Robotics in reproductive surgery: Strengths and limitations

Catenacci, M.; Flyckt, Rebecca; Falcone, Tommaso

doi:10.1016/j.placenta.2011.07.002

Cited by 17 publications

(12 citation statements)

References 34 publications

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“…23 Similarly, the participants stated that in the future the maintenance costs of robotic surgery will decrease and that health care system policies will improve in such a way that robotic surgery will continue to increase in prevalence and will become ordinary. Catenacci et al (2011) state that the single cut has gained popularity among both patients and physicians. 24 In this study, the participants made similar statements.…”

Section: Discussionmentioning

confidence: 99%

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The process of nurse adaptation to robotic surgery: A qualitative study

Uslu

Altınbaş

Özercan

et al. 2019

Robotics Computer Surgery

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Background This study aimed to reveal the experiences of nurses in robotic surgery and their adaptation to this method. Methods This research was planned within the framework of qualitative research methods. The study population consisted of robotic surgery nurses in Turkey. Focus group interviews were conducted after the flow process was developed, and the interviews were supported using a semistructured interview form. Two focus interviews were conducted with 15 participants. Results As a result of the content analysis, 11 themes were created in four categories. The categories of the study were designed as follows: (1) Training in Robotic Surgery Nursing, (2) Adaptation to Technology in Robotic Surgery Nursing, (3) Changing Roles and Adaptation Process in Robotic Surgery Nursing, and (4) Future of Robotic Surgery. Conclusions The lack of clarity regarding the roles and responsibilities of robotic surgery nurses and the lack of arrangements for working conditions are thought to cause professional dissatisfaction and disengagement from work.

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Section: Discussionmentioning

confidence: 99%

“…Catenacci et al (2011) state that the single cut has gained popularity among both patients and physicians. 24 In this study, the participants made similar statements.…”

Section: Discussionmentioning

confidence: 99%

The process of nurse adaptation to robotic surgery: A qualitative study

Uslu

Altınbaş

Özercan

et al. 2019

Robotics Computer Surgery

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“…Some complex laser surgical tasks, for instance for endometriosis surgery, are generally not recommended by surgeons for robotic-assisted interventions [25]. Lack of haptic feedback and control over the tensioning force is a main reason for the choice of the more classical laparoscopy [26].…”

Section: Experimental Setup and Protocolmentioning

confidence: 99%

Force control for tissue tensioning in precise robotic laser surgery

Portoles

Vanbiervliet

Rosa

et al. 2015

2015 IEEE International Conference on Robotics and Automation (ICRA)

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Lasers are being used in various surgical procedures to remove tissue or bones, to coagulate vessels or other structures. Due to difficulties in handling only a limited number of surgeons manage to display sufficient levels of precision in Minimally Invasive Surgery (MIS) procedures. Prior works on robotic laser surgery demonstrated shorter learning curves and higher ablation precision, but unfortunately ignored the fact that most clinically relevant tasks are bi-manual by nature. Surgeons are also reluctant to use current commercial surgical robotic systems for complex laser tasks, indicating that the lack of haptic feedback prevents them from efficient and safe tissue handling in preparation of laser treatment. This paper expands earlier robotic laser work towards bi-manual operation. The paper introduces a system for precisely tensioning tissue that is being targeted by the laser. An artificial test-setup that captures some essential features of bimanual laser surgery is described. Experiments have been conducted to investigate the effect of haptic feedback on ablation performance. A comparison is made of achievable levels of ablation precision when there is no haptic feedback, when there is haptic feedback and when an automatic tension control algorithm is deployed. The conducted experimental results confirm the great potential of haptic feedback and automatic tensioning systems for complex bi-manual lasering tasks.

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“…This latest and most sophisticated innovation in technology has revolutionized the practice of surgical scenario in gynecology in recent years. 1 Evolution of the technology and training opportunities in USA have given a definite advantage to the gynecologists here than the rest of the world.…”

Section: Introductionmentioning

confidence: 99%

Hands behind the Robo- Application of Robotic Surgery in the treatment of Endometriosis - View point of an Indian Obgyn Fellow in USA.

Ramavath

Peñalver²,

Méndez

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Background: This article is an observational experience of robotic surgery in USA by an Indian Obgyn fellow. Primary objective is to analyze retrospectively peri operative outcomes in stage 2 and 3 Endometriosis treated with robot assisted laparoscopy. Secondary objective is to report an Indian Obgyn, Physician observer fellows experience in USA with Robotic surgery. Methods: 29 women underwent robotic surgery at in the department of gynecology at Doctor"s hospital, Baptist health, Miami. Pre-op time, console time, total operative time, blood loss, peri-operative complications noted. Results: Mean age is 42 ± 8 years with BMI of 26.2 ± 8 kg/m 2. Eighteen patients (62%) were age 40 and above. Twenty patients (69%) presented with chronic pelvic pain. Dyspareunia in 16 (55.2%), bloating in five (17.2%) and pelvic mass in thirteen (44.8%) Unilateral pelvic mass in nine patients (31 %) and bilateral in four patients (13.8%). CA 125 levels are elevated in nine patients (31%) and significantly higher with endometriomas (76.1 ± 49.2 U/ml). 38% underwent robot assisted laparoscopic hysterectomy and BSO. 14.8% underwent robot assisted laparoscopic hysterectomy with Robot (LSO/RSO). Mean operative time 64.7 min. Mean blood loss 40 ml. Conclusions: Robotic surgery is safe, with minimal blood loss and shorter hospital stay. Alike in the surgical techniques, though diverse in the work infrastructure and technology, East and West have common scenarios which can be tackled with exchange of training opportunities. This interchange of knowledge and skills will benefit patients with increased surgeon"s efficiency.

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Robotics in reproductive surgery: Strengths and limitations

Cited by 17 publications

References 34 publications

The process of nurse adaptation to robotic surgery: A qualitative study

The process of nurse adaptation to robotic surgery: A qualitative study

Force control for tissue tensioning in precise robotic laser surgery

Hands behind the Robo- Application of Robotic Surgery in the treatment of Endometriosis - View point of an Indian Obgyn Fellow in USA.

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