan, Bogdan Mihnea Ciuntu, Raul Mihailov, Alin Mihai Vasilescu and Dorel Firescu
Diagnostics 2024, 14(19), 2206; https://doi.org/10.3390/diagnostics14192206 - 3 Oct 2024
Viewed by 1237
Abstract
Background: medical teams continue to face challenges with infections following hip replacement surgery, whether they occur shortly after the procedure or months or years later. Certain medical conditions like diabetes, rheumatoid arthritis, and obesity are risk factors that make patients more susceptible to [...] Read more.
Background: medical teams continue to face challenges with infections following hip replacement surgery, whether they occur shortly after the procedure or months or years later. Certain medical conditions like diabetes, rheumatoid arthritis, and obesity are risk factors that make patients more susceptible to infections. Traditional intervention methods such as DAIR, one-step, or two-step procedures are being enhanced and refined to ensure quicker and more effective treatment. Some cases present particularly difficult challenges, featuring persistent fistulas and unpredictable responses to treatment. Methods: in our article, we share two unique cases, detailing their histories, progressions, and treatment decisions. We explore the use of antibiotic-impregnated calcium biocomposite as a local adjuvant therapy and the application of negative pressure therapy to expedite healing. The system of NWPT has seen widespread uptake and is now implemented routinely for open wounds, such as open fractures, fasciotomies, ulcers, and infected wounds. Results: our findings demonstrate that surgical debridement and calcium sulfate bead insertion successfully treat bone and joint infections without causing any side effects or complications. As a particularity, in the first case, we encountered the exteriorization of Stimulan pearls after surgery, without other complications related to the biocomposite. Conclusions: we have found that NPWT is a beneficial tool in managing complex wounds in both acute and chronic stages, after the infection is cured, reducing the need for frequent dressing changes, shortening hospital stays, and enhancing patient comfort. Full article
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