Surgical Capabilities

Campbell, Mark; Billica, Roger

doi:10.1007/978-1-4939-9889-0_7

Cited by 6 publications

(5 citation statements)

References 59 publications

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“…In microgravity, the patient will need to be restrained for positioning. Restraint may also be required for operating personnel and equipment to ensure adequate line of sight, access and freedom of movement, , . These considerations have led to the concept of a traumapod, which is an enclosed suite providing all necessary facilities and equipment for surgery in adverse environments–.…”

Section: Resultsmentioning

confidence: 99%

“…The tendency of organs to eviscerate has also been reported. In addition, the tendency of floating bowel to abut the abdominal wall causes a theoretical risk of instrumental perforation, . A proposed solution to the effect of microgravity on exposed body surfaces and fluids is to have a hermetically sealed enclosure placed over the surgical site.…”

Section: Resultsmentioning

confidence: 99%

“…This may allow guidance on conducting simple surgical procedures for non‐medical crew members. For more significant interventions in the absence of a trained crew member, the use of teleoperated surgical robots has been suggested, , , . This distance may be expanded to allow telesurgery between a surgeon on Earth and a robot aboard a spacecraft.…”

Section: Discussionmentioning

confidence: 99%

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Surgery in space

Panesar

Ashkan

2018

British Journal of Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgery in space

Panesar

Ashkan

2018

British Journal of Surgery

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“…In particular, voice feedback is a device, presently under evaluation, that can recognize the structures from the noise produced during tissue palpation and that has, so far, produced promising results from testing [98,99]. In fact, the ideal solution would also be to have a number of force and tactile sensors to determine the mechanical properties of tissue consistency for more accurate dissections [55][56][57]100].…”

Section: Discussionmentioning

confidence: 99%

Surgery in the Next Space Missions

Pantalone

2023

Life

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In the coming years, missions to the Moon and Mars shall be the new goals of space flight. The complexity of these missions due to the great distance from Earth and the unforeseen obstacles to settle on another planet have given rise to great concerns for crew health and survival. The need for advanced crew autonomy and a different approach to surgical emergency require new protocols and devices to help future crew medical officers and other crew members in a task of unprecedented difficulty. Hence, the increasing variety of schedules, devices, and protocols being developed. A serious health problem, such as an emerging surgical disease or severe trauma, can jeopardize the mission and survival of the entire crew. Many other difficulties are present in deep-space missions or settlements on other planets, such as communication and supply, also medical, delays, and shortage, and the presence of radiation. Progress in advanced technologies as well as the evolution of robotic surgery and the use of artificial intelligence are other topics of this review. In this particular area of research, even if we are still very far from an “intelligent robot”, this evolution must be evaluated in the light of legislative and ethical considerations. This topic was presented at the annual meeting of the American College of Surgeons—Italy Chapter in 2021.

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“…These bloody fragments represent biohazards as it may float off the surface and break up throughout the cabin. The predisposition of internal organs to eviscerate has also been described [63] .…”

Section: Open Surgerymentioning

confidence: 99%

Surgical Aspects of Space Medicine

Salem

2019

International Journal of Medical Arts

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Although the perception of surgery in space may appear obscure, it is vital to initiate planning early if new frontiers in space travel are to be accomplished. Conditions necessitating surgery in space are rare, but they are challenging in their management. Telemedicine can allow consultation and instruction at the time of surgical intervention. This may permit optimal guidance for conduction of simple surgical maneuvers by non-medical crew members. Robots could be used for more complex interventions in the absence of a trained crew member. Earth-tospace telesurgery is yet to be attained. However, National Aeronautics and Space Administration [NASA] has successfully did several basic procedures at an underwater facility, simulated the space environment. The communication delay between craft and earth is the main potential issue affecting telesurgery. For example a communication delay of radio signals between 4 and 22 minutes is expected between earth and Mars. Thus, available telesurgical capabilities are not suitable for a Mars mission. In addition, to facilitate endogenous repair of injured structures, the use of absorbable nanoparticulate scaffolds could offer temporary structure support, while eluting drugs stimulate endogenous mesenchymal stem cells to differentiate into osteoblasts. Otherwise, direct delivery of extrinsic mesenchymal stem cells to injured sites via nanoparticulate delivery system provide a reasonable alternative. The use of 3D printing allows fabrication of complex surgical tools from a computer-aided design template from a digital database of nearly each instrument. In addition, 3D-printed surgical tools may be disposable, meaning no requirement for space-occupying sterilization appliances.

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Surgical Capabilities

Cited by 6 publications

References 59 publications

Surgery in space

Surgery in space

Surgery in the Next Space Missions

Surgical Aspects of Space Medicine

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