Robotic Surgery - Dr. Meenakshi Sundaram

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Get to know about the latest breakthrough in technology for medicine- Robotic Surgery!

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  • ----- Meeting Notes (5/8/12 11:47) ----- Re
  • Photo Courtesy of ISI P/N 870273 Speaker Notes: There are numerous pediatric procedures being performed using the da Vinci system. While Pyeloplasty’s are the most frequently performed, surgeons are realizing the benefits of da Vinci especially in reconstructive procedures, and expanding their pediatric robotic surgery offering to include many additional procedures. Listed here are ten of the common da Vinci pediatric procedures performed.
  • Photo Courtesy of ISI P/N 870273 Speaker Notes: There are numerous pediatric procedures being performed using the da Vinci system. While Pyeloplasty’s are the most frequently performed, surgeons are realizing the benefits of da Vinci especially in reconstructive procedures, and expanding their pediatric robotic surgery offering to include many additional procedures. Listed here are ten of the common da Vinci pediatric procedures performed.
  • Robotic Surgery - Dr. Meenakshi Sundaram

    1. 1. ROBOTIC SURGERY DR.MEENAKSHI SUNDARAM CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON DEPARTMENT OF OBSTETRICS & GYNECOLOGY INSTITUTE OF ROBOTIC SURGERY APOLLO HOSPITALS, CHENNAI
    2. 2. Click to edit the Robotic surgery is the future text outline formatRobot-Advanced computer  Second integrated interphase Outline Level − Third Outline Level  Fourth Outline Level − Fifth
    3. 3. BREAKTHROUGH TECHNOLOGYSurgeons must progress beyond thetraditional techniques of cutting and sewing……. ,to a future in which minimal access tothe abdominal cavity is only the beginning.” Pappas, Jacob, NEJM 2004How can we overcome surgeon andequipment limitation?
    4. 4. HISTORY OF ROBOTICS LEONARDO DA VINCI ROBOT IN 1495Image goes here Term Robot was coined in 1920 from Czech word “ Rabota” meaning laborer Medical Robotics in 1985- PUMA 650
    5. 5. − Eighth EVOLUTION OF ROBOTS Outline Level Ninth Outline LevelClick Da-Vinci Robot Da-Vinci Robotic text to edit Master arms stylesClick to edit Master outline Click to edit the text  Click to edit the outline Click to edit Master textstyles format text text format stylesSecond level  Second Outline Second level Outline  Second Third level  Level  Third level Levellevel Fourth level  Fourth  − Third Fifth level Outline  − Fifth level Outline Third  Level Level  Fourth Outline  Fourth Outline Level Level − Fifth − Fifth Outline Outline Level Level − Sixth − Sixth Outline Outline
    6. 6.  Da Vinci Standard (1999)  Da Vinci S systemImage goes here (2006)  Da Vinci Si system (2009)
    7. 7. Da Vinci Si system at Apollo ChennaiClick to edit Master text stylesSecond level  Third level  Fourth level  Fifth level
    8. 8. HIGHLIGHTS OF ROBOTICS-CORE TECHNOLOGYSurgeon controls the robotic arms3-D HD visionEndowrist instrumentationIntuitive motionMotion scaling-Filtration of tremorsReplicates high standard of surgery every singletime
    9. 9. Open Surgery Laparoscopy Robotic surgeryINCISION 10-20 CM KEYHOLE KEYHOLEPAIN ++++ ++ +BLOOD LOSS 700 ML 300 ML 100 MLSCARS + TINY TINYSURGICAL - - +AUTONOMYPOST OP 5-6 DAYS 2-3 DAYS 36 HRS OR MOREHOSPITAL STAYRECOVERY LONG SHORT SWIFT
    10. 10. MASTERSFinger “masters” controls which convert human movementsinto electrical signals that direct the robot instruments
    11. 11. SURGICAL DEXTERITY Click to edit Master text styles Second level  Third level  Fourth level  Fifth level
    12. 12. ADVANTAGES TO THE SURGEON• Immersive view through tiny 1-2cm incisions• Overcome limitations of human wrist• Reach inaccessible areas with ease• Work in limited space• No risk of transmission of diseases
    13. 13. ADVANTAGES TO THE SURGEON• Only system that allows surgeons to operate while seated• Better ergonomics than traditional open and laparoscopic surgery• Reduced surgeon fatigue• Minimal invasive approach possible even for Obese patients
    14. 14. ADVANTAGES TO THE PATIENT• Keyhole surgery• Less pain• Lesser trauma• Less blood loss• Faster recovery• Shorter hospital stay• Less need for medication• Safe, accurate and precise
    15. 15. APPLICATIONS IN CLINICAL PRACTICEUrologyGynecologyGeneral SurgeryCardiothoracicHead and Neck surgeryBariatrics
    16. 16. Robotic Urology Procedures PerformedRadical ProstatectomyRadical CystectomyPartial Nephrectomy / Radical NephrectomyAdrenalectomyPyeloplastyUreteral ReimplantationUrinary Fistula Repair
    17. 17. Robotic Urology Procedures PerformedRadical ProstatectomyRadical CystectomyPartial Nephrectomy / Radical NephrectomyAdrenalectomyPyeloplastyUreteral ReimplantationUrinary Fistula Repair
    18. 18. Facilitate successful completion ofcomplex laparoscopic procedures• Advanced endometriosis• Complex layered suturing like in myomectomy• Extensive clearance in malignancy• Precise dissection in Sacrocolpopexy• Accuracy in Tubo-tubal anastomosis
    19. 19. Gynecological Oncology Radical hysterectomy for cervical and endometrial cancers Para-aortic and Pelvic lymph node dissection Trachelectomy Oophorectomy
    20. 20. DR.MEENAKSHI SUNDARAMCONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY Apollo Hospitals (Main) 21, Greams Lane Off Greams Road Chennai - 600006 Phone: +91-44-28290200/28293333

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