Laparoscopic surgery, also known as minimally invasive surgery, uses small incisions and long thin instruments inserted through the abdomen to see inside and operate. Key elements include an insufflator to inflate the abdomen with carbon dioxide for better visibility, fiber optic cables and cameras for magnified viewing on monitors, and trocars or cannulas to insert instruments. Benefits over open surgery include less pain, smaller scars, faster recovery times, and better quality of life for patients. While initially developed in the early 1900s, laparoscopic procedures grew in the late 20th century with improved instrumentation and the adoption of the approach in various surgical specialties.
Robot-assisted laparoscopic surgery: Just another toy?Apollo Hospitals
One of the most significant developments in medical technology in the past decade is the advent of Robot-assisted laparoscopic surgery. Laparoscopic surgery has distinct advantages over conventional open surgery, and most gynecological procedures can now be performed by the laparoscopic route. However, the popularity and acceptance of laparoscopic surgery is far from universal, mainly due to the technical difficulties in the procedure. Laparoscopic surgery requires training and skill, and has a long learning curve. Robot-assisted surgery may help overcome some of these problems.
Laparoscopic surgery, also called minimally invasive surgery (MIS)/ bandaid surgery / keyhole surgery, is a modern surgical technique which includes operations performed far from their location through small incisions(usually 0.5–1.5 cm) to the other part of the body.
Various advantages are seen by the patient with laparoscopic surgery versus the open procedure. Pain and draining are lessened because of smaller entry points and recuperation times are shorter. The key element in laparoscopic surgery is the use of a laparoscope, a long fiber optic cable system which allows screening of the affected area by twisting the cable from far-away, but more easily accessible location.
Basics of laproscopic surgery..
by dr navdeep s kamboj presented at sgrdumsar amritsar.
topics covered--
1 basics of laparoscopy
2 lap cholecystectomy
3 lap appendixcectomy
pneumoperitonem
merits and demerits of laproscopy
ligasure
endoscopy,
laparoscopic instruments
Robot-assisted laparoscopic surgery: Just another toy?Apollo Hospitals
One of the most significant developments in medical technology in the past decade is the advent of Robot-assisted laparoscopic surgery. Laparoscopic surgery has distinct advantages over conventional open surgery, and most gynecological procedures can now be performed by the laparoscopic route. However, the popularity and acceptance of laparoscopic surgery is far from universal, mainly due to the technical difficulties in the procedure. Laparoscopic surgery requires training and skill, and has a long learning curve. Robot-assisted surgery may help overcome some of these problems.
Laparoscopic surgery, also called minimally invasive surgery (MIS)/ bandaid surgery / keyhole surgery, is a modern surgical technique which includes operations performed far from their location through small incisions(usually 0.5–1.5 cm) to the other part of the body.
Various advantages are seen by the patient with laparoscopic surgery versus the open procedure. Pain and draining are lessened because of smaller entry points and recuperation times are shorter. The key element in laparoscopic surgery is the use of a laparoscope, a long fiber optic cable system which allows screening of the affected area by twisting the cable from far-away, but more easily accessible location.
Basics of laproscopic surgery..
by dr navdeep s kamboj presented at sgrdumsar amritsar.
topics covered--
1 basics of laparoscopy
2 lap cholecystectomy
3 lap appendixcectomy
pneumoperitonem
merits and demerits of laproscopy
ligasure
endoscopy,
laparoscopic instruments
Robotic hysterectomy: A review of indications, technique, outcome, and compli...Apollo Hospitals
Hysterectomy is the second most common surgery performed on women after cesarean section. The advantages of minimally invasive hysterectomy such as reduced hospitalization, quick recovery with more rapid return to normal activities, and less postoperative morbidity are well known. Although most guidelines recommend that minimally invasive hysterectomy should be the standard of care, the gynecologists have been slow in adopting minimally invasive laparoscopic techniques to perform this operation. Since its approval in 2005 for gynecological surgeries, robot-assisted hysterectomy has been found to be feasible and safe both in benign and malignant indications. This significant difference is mainly due to ergonomics, endowrist movements of instruments, and stereoscopic three-dimensional magnified vision. The specific indications for hysterectomy where the robotic technology can benefit women are the ones with adhesions such as severe endometriosis, large uterus with large or multiple fibroids, early carcinoma cervix, and/or endometrial carcinoma. However the main benefit of this procedure was seen in the reduction of open surgery including conversions during laparoscopic hysterectomies. In the long run, we need to critically examine the long-term benefits and appropriate indications for robot-assisted hysterectomy especially in benign conditions, thus reducing the incidence of open surgery in gynecology. This review describes the operative procedure of robotic hysterectomy in eight steps.
