3D printing in surgical simulation: emphasized importance in the COVID-19 pandemic era

Michaels, Ross; Wallace, Chelsey; Powell, Allison R.; Koka, Krishna; Cohen, K.; Nourmohammadi, Zahra; Green, Glen E; Zopf, David

doi:10.2217/3dp-2021-0009

Cited by 11 publications

(10 citation statements)

References 14 publications

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“…Similarly, some work suggests patients gain a greater understanding when shown 3D printed models rather than virtual alternatives [98]. In simulation training, there are considerable benefits and challenges to both virtual and 3D printed simulators [103]. The decision between the two is likely to depend on the skill being taught and the training centre itself.…”

Section: Discussionmentioning

confidence: 99%

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

et al. 2022

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Background 3D reconstruction technology could revolutionise medicine. Within surgery, 3D reconstruction has a growing role in operative planning and procedures, surgical education and training as well as patient engagement. Whilst virtual and 3D printed models are already used in many surgical specialities, oesophagogastric surgery has been slow in their adoption. Therefore, the authors undertook a scoping review to clarify the current and future roles of 3D modelling in oesophagogastric surgery, highlighting gaps in the literature and implications for future research. Methods A scoping review protocol was developed using a comprehensive search strategy based on internationally accepted guidelines and tailored for key databases (MEDLINE, Embase, Elsevier Scopus and ISI Web of Science). This is available through the Open Science Framework (osf.io/ta789) and was published in a peer-reviewed journal. Included studies underwent screening and full text review before inclusion. A thematic analysis was performed using pre-determined overarching themes: (i) surgical training and education, (ii) patient education and engagement, and (iii) operative planning and surgical practice. Where applicable, subthemes were generated. Results A total of 56 papers were included. Most research was low-grade with 88% (n = 49) of publications at or below level III evidence. No randomised control trials or systematic reviews were found. Most literature (86%, n = 48) explored 3D reconstruction within operative planning. These were divided into subthemes of pre-operative (77%, n = 43) and intra-operative guidance (9%, n = 5). Few papers reported on surgical training and education (14%, n = 8), and were evenly subcategorised into virtual reality simulation (7%, n = 4) and anatomical teaching (7%, n = 4). No studies utilising 3D modelling for patient engagement and education were found. Conclusion The use of 3D reconstruction is in its infancy in oesophagogastric surgery. The quality of evidence is low and key themes, such as patient engagement and education, remain unexplored. Without high quality research evaluating the application and benefits of 3D modelling, oesophagogastric surgery may be left behind.

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Section: Discussionmentioning

confidence: 99%

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

et al. 2022

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“…They also offer greater anatomical reproducibility and can flexibly simulate diverse pathologies processed from CT or MRI images. The non-perishable nature of 3D printed models makes them further suited for cost-effectively teaching specific and complex conditions [7,43]. A systematic review of 15 randomized trials evaluating 3D models for anatomy education found that models enhance knowledge acquisition, and most students are interested in utilizing 3D systems for learning compared to traditional methods [44].…”

Section: Educational and Anatomical Modelsmentioning

confidence: 99%

The Third Dimension of Eye Care: A Comprehensive Review of 3D Printing in Ophthalmology

Lin,

Gagnon,

2024

Hardware

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Three-dimensional (3D) printing is a process in which materials are added together in a layer-by-layer manner to construct customized products. Many different techniques of 3D printing exist, which vary in materials used, cost, advantages, and drawbacks. Medicine is increasingly benefiting from this transformative technology, and the field of ophthalmology is no exception. The possible 3D printing applications in eyecare are vast and have been explored in the literature, such as 3D-printed ocular prosthetics, orbital implants, educational and anatomical models, as well as surgical planning and training. Novel drug-delivery platforms have also emerged because of 3D printing, offering improved treatment modalities for several ocular pathologies. Innovative research in 3D bioprinting of viable tissues, including the cornea, retina, and conjunctiva, is presenting an avenue for regenerative ophthalmic therapies in the future. Although further development in printing capabilities and suitable materials is required, 3D printing represents a powerful tool for enhancing eye health.

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“…The pandemic caused significant disruptions in the routine training of healthcare professionals, making it challenging to provide hands-on experience and practical training opportunities. Therefore, 3D printing was also used to create several training and visualization tools to train doctors [34]. Consequently, 3D printing emerged as an effective method to produce customized healthcare devices during COVID.…”

Section: Introductionmentioning

confidence: 99%

Personalized 3D Printed Eye Gear for Microscopic Surgeons Amidst and beyond COVID-19

Singh,

Suri

2023

Bioengineering

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The COVID-19 pandemic underscored the need for enhanced protective measures for healthcare workers, particularly surgeons, who face a heightened risk of exposure to infectious aerosols. However, conventional eye protection equipment such as face shields, goggles, or glasses often leads to ergonomic discomfort and a reduced field of view (FOV), impeding surgeons’ ability to perform microsurgical procedures with precision and ease. To address these limitations, this study aimed to develop personalized 3D-printed eye gear for microscopic surgeons based on facial anthropometry data. 3D scanning was employed to obtain facial data from ten neurosurgery residents. Utilizing computer-aided designing, eye gears tailored to the unique facial features of each participant were developed. Finite element analysis-based contact simulation was used to assess the pressure exerted by the eye gear. Multi-material 3D printing was employed to fabricate the personalized eye gear. Participants, while donning the eye gear, engaged in simulation-based micro suturing tasks at various magnifications of the operating microscope, and marked the FOV range. They provided feedback scores (1–10) on the effectiveness of the eye gear through a Likert scale questionnaire (Q1-Q8). Finite element analysis demonstrated uniform strain distribution on the face, indicating that the edges of the customized eye gear fit exactly to the user’s face. The average scores for the questionnaire Q1 to Q8 ranged from 6.8 to 8.5, with an overall mean score of 7.6. This indicates that the developed eye gear was simple to use and did not cause any discomfort. Additionally, the average reduction in the FOV was only 10.93% across the different operating microscope magnifications. These findings highlight eye gear’s potential to alleviate discomfort and enhance precision in microscopic surgeries. Consequently, personalized 3D-printed eye gear offers a promising solution for providing surgeons with a safe environment while preserving the benefits of the operating microscope.

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3D printing in surgical simulation: emphasized importance in the COVID-19 pandemic era

Cited by 11 publications

References 14 publications

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

The Third Dimension of Eye Care: A Comprehensive Review of 3D Printing in Ophthalmology

Personalized 3D Printed Eye Gear for Microscopic Surgeons Amidst and beyond COVID-19

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