1.Minimally invasive surgery for rectal cancer in pregnancy: a case series
Jonathan WIENER ; Mark MUHLMANN
Journal of Minimally Invasive Surgery 2025;28(1):36-41
Colorectal cancer (CRC) during pregnancy presents unique clinical challenges, particularly in balancing maternal treatment with fetal safety. This case series examines the role of minimally invasive surgery (MIS) in the management of CRC in pregnant patients. Through three detailed cases, we explore diagnostic approaches, surgical interventions, and post-operative outcomes. MIS techniques, including robotic and laparoscopic surgeries, were successfully employed in all cases, leading to favorable maternal recovery and the birth of healthy babies.The findings underscore the importance of a multidisciplinary approach, highlighting MIS as a viable and safe treatment option that facilitates rapid recovery and timely adjuvant therapy.
2.Minimally invasive surgery for rectal cancer in pregnancy: a case series
Jonathan WIENER ; Mark MUHLMANN
Journal of Minimally Invasive Surgery 2025;28(1):36-41
Colorectal cancer (CRC) during pregnancy presents unique clinical challenges, particularly in balancing maternal treatment with fetal safety. This case series examines the role of minimally invasive surgery (MIS) in the management of CRC in pregnant patients. Through three detailed cases, we explore diagnostic approaches, surgical interventions, and post-operative outcomes. MIS techniques, including robotic and laparoscopic surgeries, were successfully employed in all cases, leading to favorable maternal recovery and the birth of healthy babies.The findings underscore the importance of a multidisciplinary approach, highlighting MIS as a viable and safe treatment option that facilitates rapid recovery and timely adjuvant therapy.
3.Minimally invasive surgery for rectal cancer in pregnancy: a case series
Jonathan WIENER ; Mark MUHLMANN
Journal of Minimally Invasive Surgery 2025;28(1):36-41
Colorectal cancer (CRC) during pregnancy presents unique clinical challenges, particularly in balancing maternal treatment with fetal safety. This case series examines the role of minimally invasive surgery (MIS) in the management of CRC in pregnant patients. Through three detailed cases, we explore diagnostic approaches, surgical interventions, and post-operative outcomes. MIS techniques, including robotic and laparoscopic surgeries, were successfully employed in all cases, leading to favorable maternal recovery and the birth of healthy babies.The findings underscore the importance of a multidisciplinary approach, highlighting MIS as a viable and safe treatment option that facilitates rapid recovery and timely adjuvant therapy.
4.Effect of forearm compression sleeve on muscle fatigue during robotic surgery: a randomized controlled study
Shing Wai WONG ; Allan PARKES ; Ranah LIM ; Mark MUHLMANN ; Richard SAVDIE ; Philip CROWE
Journal of Minimally Invasive Surgery 2025;28(1):11-18
Purpose:
The aim of the study was to investigate whether wearing a forearm compression sleeve during robotic surgery (RS) reduces muscle fatigue.
Methods:
A randomized controlled study of consecutive RS cases was performed with three right-handed surgeons randomly allocated to wear a non-graduated compression sleeve over either his right or left forearm. Hand-grip strength was assessed at the beginning and at the 2-hour mark during the robotic console component of surgery, using a handgrip dynamometer.The maximum strength (Fmax ) and mean grip strength (Fmean ) were calculated after 10 measurements. Effectiveness of the forearm sleeve was tested primarily by the difference in mean grip strength, and secondarily by the difference in fatigue ratio (Fmax /Fmean ) and recovery ratio at the two time points.
Results:
Thirty-two robotic cases were performed during the study period. Wearing of a compression sleeve (compared with no sleeve) on the left forearm resulted in an increase (rather than a decrease) in mean hand-grip strength after 2 hours of RS (0.5 kg increase vs.1.3 kg decrease, p = 0.03; 95% confidence interval, 0.20–∞). Wearing a compression sleeve (compared with no sleeve) on the right forearm did not result in an improvement in grip strength reduction (1.7 kg decrease vs. 1.1 kg decrease, p = 0.79).
Conclusion
There was a statistically significant reduction in muscle fatigue with wearing a forearm compression sleeve on the nondominant left forearm during RS.
5.Effect of forearm compression sleeve on muscle fatigue during robotic surgery: a randomized controlled study
Shing Wai WONG ; Allan PARKES ; Ranah LIM ; Mark MUHLMANN ; Richard SAVDIE ; Philip CROWE
Journal of Minimally Invasive Surgery 2025;28(1):11-18
Purpose:
The aim of the study was to investigate whether wearing a forearm compression sleeve during robotic surgery (RS) reduces muscle fatigue.
Methods:
A randomized controlled study of consecutive RS cases was performed with three right-handed surgeons randomly allocated to wear a non-graduated compression sleeve over either his right or left forearm. Hand-grip strength was assessed at the beginning and at the 2-hour mark during the robotic console component of surgery, using a handgrip dynamometer.The maximum strength (Fmax ) and mean grip strength (Fmean ) were calculated after 10 measurements. Effectiveness of the forearm sleeve was tested primarily by the difference in mean grip strength, and secondarily by the difference in fatigue ratio (Fmax /Fmean ) and recovery ratio at the two time points.
Results:
Thirty-two robotic cases were performed during the study period. Wearing of a compression sleeve (compared with no sleeve) on the left forearm resulted in an increase (rather than a decrease) in mean hand-grip strength after 2 hours of RS (0.5 kg increase vs.1.3 kg decrease, p = 0.03; 95% confidence interval, 0.20–∞). Wearing a compression sleeve (compared with no sleeve) on the right forearm did not result in an improvement in grip strength reduction (1.7 kg decrease vs. 1.1 kg decrease, p = 0.79).
Conclusion
There was a statistically significant reduction in muscle fatigue with wearing a forearm compression sleeve on the nondominant left forearm during RS.
6.Effect of forearm compression sleeve on muscle fatigue during robotic surgery: a randomized controlled study
Shing Wai WONG ; Allan PARKES ; Ranah LIM ; Mark MUHLMANN ; Richard SAVDIE ; Philip CROWE
Journal of Minimally Invasive Surgery 2025;28(1):11-18
Purpose:
The aim of the study was to investigate whether wearing a forearm compression sleeve during robotic surgery (RS) reduces muscle fatigue.
Methods:
A randomized controlled study of consecutive RS cases was performed with three right-handed surgeons randomly allocated to wear a non-graduated compression sleeve over either his right or left forearm. Hand-grip strength was assessed at the beginning and at the 2-hour mark during the robotic console component of surgery, using a handgrip dynamometer.The maximum strength (Fmax ) and mean grip strength (Fmean ) were calculated after 10 measurements. Effectiveness of the forearm sleeve was tested primarily by the difference in mean grip strength, and secondarily by the difference in fatigue ratio (Fmax /Fmean ) and recovery ratio at the two time points.
Results:
Thirty-two robotic cases were performed during the study period. Wearing of a compression sleeve (compared with no sleeve) on the left forearm resulted in an increase (rather than a decrease) in mean hand-grip strength after 2 hours of RS (0.5 kg increase vs.1.3 kg decrease, p = 0.03; 95% confidence interval, 0.20–∞). Wearing a compression sleeve (compared with no sleeve) on the right forearm did not result in an improvement in grip strength reduction (1.7 kg decrease vs. 1.1 kg decrease, p = 0.79).
Conclusion
There was a statistically significant reduction in muscle fatigue with wearing a forearm compression sleeve on the nondominant left forearm during RS.