{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:16:07Z","timestamp":1783682167952,"version":"3.55.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Sabah Al-Ahmad Center"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/Need<\/jats:title>\n                    <jats:p>Precision suturing in confined surgical fields poses ergonomic and visibility challenges, particularly in minimally invasive and reconstructive procedures. A novel Vertical Needle Holder (VNH) was designed to enhance control, angle precision, and accessibility in restricted spaces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology and Device Description<\/jats:title>\n                    <jats:p>This proof-of-concept study evaluated the VNH\u2019s ergonomic design and suturing performance compared with a standard Mayo-Hegar needle holder. Thirty surgeons and surgical trainees participated in simulated suturing tasks using both instruments. Surgeon-reported outcomes were assessed using standardized synthetic-tissue suturing tasks and a structured Likert-scale questionnaire focusing on perceived precision, ergonomics, and ease of use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Preliminary Results<\/jats:title>\n                    <jats:p>Surgeons reported improved perceived precision and maneuverability of the VNH in confined spaces compared with conventional needle holders. Participants reported reduced wrist strain and greater visibility. The majority of participants (87%) rated the VNH as ergonomically superior to conventional needle holder designs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Current Status<\/jats:title>\n                    <jats:p>These findings suggest that the VNH offers an innovative, practical enhancement to traditional surgical tools, potentially improving safety and efficiency in complex operative fields. Further clinical validation is underway to confirm translational applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15533506251413072","type":"journal-article","created":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T13:05:01Z","timestamp":1766927101000},"page":"347-354","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Vertical Needle Holder: A Proof-of-Concept Evaluation of a Novel Instrument for Precision Suturing in Confined Surgical Fields"],"prefix":"10.1177","volume":"33","author":[{"given":"Othman","family":"Alshemari","sequence":"first","affiliation":[{"name":"University of Ottawa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Alshemari","sequence":"additional","affiliation":[{"name":"Head of Department of Otolaryngology, Alorf Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7797-4626","authenticated-orcid":false,"given":"Ahmad","family":"Zia","sequence":"additional","affiliation":[{"name":"The Islamia University of Bahawalpur"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,28]]},"reference":[{"key":"e_1_3_8_2_2","volume-title":"Surgical Access Incisions. StatPearls [Internet]","author":"Jelinek LA","year":"2024","unstructured":"Jelinek LA, Marietta M, Jones MW. Surgical Access Incisions. StatPearls [Internet]. StatPearls Publishing; 2024."},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000004389"},{"key":"e_1_3_8_4_2","volume-title":"Ergonomic Redesign of the Needle Driver for Quality Compliance and Comfortable Surgical Performance","author":"Arasada S","year":"2025","unstructured":"Arasada S. Ergonomic Redesign of the Needle Driver for Quality Compliance and Comfortable Surgical Performance. [Dissertation]. Chicago: University of Illinois; 2025."},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.7602\/jmis.2019.22.4.157"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-013-3380-y"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4616-9"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9289-6"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31819ec4ee"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2012.04.007"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1693026"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0272"},{"key":"e_1_3_8_13_2","unstructured":"Mohammadi AT Far YK Zadeh RH et al. Contemporary surgical innovations: a comprehensive guide to emerging technologies and practices. Hardcover edition. Nobel Sciences; November 22 2024."},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-016-0611-7"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506251413072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15533506251413072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506251413072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T10:47:03Z","timestamp":1783680423000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15533506251413072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,28]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/15533506251413072"],"URL":"https:\/\/doi.org\/10.1177\/15533506251413072","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,28]]}}}