Invasive Techniques For Robotic Surgery

1. After looking at the type of work that Pew Charitable Trust Fund, I came up with a type of research that I would like to study. The Pew Foundations deals with medical issues such as drug safety and the safety of medical devices. Recently, the use of the Da-Vinci robotic surgery became a common option for surgery throughout many fields of medicine such as Oncology, Gastroenterology, Orthopedics, and Neurology. This robotic surgery is suppose to be a less invasive surgery method which operates through a few small incisions rather then invasively causing large scars. These different fields use the Da-Vinci as an alternative to operating surgeries. This advance of medicine brings up many questions about how efficient this option is, how much faster or slower it is, or if it is even safe. A topic I want to look at in regard to this robotic surgery is the issue if post-operation infection and pain is higher with the use of the Da-Vinci or with the use of regular invasive surgery.

This robotic device can be used for several different surgical procedures ranging from gynecology surgeries to cancer procedures. Three components comprise the da Vinci surgery system: a high definition 3 dimensional vision system, a surgeon console and a patient cart. The patient cart contains four interactive robotic arms that are controlled by the surgeon during surgery. The robotic arms each hold the surgical instruments needed to perform the surgery. One of the robotic arms also holds a camera so the surgeon can view the surgical area he needs to perform on. While seated at the surgeon console, the da Vinci surgeon views the patient and the surgical field through a remarkable clear 3 dimensional screen. Forceps controls are also provided for the surgeon to manipulate the four interactive robotic arms. Each surgical instrument copies the surgeon’s movement to perform the surgery.

Minimally invasive surgery can be performed in different kinds of surgical operations. Some of them

Robot-assisted laparoscopic surgery is a type of procedure that allows a surgeon to use robotic arms to control tools and a camera. Unlike traditional (open) surgery in which a large incision is made, this type of surgery uses a small incision (minimally-invasive surgery).

As the practice of medicine advances, patients and the society in general demand medical services (especially surgery and minor invasive procedures) that are devoid of side effects and complications. Common among the advance medical services are laparoscopic surgery and laparoscopic diagnosis. These procedures do not only provide accurate diagnosis and relieves to patients but also reduces tissue trauma, pain, bleeding and above all preserves the integrity of patient’s body as surgical incision are quite smaller compared to conventional or open surgical methods.

Robotic-aid surgeries have been around since the 1980’s; they first started aiding doctors in orthopedic and neurosurgery. The success of these robots encouraged other fields to use them as well. The military also started using robots in medicine for telesurgery in 1992. Ordinary surgery revolved around invasive procedures where the doctor would create large incisions into the skin in order to gain access to tissues. But with robotic-aid surgeries, these surgeries become minimally invasive and rely only on small incisions with small scopes inserted. These allow the doctor to more accurately see what is going on in the body

Laparoscopic surgery is also a minimally invasive surgical approach. The surgeon makes small incisions and inserts a two-dimensional camera to perform the procedure. “The tools tend to have a limited range of motion, being that they can only move up and down or side to side” (Providence Medical Group). This differs from a robotic approach in which a surgeon uses hand gestures to manipulate the robot, rather than holding and manipulating them themselves in a laparoscopic surgery (Providence Medical Group). Also, robotic surgery uses a three-dimensional camera for greater view and accuracy. With laparoscopic surgery, the surgeon is still using their hand. Robotic Surgery uses instruments which allow for greater wrist maneuvers around the anatomy. Ultimately this results in less manipulation of surrounding tissue, especially in the case of obese patients. Put simply, in robotic surgery the surgeon is manipulating the robot to perform the surgery, and in laparoscopy the surgeon is still using their hand to perform the

Generally speaking, there is a lot of risk and pain involved with surgical procedures. Because so many people have to get surgery every day, doctors try to come up with ways to lessen the risks, and make pain management easier. Laparoscopic surgery is a revolutionary alternative to open surgery that accomplishes both of these goals.

In the next five years, it is estimated that one out of every three surgeries performed in the United States will be performed using a robotic system of some kind (Scott). This may seem like a shockingly high percentage, but since it was first approved in 2000, robotic surgeries have become increasingly popular in today’s society due to the increase in technology. It is important that hospitals consider all the benefits and risks before installing a robotic surgery system.

The controversy on the mind of the hero’s or celebrities of robotic surgery, are within the medical professional community. The surgeons, universities and hospitals are that are discussing as well as attempt to prove with no avail, that the addition of a robot to minimally-invasive surgeries (minimally-invasive surgery is surgical techniques limit the size of incisions needed and thus lessens wound healing time, associated pain and risk of infection), has improved their performance and results in the operating room. Though the medical community have become accustomed to this technology being included in the options a patient can select when a surgical procedure is necessary, most are not convinced the benefits of preforming the

The surgical management of gynaecological disorders has progressed dramatically with the introduction of minimally invasive laparoscopic techniques. The recent application of robotic technology for minimally invasive surgery is an additional refinement that has been widely adopted in the United States and elsewhere. Although this is not supported by evidence-based studies on cost, clinical outcomes and patient safety, the ergonomic design of the console minimizes operator fatigue and muscle strain. As for minimally invasive surgery, a significant learning curve is associated with mastering this technique. The current literature on robotic surgery for gynaecology is limited in that it is observational, retrospective, or anecdotal. Only a

This paper explores the possibilities and innovations that make up the new field of surgical robotics. While there have been several advancements in technology for inside the operating room, non-so far have been so technologically advanced and useful as the Da Vinci surgical system. The Da Vinci is the only one of its kind on the market today, as in now being seen in more hospitals and surgery centers than ever before. Most surgeons are excited to be able to learn on such a new type of system, and with time and practice, also feel that the Da Vinci is extremely beneficial to their practicing of surgical medicine, for reasons that effect both the surgeon and the patient. Patient outcomes have been gradually increasing as the ways in which the Da Vinci system continues to be used.

A laparoscopic approach appears to be associated with a reduction in surgical trauma and blood loss. In addition, it is presumable that some of the benefits of minimally invasive surgery such as reduced analgesic requirements, a shorter recovery period and reduced hospital stay (Kuhry, 2005). It has become a forerunner in the quest of improving surgical results by dropping postoperative pain and lessening recovery time. Yet, the use of laparoscopic instruments can be awkward and cumbersome, thus escalating operative time and dropping dexterity, which can

Minimally invasive or laparoscopic surgery is an innovative techniques which uses high–tech surgical instruments,high definition televisions that are linked to cameras to perform operations with minimal scar, less post operative trauma and less pain. This technique is performed to inpatient and outpatient by our partner surgeons with great care for rapid recovery. This compares favorably to traditional techniques and allows you to recuperate faster

It is an alternative technique for carrying out many operations that have traditionally required an open approach. Laparoscopy is a minimally invasive surgery performed though small incisions. It presents benefits, compared with traditional open surgeries, including shorten recovery times; lower postoperative morbidity; allow patients to return to work and regular activities faster; and produce better cosmetic results. Laparoscopic procedure starts with small incisions kept open with trocars. Then, to make room for the surgery to be performed, the abdomen is insufflated with carbon dioxide gas and a