Integration of a Robotic Platform for Sacrocolpopexy in Transvaginal Natural Orifice Transluminal Endoscopic Surgery: A Novel Surgical Technique

Urology ◽  
2021 ◽  
Author(s):  
Xiaoming Guan ◽  
Zhenkun Guan ◽  
Tamisa Koythong ◽  
Juan Liu ◽  
Stephanie Delgado ◽  
...  
2012 ◽  
Vol 1 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Zheng Wang ◽  
Soo Jay Phee ◽  
Jennie Wong ◽  
Khek-Yu Ho

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Abolfazl Pourghodrat ◽  
Carl A. Nelson ◽  
Dmitry Oleynikov

Natural orifice transluminal endoscopic surgery (NOTES) is a surgical technique to perform “scarless” abdominal operations. Robotic technology has been exploited to improve NOTES and circumvent its limitations. Lack of a multitasking platform is a major limitation. Manual tool exchange can be time consuming and may lead to complications such as bleeding. Previous multifunctional manipulator designs use electric motors. These designs are bulky, slow, and expensive. This paper presents design, prototyping, and testing of a hydraulic robotic tool changing manipulator. The manipulator is small, fast, low-cost, and capable of carrying four different types of laparoscopic instruments.


Author(s):  
William Kondo ◽  
Anibal Wood ◽  
Alcides Jose Branco Filho ◽  
Rafael William ◽  
Monica Tessmann ◽  
...  

2015 ◽  
Vol 29 (12) ◽  
pp. 3477-3484 ◽  
Author(s):  
Selene Tognarelli ◽  
Marco Salerno ◽  
Giuseppe Tortora ◽  
Claudio Quaglia ◽  
Paolo Dario ◽  
...  

Robotics ◽  
2013 ◽  
pp. 1600-1612
Author(s):  
Apollon Zygomalas ◽  
Kostas Giokas ◽  
Dimitris Koutsouris

Surgical operations are progressively being performed using minimally invasive techniques. Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a novel surgical technique that uses the natural orifices of the human body in order to approach the peritoneal cavity. There are two basic types of robotics for NOTES; the external robots that stay outside the patient but act inside the abdominal cavity, and the internal robots that stay and act in the abdomen. The internal robots could only be mini-robots. The development of modular assembling reconfigurable micro-robots is a revolutionary idea for the NOTES. Modular micro-robots consist of small subunits which could be assembled and construct a functional miniature robot. These surgical micro-robots may increase the possibility for true scarless tele-surgery. Although specific applications of intrabdominal surgical micro-robots are still in an early concept stage, the field is rapidly evolving. In the future, patients may be operated by specialized micro-robotic intrabdominal surgeons.


10.29007/vxdr ◽  
2018 ◽  
Author(s):  
Gabor Kosa ◽  
Gregorio Aiello ◽  
Azhar Zam ◽  
Philippe C. Cattin ◽  
Georg Rauter

Typically, Flexoscopes are used in interventions that require minimal number of ports and maneuverability in the target area such as natural orifice transluminal endoscopic surgery. In orthopedic surgeries, these endoscopes are not used because interventions like drilling and osteotomy necessitate large forces. Laser osteotomy does not require mechanical contact with the bone therefore flexible tools can be used for cutting. GG-1 is a custom-designed robotic platform that allows precise control of the flexoscope’s pose. The robot is anthropomorphically inspired from a human arm. The robot will be able to move and orient the laser accurately, while following an uneven bone surface in the target area of the osteotomy.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Priscilla Magno ◽  
Mouen A. Khashab ◽  
Manuel Mas ◽  
Samuel A. Giday ◽  
Jonathan M. Buscaglia ◽  
...  

Background. NOTES techniques allow transesophageal access to the mediastinum. The aim of this study was to assess the feasibility of transesophageal biopsy of thoracic vertebrae.Methods. Nonsurvival experiments on four 50-kg porcine animals were performed. Transesophageal access to the mediastinum was attained using submucosal tunneling technique.Results. The posterior mediastinum was successfully accessed and navigated in all animals. Vertebral bodies and intervertebral spaces were easily approached while avoiding damage to adjacent vessels. Bone biopsy was successfully performed without complications, but the hardness of bone tissue resulted in small and fragmented samples.Conclusions. Peroral transesophageal access into the posterior mediastinum and thoracic vertebral bone biopsy was feasible and safe. The proximity of the esophagus to the vertebral column provides close and direct access to the thoracic spine and opens up new ground for the performance of multilevel anterior spine procedures using NOTES techniques.


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