AI-Based Prototype For Training In Surgical Suturing Procedures
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Oscar Eduardo Gualdrón G, Juan Jose Ardila V, Marisol Maestre D.
Abstract
Surgical suturing is a fundamental procedure in clinical practice, used for tissue approximation and wound healing. Although its teaching is a routine part of medical education, it faces challenges such as the limited availability of controlled scenarios, the risks of practicing on real patients, and the subjective evaluation of skills. These limitations emphasize the need for technological tools that enable safe and objective training.
This article presents the development of an artificial intelligence-based prototype for surgical suturing training, integrating kinematic sensors for data acquisition and a supervised classification model using support vector machines (SVM) to distinguish between expert and novice users. The system provides a realistic and safe practice environment, enhancing the teaching-learning process in surgery, reducing clinical risks, and strengthening the objective evaluation of surgical skills.
Keywords :
Artificial intelligence, support vector machines, wearable device, surgical suture, surgical simulation, medical training, clinical skills assessment..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty