Robotic Surgery - Dr. Meenakshi Sundaram
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Robotic surgery is performed using a robotic system called the Da Vinci. The Da Vinci system allows surgeons to perform complex surgery through small incisions using robotic arms. It provides surgeons with improved vision, precision, and control over open and laparoscopic surgery. Robotic surgery offers patients less pain, blood loss, scarring and faster recovery times compared to open surgery. Dr. Meenakshi Sundaram is a robotic surgeon at Apollo Hospitals in Chennai who performs procedures in urology and gynecology using the Da Vinci system.
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Robotic Surgery - Dr. Meenakshi Sundaram
- 1. ROBOTIC SURGERY DR.MEENAKSHI SUNDARAM CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON DEPARTMENT OF OBSTETRICS & GYNECOLOGY INSTITUTE OF ROBOTIC SURGERY APOLLO HOSPITALS, CHENNAI
- 2. Click to edit the Robotic surgery is the future text outline format Robot-Advanced computer Second integrated interphase Outline Level − Third Outline Level Fourth Outline Level − Fifth
- 3. BREAKTHROUGH TECHNOLOGY Surgeons must progress beyond the traditional techniques of cutting and sewing ……. ,to a future in which minimal access to the abdominal cavity is only the beginning.” Pappas, Jacob, NEJM 2004 How can we overcome surgeon and equipment limitation?
- 4. HISTORY OF ROBOTICS LEONARDO DA VINCI ROBOT IN 1495 Image goes here Term Robot was coined in 1920 from Czech word “ Rabota” meaning laborer Medical Robotics in 1985- PUMA 650
- 5. − Eighth EVOLUTION OF ROBOTS Outline Level Ninth Outline LevelClick Da-Vinci Robot Da-Vinci Robotic text to edit Master arms styles Click to edit Master outline Click to edit the text Click to edit the outline Click to edit Master text styles format text text format styles Second 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. Da Vinci Standard (1999) Da Vinci S system Image goes here (2006) Da Vinci Si system (2009)
- 7. Da Vinci Si system at Apollo Chennai Click to edit Master text styles Second level Third level Fourth level Fifth level
- 8. HIGHLIGHTS OF ROBOTICS-CORE TECHNOLOGY Surgeon controls the robotic arms 3-D HD vision Endowrist instrumentation Intuitive motion Motion scaling-Filtration of tremors Replicates high standard of surgery every single time
- 9. Open Surgery Laparoscopy Robotic surgery INCISION 10-20 CM KEYHOLE KEYHOLE PAIN ++++ ++ + BLOOD LOSS 700 ML 300 ML 100 ML SCARS + TINY TINY SURGICAL - - + AUTONOMY POST OP 5-6 DAYS 2-3 DAYS 36 HRS OR MORE HOSPITAL STAY RECOVERY LONG SHORT SWIFT
- 11. MASTERS Finger “masters” controls which convert human movements into electrical signals that direct the robot instruments
- 12. SURGICAL DEXTERITY Click to edit Master text styles Second level Third level Fourth level Fifth level
- 14. 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
- 15. 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
- 16. 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
- 17. APPLICATIONS IN CLINICAL PRACTICE Urology Gynecology General Surgery Cardiothoracic Head and Neck surgery Bariatrics
- 18. Robotic Urology Procedures Performed Radical Prostatectomy Radical Cystectomy Partial Nephrectomy / Radical Nephrectomy Adrenalectomy Pyeloplasty Ureteral Reimplantation Urinary Fistula Repair
- 19. Robotic Urology Procedures Performed Radical Prostatectomy Radical Cystectomy Partial Nephrectomy / Radical Nephrectomy Adrenalectomy Pyeloplasty Ureteral Reimplantation Urinary Fistula Repair
- 20. 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
- 21. Gynecological Oncology Radical hysterectomy for cervical and endometrial cancers Para-aortic and Pelvic lymph node dissection Trachelectomy Oophorectomy
- 22. DR.MEENAKSHI SUNDARAM CONSULTANT 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
Editor's Notes
- ----- 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.