Robotic Microsurgery Optimization.
10.5999/aps.2014.41.3.225
- Author:
Jamin V BRAHMBHATT
1
;
Ahmet GUDELOGLU
;
Philippe LIVERNEAUX
;
Sijo J PAREKATTIL
Author Information
1. Personalized Urology & Robotics, The PUR Clinic, South Lake Hospital, Clermont, FL, USA. sijo_p@hotmail.com
- Publication Type:Original Article
- Keywords:
Robotics;
Microsurgery;
Instrumentation;
Equipment and supplies
- MeSH:
Efficiency;
Equipment and Supplies;
Fatigue;
Groin;
Humans;
Infertility;
Microscopy, Confocal;
Microsurgery*;
Range of Motion, Articular;
Robotics;
Surgical Instruments;
Tremor;
Veins
- From:Archives of Plastic Surgery
2014;41(3):225-230
- CountryRepublic of Korea
- Language:English
-
Abstract:
The increased application of the da Vinci robotic platform (Intuitive Surgical Inc.) for microsurgery has led to the development of new adjunctive surgical instrumentation. In microsurgery, the robotic platform can provide high definition 12x-15x digital magnification, broader range of motion, fine instrument handling with decreased tremor, reduced surgeon fatigue, and improved surgical productivity. This paper presents novel adjunctive tools that provide enhanced optical magnification, micro-Doppler sensing of vessels down to a 1-mm size, vein mapping capabilities, hydro-dissection, micro-ablation technology (with minimal thermal spread-CO2 laser technology), and confocal microscopy to provide imaging at a cellular level. Microsurgical outcomes from the use of these tools in the management of patients with infertility and chronic groin and testicular pain are reviewed. All these instruments have been adapted for the robotic console and enhance the robot-assisted microsurgery experience. As the popularity of robot-assisted microsurgery grows, so will its breadth of instrumentation.
