scholarly journals IMPLEMENTATION OF GYN ROBOTIC SURGERY IN OUR PRACTICE

Author(s):  
Antony Brignoni ◽  
◽  
Oksana Mudra ◽  

Middle East has launched its first comprehensive robotic surgery programme, Known as one of the most sophisticated laparoscopic surgical technologies available, the device – created by Intuitive – is part of the new programme aimed at enhancing the group’s “current comprehensive general surgery and laparoscopic surgery services”. American Hospital was selected as the hub for this robotic programme as it is already considered a market leader in advanced laparoscopic surgery. According to the manufacturer, the da Vinci Xi HD 4 works by combining conventional laparoscopic techniques with high precision robotic technology that uses four robotic arms controlled by the surgeon from a console. Through the console, the surgeon is also able to access a 3D high-definition view of the surgical area. Robotic surgery is a state of the art surgical procedure in which the conventional laparoscopic technique is combined with high precision robotic technology. Articulated instruments allow the same movement capacity as the human wrist and the tremor filter eliminates any small uncontrollable movement in the surgeon's hands. We would like to share our experience in implementation of Robotic Assisted surgery in gynecological practice of out hospital. Commencement of our program coincided with very difficult period for all World. Regardless COVID pandemic, we started successfully our robo- surgical journey, and within 6 months we performed 150 Robotic assisted surgeries, 50 of them- gynecological. Gynecologic surgery has been transformed in the last three decades in the western world, from mostly open abdominal surgeries with increased length of stay and morbidity to today with minimally invasive surgeries with short length of stay, decreased morbidity, faster return to normal activities and work. Long past the days of doing laparoscopic surgery with direct viewing through a scope, later poor quality imaging monitors to our current High definition 2D and 3D imaging. In the last decade the introduction of Robotics to our surgical armamentarium has steadily increase the likelihood that patients will have minimally invasive procedure instead of an open laparotomy.

2006 ◽  
Vol 6 ◽  
pp. 2581-2588 ◽  
Author(s):  
Carlo Passerotti ◽  
Craig A. Peters

The advent of clinically useful robotic devices to facilitate reconstructive laparoscopic surgery in pediatric urology opens new doors to minimally invasive procedures. Previously limited by the challenge of delicate suturing and reconstruction using conventional laparoscopic instruments, robotic assistance offers a more rapid climb up the learning curve. Initial procedures that have been safely and efficaciously performed with robotic assistance include nephrectomy, partial nephrectomy, pyeloplasty, and antireflux surgeries. These techniques and their outcomes will be reviewed, as well as some of the challenges still posed by this methodology.


2021 ◽  
Author(s):  
Conor J. Corcoran ◽  
Stephen H. Bush

Minimally invasive gynecologic surgery is a rapidly growing field, with new modalities and methods being explored constantly. Since the inception of laparoscopic surgery, the goal has been to minimize incision size, which has been further extrapolated to focus on less incisions with Laparoendoscopic Single-site Surgery (LESS). Single site surgery has several advantages, disadvantages, and historically relevant utility. Throughout the ensuing text, the nuances of LESS will be explored and described in detail. Our purpose in this chapter is to explore the history and utility of single site surgery. We hope to set the stage for the extensive coverage and contents of the text to elaborate on LESS and its use in modern Gynecology.


2019 ◽  
pp. 1543-1566
Author(s):  
Hruday Kasina ◽  
M. V. A. Raju Bahubalendruni ◽  
Rahul Botcha

Robots are wide across used in several industrial applications. Robot applications are more found in medical industry in recent days. In initial days, robots were mostly used for simple surgeries and medical applications such as laparoscopic surgery and minimally invasive surgery in 1980's. At that time robotic surgeries were performed with the presence of surgeons in operation theatre. The present day technology has been so much advanced with more enhanced capabilities to perform several complicated tasks such as remote surgery and micro robotic surgery. The current paper discuss about the history and evolution of robots in medical industry and their latest technological advances, applications in various fields in medicine and limitations of robots in medical industry along with its future scope.


2020 ◽  
Vol 12 (4) ◽  
pp. 338-340 ◽  
Author(s):  
Vitor Mendes Pereira ◽  
Nicole Mariantonia Cancelliere ◽  
Patrick Nicholson ◽  
Ivan Radovanovic ◽  
Kaitlyn E Drake ◽  
...  

Robotic-assisted technology has been used as a tool to enhance open and minimally invasive surgeries as well as percutaneous coronary and peripheral vascular interventions. It offers many potential benefits, including increased procedural and technical accuracy as well as reduced radiation dose during fluoroscopic procedures. It also offers the potential for truly “remote” procedures. Despite these benefits, robotic technology has not yet been used in the neuroendovascular field, aside from diagnostic cerebral angiography. Here, we report the first robotic-assisted, therapeutic, neuroendovascular intervention performed in a human. This was a stent-assisted coiling procedure to treat a large basilar aneurysm. All intracranial steps, including stent placement and coil deployment, were performed with assistance from the CorPath<sup>©</sup> GRX Robotic System (Corindus, a Siemens Healthineers Company, Waltham, MA, USA). This represents a major milestone in the treatment of neurovascular disease and opens the doors for the development of remote robotic neuroendovascular procedures.


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