Future/Research in Magnetic Surgery

Gautier, Michel

doi:10.1007/978-3-030-73947-8_20

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…The main advantages are preservation, reproducibility, and reversibility 34,35 . Moreover, MSADs work immediately once implanted, without the need for further manipulation by either the patient or surgeon 11,12,36 …”

Section: Magnetic Sphinctersmentioning

confidence: 99%

“…Traditional ASs are positioned around the duct to guarantee continence and their functional role is based on different mechanical principles. Magnetic devices, largely used for GERD and FI, are based on the interaction among magnets, 11 while hydraulic devices mainly based on an inflated cuff positioned around the duct are reported for UI and FI 12,13 (Table 1). However, local infection, often followed by degenerative phenomena (i.e., tissue erosion), and mechanical dysfunction are the well‐known complications that lead to surgical device revision and/or explant at the end 19–21 .…”

Section: Introductionmentioning

confidence: 99%

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Artificial sphincters: An overview from existing devices to novel technologies

et al. 2022

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Artificial sphincters (ASs) are used to replace the function of the biological sphincters in case of severe urinary and fecal incontinence (UI and FI), and gastroesophageal reflux disease (GERD). The design of ASs is established on different mechanisms, e.g., magnetic forces or hydraulic pressure, with the final goal to achieve a implantable and durable AS. In clinical practice, the implantation of in‐commerce AS is considered a reasonable solution, despite the sub‐optimal clinical outcomes. The failure of these surgeries is due to the malfunction of the devices (between 46 and 51%) or the side effects on the biological tissues (more than 38%), such as infection and atrophy. Concentrating on this latter characteristic, particular attention has been given to the interaction between the biological tissues and AS, pointing out the closing mechanism around the duct and the effect on the tissues. To analyze this aspect, an overview of existing commercial/ready‐on‐market ASs for GERD, UI, and FI, together with the clinical outcomes available from the in‐commerce AS, is given. Moreover, this invited review discusses ongoing developments and future research pathways for creating novel ASs. The application of engineering principles and design concepts to medicine enhances the quality of healthcare and improves patient outcomes. In this context, computational methods represent an innovative solution in the design of ASs, proving data on the occlusive force and pressure necessary to guarantee occlusion and avoid tissue damage, considering the coupling between different device sizes and individual variability.

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Section: Magnetic Sphinctersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Artificial sphincters: An overview from existing devices to novel technologies

et al. 2022

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“…Magnetic surgical devices have been utilized to augment existing minimally-invasive surgical (MIS) techniques with the aims of minimizing surgical trauma and creating novel MIS approaches to address pathology in children and adults ( 1 ). As MIS approaches seek to achieve similar outcomes through the smallest incisions possible, post-operative morbidity, convalescence period, and overall cost can all be optimized ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Beyond the gut: spectrum of magnetic surgery devices

Lee,

Evans,

Harrison

2023

Front. Surg.

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Since the 1970s, magnetic force has been used to augment modern surgical techniques with the aims of minimizing surgical trauma and optimizing minimally-invasive systems. The majority of current clinical applications for magnetic surgery are largely centered around gastrointestinal uses—such as gastrointestinal or bilioenteric anastomosis creation, stricturoplasty, sphincter augmentation, and the guidance of nasoenteric feeding tubes. However, as the field of magnetic surgery continues to advance, the development and clinical implementation of magnetic devices has expanded to treat a variety of non-gastrointestinal disorders including musculoskeletal (pectus excavatum, scoliosis), respiratory (obstructive sleep apnea), cardiovascular (coronary artery stenosis, end-stage renal disease), and genitourinary (stricture, nephrolithiasis) conditions. The purpose of this review is to discuss the current state of innovative magnetic surgical devices under clinical investigation or commercially available for the treatment of non-gastrointestinal disorders.

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Future/Research in Magnetic Surgery

Cited by 2 publications

References 17 publications

Artificial sphincters: An overview from existing devices to novel technologies

Artificial sphincters: An overview from existing devices to novel technologies

Beyond the gut: spectrum of magnetic surgery devices

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