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Surgical Techniques Development, Volume 14, Issue 4

2025 December - 11 articles

Cover Story: This study analyses the transition from triportal to uniportal video–thoracoscopic lobectomy performed by a single surgeon, assessing the learning curve through CUSUM analysis and perioperative outcomes. Among 107 consecutive procedures, the inflection point was identified at the 67th case, after which operative time, conversions, and complications significantly decreased. These findings confirm that switching to uniportal VATS requires a distinct learning process despite prior multiportal experience, supporting current recommendations that approximately 50 cases are needed to achieve proficiency. View this paper
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Articles (11)

  • Article
  • Open Access
347 Views
17 Pages

Island Pedicle Flaps as a Suitable Method of Treatment in the Defects of the Non-Weight-Bearing Part of the Heel

  • Radu Dan Necula,
  • Bogdan-Radu Necula,
  • Radu Vaidahazan,
  • Claudiu Gabriel Coraiu,
  • Adrian Burnariu and
  • Florin Lucian Sabou

16 December 2025

Background: Covering the defects around the calcaneus is still a largely debatable subject. In the classical view, the defects at the level of the foot can be treated only by a free flap. In a modern approach, it has been observed that for small or m...

  • Article
  • Open Access
458 Views
15 Pages

Tractionless Arthroscopic Treatment of Suspected Hip Septic Arthritis in Adults: A Single-Center Retrospective Case Series with Minimum One-Year Follow-Up

  • Nadav Graif,
  • Ran Atzmon,
  • Aimee Steen,
  • Shai Factor,
  • Samuel Belmont,
  • Michal Dekel,
  • Ehud Rath and
  • Eyal Amar

4 December 2025

Background: Septic arthritis of the hip (SAH) requires emergent surgical intervention. While open arthrotomy has been the traditional approach, arthroscopic treatment is emerging as an effective alternative. Tractionless techniques in adult populatio...

  • Article
  • Open Access
392 Views
17 Pages

Preservation Concept of Nerve Length During Limb Amputation to Enable Neural Prosthesis Integration: Experimental Validation on the Rat Sciatic Nerve Model

  • Sorin Lazarescu,
  • Mark-Edward Pogarasteanu,
  • Walid Bahaa-Eddin,
  • Bianca Mihaela Boga,
  • Marius Razvan Ristea,
  • Larisa Diana Ancuta,
  • Cristin Coman,
  • Dana Galieta Minca,
  • Robert Daniel Dobrotă and
  • Marius Moga

4 December 2025

Background/Objectives: This article brings forward a novel methodology for the intra-op approach of forearm amputation stumps to facilitate their subsequent wireless connection to a neural prosthesis. A neural prosthesis offers the amputee more motor...

  • Article
  • Open Access
319 Views
10 Pages

24 November 2025

Background: Achieving orthogonal coronal-plane alignment in total ankle arthroplasty (TAA) remains challenging in cases with severe varus deformity. We developed a novel tibial precutting technique for use in transfibular TAA to resolve intra-articul...

  • Technical Note
  • Open Access
621 Views
10 Pages

Mandibular Ramus Vertical Augmentation in Hemifacial Microsomia: Technical Evolution from Osteogenic Distraction to Sagittal Osteotomy

  • Francesco Laganà,
  • Bruno Carlo Brevi,
  • Alice Marzi Manfroni,
  • Francesco Arcuri,
  • Alessia Spinzia,
  • Emanuela Ardito,
  • Luigi Angelo Vaira,
  • Marjon Sako,
  • Edlira Baruti Papa and
  • Bernardo Bianchi

19 November 2025

Introduction: Hemifacial hypoplasia is the second most common congenital craniofacial anomaly after cleft lip and palate. Mandibular ramus deficiency represents a key component of this condition, and vertical augmentation is traditionally managed wit...

  • Case Report
  • Open Access
932 Views
11 Pages

Multidisciplinary Surgical Management of a Giant Incarcerated Ventral Hernia in a Nonagenarian: A Case Report

  • Fahim Kanani,
  • Majd Khalil,
  • Khalid Aotman,
  • Nir Messer,
  • Anastasiia Iserlis and
  • Narmin Zoabi

11 November 2025

The operative management of complex abdominal wall hernias in nonagenarians entails significant risk, with emergent repair associated with mortality rates approaching 40%. We report the case of a functionally independent 90-year-old male presenting w...

  • Case Report
  • Open Access
823 Views
7 Pages

Percutaneous Ultrasonic Debridement for Heterotopic Ossification in Plantar Fasciopathy: A Case Report

  • Alejandro Fernández-Gibello,
  • Gabriel Camuñas-Nieves,
  • Rubén Montes-Salas,
  • Felice Galluccio and
  • Alfonso Martínez-Nova

2 November 2025

Background and objective: Heterotopic ossification (HO) of the plantar fascia is an exceptionally rare condition, with only a few cases mentioned in the literature. In comparison, calcification of the fascia occurs more frequently, especially in case...

  • Article
  • Open Access
930 Views
12 Pages

Prospective Real-Time Screw Placement Using O-Arm Navigation

  • David W. Polly,
  • Kenneth J. Holton,
  • Paul Brian O. Soriano,
  • Jason J. Haselhuhn,
  • Kari Odland,
  • Jonathan N. Sembrano,
  • Christopher T. Martin and
  • Kristen E. Jones

23 October 2025

Background/Objectives: A variety of techniques for pedicle screw placement exist. Efficiency claims have varied, but limited data are available to support or refute these claims. Our goal was to study our screw placement efficiency, reporting real-ti...

  • Article
  • Open Access
681 Views
10 Pages

21 October 2025

Background: Displaced pediatric supracondylar humerus fractures (PSHFs) commonly require surgical treatment. Medial pin placement can cause iatrogenic ulnar nerve injury. This study presents a modified, step-by-step cross-pinning technique for PSHFs...

  • Article
  • Open Access
755 Views
14 Pages

10 October 2025

Background: Carbon-fiber-reinforced polyetheretherketone (CFR-PEEK) vertebral-body replacements (VBRs) aim to mitigate subsidence, minimize imaging artifacts, and facilitate radiation planning while preserving fusion potential. We assessed the safety...

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Surg. Tech. Dev. - ISSN 2038-9582