Current surgical practices of robotic-assisted tissue repair and reconstruction

Wang, Peng; Su, Yingjun; Jia, Chiyu

doi:10.1016/j.cjtee.2019.01.003

Cited by 8 publications

(7 citation statements)

References 33 publications

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“…While orthopedic surgeons were not usually at the forefront, the effects of COVID-19 have had an impact on all aspects of orthopedic care [6]. Patients who sustained hip fractures within the first months of the pandemic experienced drastically increased rates of inpatient mortality, 30-day, and one-year mortality, longer LOS with higher rates of inpatient complications, and worse functional outcomes [11][12][13][20][21][22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Hip Fracture Care during COVID-19: Evolution through the Pandemic

Konda¹,

Esper²,

Meltzer-Bruhn³

et al. 2023

Cureus

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Introduction:The purpose of this epidemiologic study was to analyze the care provided by our institution to middle-aged and geriatric hip fracture patients throughout the pandemic to examine for any differences compared to pre-pandemic care and across the pandemic stages.Methods: Consecutive patients >55 years old treated for hip fractures at our institution between October 2014 and January 2022 were analyzed for demographics, coronavirus disease 2019 (COVID-19) and vaccination status at admission, injury characteristics, hospital quality measures, and outcomes. Patients were divided into three separate cohorts: Pre-COVID-19 (PRECOV), COVID-19 Pre-Vaccine (PREVAX), and COVID-19 Post-Vaccine (POSTVAX). A sub-analysis removed COVID-19-positive patients across the study period. Comparative analyses were conducted.Results: A total of 2,633 hip fracture patients were included. For the overall cohort, there was no difference in the rate of inpatient deaths between the PRECOV, PREVAX, and POSTVAX cohorts (p=0.278). PRECOV had a significantly lower 30-day mortality rate compared to PREVAX or POSTVAX (p=0.012). Differences in complication rates for surgical site infection, urinary tract infection, and anemia (p<0.01 for all) were seen between cohorts. PRECOV had the longest length of hospital stay (p<0.01). PREVAX patients required more ICU level of care (p<0.01). When removing COVID-19-positive patients, all three cohorts had similar inpatient (p=0.872) and 30-day mortality rates (p=0.130). Conclusion:The care of patients treated for hip fractures did not change throughout the pandemic at our institution. The elevated mortality rate due to the effects of COVID-19 seen in the pre-vaccine cohort decreased over time as the understanding of COVID-19 improved and the vaccine was introduced. We recommend continuation of the same hip fracture care protocols as used pre-pandemic.

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Section: Discussionmentioning

confidence: 99%

Hip Fracture Care during COVID-19: Evolution through the Pandemic

Konda¹,

Esper²,

Meltzer-Bruhn³

et al. 2023

Cureus

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“…Сохранение анатомических структур при РАРПМ обеспечивает значительное улучшение трофики сосково-ареолярного комплекса, а также минимальную частоту ранних и поздних послеоперационных осложнений. Важное преимущество применения роботизированого комплекса для подкожной мастэктомии заключается в использовании новейшей технологии трехмерной визуализации операционного поля роботизированной камерой [11]. Возможности отчетливой визуализации в сочетании с прецизионной техникой диссекции позволяют достичь микрохирургической точности манипуляций, при этом железистая ткань отчетливо дифференцируется от жировой, объем рассечения тканей минимален, а диссекция выполняется только там, где это строго необходимо для соблюдения критериев радикальности резекции.…”

Section: опухоли женской репродуктивной системы Tumors Of Female Reproductive Systemunclassified

Early and late postoperative complications of robot-assisted radical subcutaneous mastectomy with endoprosthesis

Kvetenadze

Shivilov

Арсланов

et al. 2022

Opuholi ženskoj reproduktivnoj sistemy

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Over the past two decades, the surgical treatment of breast cancer (BC) has changed from standard radical mastectomies to organ-preserving and reconstructive plastic surgeries using endovideosurgical and robotic technologies. Robot-assisted radical subcutaneous mastectomy, as a minimally invasive method of surgical treatment of BC in the early stages, is recognized as safe and effective.The results of robot-assisted radical subcutaneous mastectomy and radical subcutaneous mastectomy with endoprosthesis in 27 patients with histologically verified BC are presented. A comparative assessment of postoperative complications of robot-assisted radical subcutaneous mastectomy with endoprosthesis and radical subcutaneous mastectomy with endoprosthesis was performed. It was found that the postoperative period in robotic interventions is more favorable, which confirms the low need for analgesics, the absence of signs of the formation of hematomas of the surgical wound, as well as a decrease in the frequency of inflammatory infiltrates and gray soft tissues in the area of the postoperative suture. Performing a robot-assisted radical subcutaneous mastectomy with endoprosthesis can significantly improve the surgical and aesthetic results of BC treatment in the early stages of this disease.

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“…1 (Intuitive Surgical Inc.™, Sunnyvale, California, USA). 1 Throughout the years, different generations of the da Vinci robot were manufactured as well as other surgical platforms. 2 The clinical application of surgical robots has spread throughout surgical specialties and the reason for this progression is due to the proposed advantages.…”

Section: Introductionmentioning

confidence: 99%

Robotic Microsurgery in Plastic and Reconstructive Surgery: A Literature Review

Ghandourah,

Schols,

Wolfs

et al. 2023

Surg Innov

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Background Surgical robots have innovated the microsurgical field by providing advantages that improve surgical performance. These robots have been adopted by certain specialties more than others. This study discusses the potential advantages of robotics in plastic and reconstructive surgery. Method This study is a literature review of articles investigating “robotic microsurgery in plastic and reconstructive surgery” using the PubMed database and the Cochrane Library. Result A total of nineteen relevant articles were found and 5 articles performed a direct comparison between the robotic and manual approaches. Longer operating times were reported in the robotic groups featuring higher learning curves. Reported advantages to robotic use included higher accuracy, precision and flexibility, elimination of tremor and improvement of ergonomic factors. Conclusion While the results provide an outlook into the outcome of robotic platforms in this field, current research is limited and further studies are required to provide a fundamental analysis.

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Current surgical practices of robotic-assisted tissue repair and reconstruction

Cited by 8 publications

References 33 publications

Hip Fracture Care during COVID-19: Evolution through the Pandemic

Hip Fracture Care during COVID-19: Evolution through the Pandemic

Early and late postoperative complications of robot-assisted radical subcutaneous mastectomy with endoprosthesis

Robotic Microsurgery in Plastic and Reconstructive Surgery: A Literature Review

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