Significant improvements in the surgical approaches and management of diseases have been made in the last century since the advent of antibiotics and aseptic surgical techniques. A major revolution has happened in the last 25 years, as the focus has shifted to minimally invasive surgery and subsequently to robotic assisted surgery. The da Vinci system is by far the most successful surgical robot in use today.
Anaesthetic considerations for Robotic Surgery, What to expect, how to go ahead. An update and incite on the intricacies of Robotic Surgery and Anaesthetic implications.
Laparoscopic Surgery - Minimal Scars, Maximum Precision.pdfMeghaSingh194
What Is Laparoscopic Surgery?
Laparoscopic surgery, also known as minimally invasive surgery, is a modern surgical technique that allows surgeons to perform procedures with smaller incisions compared to traditional open surgery. Let's explore more: https://www.southlakegeneralsurgery.com/laparoscopic-surgery-minimal-scars-maximum-precision/
Robotic Surgery means computer/ Robotic assisted surgery.
It was developed to overcome the limitations of MAS and to enhance the capabilities of surgeons performing open Surgery History of Robotic surgery
The first robot to assist in surgery was the Arthrobot, which was developed and used for the first time in Vancouver in 1983.[43] Intimately involved were biomedical engineer, Dr. James McEwen, Geof Auchinleck, a UBC engineering physics grad, and Dr. Brian Day as well as a team of engineering students. The robot was used in an orthopaedic surgical procedure on 12 March 1984, at the UBC Hospital in Vancouver.
Over 60 arthroscopic surgical procedures were performed in the first 12 months, and a 1985 National Geographic video on industrial robots, The Robotics Revolution, featured the device. Other related robotic devices developed at the same time included a surgical scrub nurse robot, which handed operative instruments on voice command, and a medical laboratory robotic arm. A YouTube video entitled Arthrobot illustrates some of these in operation .
Minimally invasive/accessed surgery comprises of robotic and non robotic surgery. Non robotic surgery includes laparoscopy, endoscopy, arthroscopy and etc.
Robotic surgery is a type of minimally invasive surgery. “Minimally invasive” means that instead of operating on patients through large incisions, we use miniaturized surgical instruments that fit through a series of quarter-inch incisions.
Laparoscopic surgery is a surgical technique in which short, narrow
tubes (trochars) are inserted into the abdomen through small (less
than one centimeter) incisions. Through these trochars, long, narrow instruments are inserted. The surgeon uses these instruments to manipulate, cut, and sew tissue.
The advantages include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time.
The key element is the use of a laparoscope, a long fiber optic cable system that allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.
Right Adrenalectomy:
Since its first description in 1992, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. The benefits of a minimally invasive approach to adrenal resection such as decreased hospital stay, shorter recovery time and improved patient satisfaction are widely accepted. However, as this procedure becomes more widespread, critical steps of the operation must be maintained to ensure expected outcomes and success. This presentation reviews the surgical techniques for the laparoscopic adrenalectomy.
Presented by: Mohammadsaleh Moallem
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Hysterectomy is the second most common surgery performed on women after cesarean section. The advantages of minimally invasive hysterectomy such as reduced hospitalization, quick recovery with more rapid return to normal activities, and less postoperative morbidity are well known. Although most guidelines recommend that minimally invasive hysterectomy should be the standard of care, the gynecologists have been slow in adopting minimally invasive laparoscopic techniques to perform this operation. Since its approval in 2005 for gynecological surgeries, robot-assisted hysterectomy has been found to be feasible and safe both in benign and malignant indications. This significant difference is mainly due to ergonomics, endowrist movements of instruments, and stereoscopic three-dimensional magnified vision. The specific indications for hysterectomy where the robotic technology can benefit women are the ones with adhesions such as severe endometriosis, large uterus with large or multiple fibroids, early carcinoma cervix, and/or endometrial carcinoma. However the main benefit of this procedure was seen in the reduction of open surgery including conversions during laparoscopic hysterectomies. In the long run, we need to critically examine the long-term benefits and appropriate indications for robot-assisted hysterectomy especially in benign conditions, thus reducing the incidence of open surgery in gynecology. This review describes the operative procedure of robotic hysterectomy in eight steps.
Significant improvements in the surgical approaches and management of diseases have been made in the last century since the advent of antibiotics and aseptic surgical techniques. A major revolution has happened in the last 25 years, as the focus has shifted to minimally invasive surgery and subsequently to robotic assisted surgery. The da Vinci system is by far the most successful surgical robot in use today.
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Principles_of_Minimal_Invasive_surgery.pptx
1. Laparoscopic surgery –
Minimally invasive surgery (MIS) usually 0.5–1.5 cm
surgery makes use of images displayed on TV monitors to magnify
the surgical elements
New Option for Surgical Operations!.. Less pain, Fast recovery and
Better quality of life
2. Minimally invasive surgery is used to operate on
many areas of the body including the heart,
colon, hip, knee, shoulder, and brain..
