Robot-assisted surgery:—impact on gynaecological and pelvic floor reconstructive surgery

O’Sullivan, Orfhlaith E.; O’Reilly, Barry

doi:10.1007/s00192-012-1790-3

Cited by 23 publications

(9 citation statements)

References 84 publications

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“…Until now, two more models have been developed: first, the da Vinci S High Definition Surgical System, which has improved visual capabilities, and subsequently, the da Vinci Si Surgical System, which allows for dual-console capabilities. It also contains enhanced high-definition three-dimensional vision with an interface [3].…”

Section: The Da Vinci Surgical Systemmentioning

confidence: 99%

Operative procedures supported with robotics systems and available endoscope procedures in operative gynecology

Stangel-Wójcikiewicz

Basta

Piwowar

et al. 2014

Bio-Algorithms and Med-Systems

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Minimally invasive surgery revolutionized operative procedures in the last 20 years. Much of the progress in minimally invasive surgery can be attributed to the development of robot-based systems. The most apparent changes are found in laparoscopy procedures. Procedures in which only small skin incisions are made have revolutionized operating theaters. The learning curve, although long in itself, allows for the development of procedures with reduced perioperative risk (i.e., bleeding, pain) or shorter postoperative period. Convalescence after endoscopy procedures is significantly shorter compared with classic laparotomy. However, certain limitations apply to laparoscopy. Apart from the long learning curve, movements executed with long and rigid tools cannot strictly translate the precision of an operator's hand. The body position of the surgeon is often forced by the reach of the endoscope instrument. It is related to a significant physical load of personnel, especially during long operating procedures. For this reason, some therapeutic procedures are still executed using the laparotomy approach. Modern endoscopic proceduresModern operative medicine cannot exist without endoscopic solutions. Both indications and the perioperative period have an important effect on the selection of laparoscopic operating procedures for patients. Operative gynecology takes advantage of a broad range of possibilities offered by laparoscopy [1]. Indications allow the use of the described technique in cases of changes in adnexa and in the body of the uterus, infertility, repair of pelvic floor disorders, and in procedures performed for oncological reasons. In some cases, even a minimal increase in procedure duration leads to additional blood loss or postoperative pain. Compared with laparotomy, the postoperative course using endoscopic procedures allows faster recovery and restoration to a regular lifestyle. In addition, if maintaining a "youthful" appearance is one of the considerations, the aesthetic aspects of using endoscopy procedures cannot be over estimated either.The following is a review of the operative procedures that can be performed with specialized endoscopic equipments: -Hysterectomy -Laparoscopic supracervical hysterectomy -Laparoscopically assisted vaginal hysterectomy -Laparoscopic total hysterectomy -Laparoscopically assisted total vaginal hysterec tomy -Laparoscopically assisted radical vaginal hysterectomyIn laparoscopically assisted vaginal hysterectomy and laparoscopically assisted radical vaginal hysterectomy, a vaginal manipulator is used to expose the uterus. It is only allowed in non-oncological cases.-Ablation or enucleation of uterine myomas -Ablation or enucleation of ovarian cysts

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Section: The Da Vinci Surgical Systemmentioning

confidence: 99%

Operative procedures supported with robotics systems and available endoscope procedures in operative gynecology

Stangel-Wójcikiewicz

Basta

Piwowar

et al. 2014

Bio-Algorithms and Med-Systems

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“…An increased operating time when compared with laparotomy also adds to the cost. The additional cost for a robotic hysterectomy compared with laparoscopic hysterectomy has been quoted as approximately $2600; this difference is lower for oncological procedures . Comparative figures between different countries cannot be used as the reimbursement rates are calculated differently in different areas.…”

Section: Costmentioning

confidence: 99%

Robotic surgery in gynaecology

Nair

Killicoat

Ind

2016

The Obstetric & Gynaecologis

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Robotic surgery has gained popularity in the last decade and the da Vinciâ Surgical System has been increasingly used for complex gynaecological surgery. The advantages of robotic surgery over conventional laparoscopic surgery are: greater degree of movement, precise dissection, 3D vision, tremor filtration and a shorter learning curve. The disadvantages are mainly the high cost and lack of haptic feedback. The current role of robotics in gynaecological surgery. Learning objectivesTo provide an overview of the advantages and drawbacks of robotic surgery over conventional open and laparoscopic surgery.To review the latest evidence and evaluate the role of robotics in general gynaecology and the subspecialties, including oncology and urogynaecology. To discuss training issues for individuals and for theatre teams. Ethical issuesIs it ethical to deny patients who would benefit from robotic surgery this option because of the cost?Robotic surgery offers all of the advantages of minimally invasive surgery, including decreased blood loss, quicker recovery, decreased length of hospital stay, less pain and ª 2016 Royal College of Obstetricians and Gynaecologists

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“…Similar to other approaches, there is no recommendation regarding minimally invasive surgery and the use of NOACs. Robotassisted surgery is associated with increased ergonomic benefits for the surgeon, decreased length of hospital stay and less blood loss [25]; similarly, there is no recommendation regarding NOACs in robotic surgery.…”

Section: Minimally Invasive Approachmentioning

confidence: 99%

Managing novel orally administered anticoagulants in patients undergoing urogynaecological surgery

2015

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The use of novel orally administered anticoagulant agents (NOACs) provides new challenges to clinicians in the perioperative care of patients undergoing urogynaecological surgery. We aimed to assess evidence for managing patients taking NOACs before and after urogynaecological surgery. We conducted a literature search in CINAHL, MEDLINE, CENTRAL, Cochrane Library and PubMed for original research articles in the English language on this topic. However, despite initially identifying 556 articles, no articles pertained to the use of NOACs in urogynaecological surgery. We subsequently reviewed national and international guidance on managing patients prescribed NOACs and created a concise guideline to aid urogynaecologists in the perioperative care of these patients. Consensus is needed on perioperative optimisation of anticoagulation in urogynaecological patients using NOACs.

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Robot-assisted surgery:—impact on gynaecological and pelvic floor reconstructive surgery

Cited by 23 publications

References 84 publications

Operative procedures supported with robotics systems and available endoscope procedures in operative gynecology

Operative procedures supported with robotics systems and available endoscope procedures in operative gynecology

Robotic surgery in gynaecology

Managing novel orally administered anticoagulants in patients undergoing urogynaecological surgery

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