{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:09:40Z","timestamp":1777943380278,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Video-assisted telescope operating monitor (VITOM\u00ae) with 3D Visualization technology was developed and has been used with favorable results by several surgical specialties. Our study aims to be a preliminary report for initial experience using the VITOM\u00ae 3D system for microsurgical varicocelectomy on varicocele patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed 35 microsurgical varicocelectomy procedures using the VITOM\u00ae 3D system on varying types and grades of varicoceles. The surgeon had the option of using either a 2.5 or 3.5 magnifying loupe in addition to the exoscope for each operation evaluated. The exoscope is a standalone camera head with an integrated 3D telescope and remote control with zoom and focus functions. It is connected to the 3D monitor via a mechanical holding arm. During the procedure, surgeons, assistants, and observers were able to view the 3D high-definition stream displayed on a 26-inch 3D monitor at a convenient viewing angle and distance. The varicocele ligation was performed using a Carl Zeiss Meditec AG microscope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 35 patients with varicocele aged 31.51\u00a0years old on average, which were included in this report. Most patients had grade 3 bilateral varicocele (n = 13, 37.1%). All procedures were performed without any intraoperative complications. After the procedures, only a few patients suffered from postoperative complications. Three patients suffered scrotal edema (8.6%), while another had hydrocele (2.9%). The postoperative pain results were also very minimal from .89 1\u00a0day after the operation to .26 3\u00a0days after the operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The VITOM\u00ae 3D system showed promise in microsurgical varicocelectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15533506241237555","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T02:39:39Z","timestamp":1709606379000},"page":"240-244","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Video-Assisted Telescope Operating Monitor 3D System in Microsurgical Varicocelectomy: A Preliminary Report"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0642-159X","authenticated-orcid":false,"given":"Gede Wirya Kusuma","family":"Duarsa","sequence":"first","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Prof. Dr. I.G.N.G Ngoerah General Hospital, Universitas Udayana, Denpasar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yudhistira Pradnyan","family":"Kloping","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Soetomo General-Academic Hospital, Universitas Airlangga, Surabaya, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gede Wirya Diptanala","family":"Duarsa","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Saiful Anwar General Hospital, Universitas Brawijaya, Malang, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Besut","family":"Daryanto","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Saiful Anwar General Hospital, Universitas Brawijaya, Malang, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paksi","family":"Satyagraha","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Saiful Anwar General Hospital, Universitas Brawijaya, Malang, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"key":"bibr1-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1016\/j.inat.2019.100547"},{"key":"bibr2-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2013.0125"},{"key":"bibr3-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2020.01.022"},{"key":"bibr4-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e3182102891"},{"key":"bibr5-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2011.07.014"},{"key":"bibr6-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.08.083"},{"key":"bibr7-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2020.106101"},{"key":"bibr8-15533506241237555","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000825"},{"key":"bibr9-15533506241237555","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25979"},{"key":"bibr10-15533506241237555","first-page":"356","volume":"66","author":"De 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