Benefits of MIS include less pain and trauma, reduced blood
loss, and smaller surgical scars.
20. The abdomen is usually insufflated, or essentially
blown up like a balloon, with carbon dioxide gas
CO2 is used because it is common to the human body and can be
absorbed by tissue and removed by the respiratory system.
It is also non-flammable, which is important because
electrosurgical devices are commonly used in laparoscopic
procedures
21. In 1902, Georg Kelling, of Dresden, Germany, performed the first
laparoscopic procedure in dogs and in 1910,
Hans Christian Jacobaeus, of Sweden, reported the first
laparoscopic operation in humans
The first publication on diagnostic laparoscopy by Raoul Palmer
appeared in the early 1950s, followed by the publication of
Frangenheim and Semm. Hans Lindermann and Kurt Semm practised
CO2 hysteroscopy during the mid-1970s.
22. In 1972, Clarke invented, published, patented, presented, and recorded
on film laparoscopic surgery, with instruments marketed by the Ven
Instrument Company of Buffalo, New York, USA.[4
In 1975, Tarasconi, from the Department of Ob-Gyn of the University
of Passo Fundo Medical School (Passo Fundo, RS, Brazil), started his
experience with organ resection by laparoscopy (Salpingectomy), first
reported in the Third AAGL Meeting.
November 1976 and later published in The Journal of Reproductive
Medicine in 1981.[5] This laparoscopic surgical procedure was the first
laparoscopic organ resection reported in medical literature
23. In 1981, Semm, from the gynecological clinic of Kiel University,
Germany, performed the first laparoscopic appendectomy..
Following his lecture on laparoscopic appendectomy, the president of
the German Surgical Society wrote to the Board of Directors of the
German Gynecological Society suggesting suspension of Semm from
medical practice
24. Semm published over 1000 papers in various journals.[4] He also
produced over 30 endoscopic films and more than 20,000
colored slides to teach and inform interested colleagues about
his technique
In 1985, he constructed the pelvi-trainer = laparo-trainer, a
practical surgical model whereby colleagues could practice
laparoscopic techniques
25. The introduction in 1990 of a laparoscopic
clip applier with twenty automatically
advancing clips (rather than a single load
clip applier that would have to be taken out,
reloaded and reintroduced for each clip
application) made general surgeons more
comfortable with making the leap to
laparoscopic cholecystectomies (gall bladder
removal). On the other hand, some surgeons
continue to use the single clip appliers as
they save as much as $200 per case for the
patient, detract nothing from the quality of
the clip ligation, and add only seconds to
case lengths.
26. The introduction in 1990 of a laparoscopic clip applier with twenty
automatically advancing clips (rather than a single load clip applier that
would have to be taken out, reloaded and reintroduced for each clip
application) made general surgeons more comfortable with making the
leap to laparoscopic cholecystectomies
Conceptually, the laparoscopic approach is intended to minimise
post-operative pain and speed up recovery times, while maintaining
an enhanced visual field for surgeons
27. Due to improved patient outcomes, in the last two decades, laparoscopic
surgery has been adopted by various surgical sub-specialties including
gastrointestinal surgery (including bariatric procedures for morbidobesity),
gynecologic surgery and urology.
Based on numerous prospective randomized controlled trials, the approach
has proven to be beneficial in reducing post-operative morbidities such as
wound infections and incisional hernias (especially in morbidly obese
patients), and is now deemed safe when applied to surgery for cancers such
as cancer of colon.
28. In recent years, electronic tools have been developed to aid surgeons.
Some of the features include:
Visual magnification — use of a large viewing screen improves
visibility
Stabilization — Electromechanical damping of vibrations, due to
machinery or shaky human hands
Simulators — use of specialized virtual reality training tools to improve
physicians' proficiency in surgery [26]
Reduced number of incisions
29. Robotic surgery, computer-assisted surgery, and robotically-
assisted surgery are terms for technological developments that
use robotic systems to aid in surgical procedures. Robotically-
assisted surgery was developed to overcome the limitations of
minimally-invasive surgery and to enhance the capabilities of
surgeons performing open surgery
30. In the case of robotically-assisted minimally-invasive surgery, instead of
directly moving the instruments, the surgeon uses one of five methods to
control the instruments; either a direct telemanipulator or through
computer control. A telemanipulator is a remote manipulator that allows
the surgeon to perform the normal movements associated with the
surgery whilst the robotic arms carry out those movements using end-
effectors and manipulators to perform the actual surgery on the patient
31. A telemanipulator is a remote manipulator that allows the
surgeon to perform the normal movements associated with the
surgery whilst the robotic arms carry out those movements
using end-effectors and manipulators to perform the actual
surgery on the patient. In computer-controlled systems the
surgeon uses a computer to control the robotic arms and its
end-effectors, though these systems can also still use
telemanipulators for their input