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Overview Of Commonly Used Robotic Surgical Platforms

वक्ता: डॉ. रूमा सिन्हा

Clinical Lead- Gyn Robotic Surgery- Apollo Hospitals GROUP, FOUNDER PRESIDENT- AGRS (Association of Gynecological Robotic Surgeons)

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विवरण

Robotic surgical platforms have revolutionized the field of surgery by providing enhanced precision, dexterity, and minimally invasive techniques. The da Vinci system by Intuitive Surgical is among the most well-known robotic platforms. It offers a high degree of surgical precision and is widely used in urology, gynecology, and general surgery. This system combines the Mazor X robotic guidance with the Stealth navigation system, primarily used in spine surgery for precise placement of implants. TransEnterix's Senhance system is designed for laparoscopic procedures, providing laparoscopic surgeons with robotic assistance for better control and ergonomics. The Hugo system is a versatile robotic platform for various surgical specialties, featuring 3D visualization and haptic feedback. Titan Medical SPORT Surgical robotic system focuses on minimally invasive surgery, offering single-port access for procedures such as cholecystectomy and gynecologic surgery. These robotic surgical platforms continue to advance, offering improved patient outcomes, shorter recovery times, and reduced surgical complications. Surgeons and healthcare institutions are increasingly adopting these technologies to provide the best possible care to patients.

सारांश

  • Robotic surgery is not performed by a robot itself but by a surgeon using a robotic system composed of a surgeon console, a patient cart, and a vision cart. The surgeon, seated at the console, manipulates instruments inside the patient's body through masters and foot controls while viewing the surgical field in 3D.
  • Historically, surgery involved large incisions with long recovery times. Laparoscopic surgery, a minimally invasive approach, offered smaller incisions and better visibility, but presented challenges like counter-intuitive movements, limited motion, and tremor amplification.
  • Robotic surgery addresses these limitations by providing intuitive movements, a stable 3D view, a greater degree of motion through wristed instruments, and tremor filtration. It is intended to be patient-centric, aiming for less pain, quicker recovery, and less blood loss.
  • Dr. Roma Sinha started using robotics in 2012, finding it particularly useful for complex cases like large specimens, obese patients, or extensive adhesions. Robotic hysterectomies can lead to faster recovery, shorter hospital stays, and reduced pain.
  • Barriers to adoption include psychological resistance to change and concerns about cost. Dr. Sinha's team has an established the Association of Gynecological Robotic Surgeons (AGRIS) to provide training and mentorship. Multiple robotic platforms are available in India and across the world.
  • AGRIS offers level one training which includes online lectures, MCQ exams, and hands-on simulator practice, culminating in a practical exam and certification. The course aims to open eyes to the technology and provide an insight into its potential.

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Dr. Rooma Sinha

डॉ. रूमा सिन्हा

Clinical Lead- Gyn Robotic Surgery- Apollo Hospitals GROUP, FOUNDER PRESIDENT- AGRS (Association of Gynecological Robotic Surgeons)

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