The personal head-mounted display (HMD) has emerged as a novel image monitoring system. We present here the application of a high-definition organic electroluminescent binocular HMD in ureteral stent placement. Our HMD system displayed multiple forms of information such as integrated, sharp, high-contrast images using a four-split screen or a picture-in-picture technique both seamlessly and synchronously. When both the operator and the assistant wore an HMD, they could continuously and simultaneously monitor the cystoscopic and fluoroscopic images in an ergonomically natural position. Furthermore, each participant was able to modulate the displayed images depending on the procedure. In all five cases, both the operator and the assistant successfully used this system with no unfavorable event. No participants experienced any HMD wear-related adverse effects. We therefore believe this HMD system might be potentially beneficial during ureteral stent placement procedures. Furthermore, it is compact, easily introduced and affordable.

1.
Binder J, Bräutigam R, Jonas D, Bentas W: Robotic surgery in urology: fact or fantasy? BJU Int 2004;94:1183-1187.
2.
Rolland JP, Fuchs H: Optical versus video see-through head-mounted displays in medical visualization. Presence 2000;9:287-309.
3.
Havukumpu J, Takatalo J, Nyman G, Hakkinen J: Head-mounted displays in ultrasound scanning; in Asai K (ed): Human Computer Interaction: New Developments. Rijeka, Intech, 2008, pp 31-40.
4.
Liu D, Jenkins SA, Sanderson PM, Fabian P, Russell WJ: Monitoring with head-mounted displays in general anesthesia: a clinical evaluation in the operating room. Anesth Analg 2010;110:1032-1038.
5.
Liu D, Jenkins SA, Sanderson PM, Watson MO, Leane T, Kruys A, Russell WJ: Monitoring with head-mounted displays: performance and safety in a full-scale simulator and part-task trainer. Anesth Analg 2009;109:1135-1146.
6.
Prendergast CJ, Ryder BA, Abodeely A, Muratore CS, Crawford GP, Luks FI: Surgical performance with head-mounted displays in laparoscopic surgery. J Laparoendosc Adv Surg Tech A 2009;19(suppl 1):S237-S240.
7.
Kihara K, Fujii Y, Masuda H, Saito K, Koga F, Matsuoka Y, Numao N, Kojima K: New three-dimensional head-mounted display system, TMDU-S-3D system, for minimally invasive surgery application: procedures for gasless single-port radical nephrectomy. Int J Urol 2012;19:886-889.
8.
Kihara K, Kageyama Y, Yano M, Kobayashi T, Kawakami S, Fujii Y, Masuda H, Hyochi N: Portless endoscopic radical nephrectomy via a single minimum incision in 80 patients. Int J Urol 2004;11:714-720.
9.
Kihara K, Kawakami S, Fujii Y, Masuda H, Koga F, Saito K: Gasless single port access radical nephrectomy. Eur Urol Suppl 2009;8:392.
10.
Kihara K, Kawakami S, Fujii Y, Masuda H, Koga F: Gasless single-port access endoscopic surgery in urology: minimum incision endoscopic surgery, MIES. Int J Urol 2009;16:791-800.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.