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Robotic plastic surgery

Leonardo S Mattos, Darwin G Caldwell, Giorgio Peretti, Francesco Mora, Luca Guastini, Roberto Cingolani
Robotics has a significant potential to enhance the overall capacity and efficiency of healthcare systems. Robots can help surgeons perform better quality operations, leading to reductions in the hospitalisation time of patients and in the impact of surgery on their postoperative quality of life. In particular, robotics can have a significant impact on microsurgery, which presents stringent requirements for superhuman precision and control of the surgical tools. Microsurgery is, in fact, expected to gain importance in a growing range of surgical specialties as novel technologies progressively enable the detection, diagnosis and treatment of diseases at earlier stages...
2016: Swiss Medical Weekly
Yunyong Shi, Li Lin, Chaozheng Zhou, Ming Zhu, Le Xie, Gang Chai
BACKGROUND: Mandible plastic surgery plays an important role in conventional plastic surgery. However, its success depends on the experience of the surgeons. In order to improve the effectiveness of the surgery and release the burden of surgeons, a mandible plastic surgery assisting robot, based on an augmented reality technique, was developed. MATERIAL AND METHODS: Augmented reality assists surgeons to realize positioning. Fuzzy control theory was used for the control of the motor...
February 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
Y Zhang, X J Liu
Digital medical technologies or computer aided medical procedures, refer to imaging, 3D reconstruction, virtual design, 3D printing, navigation guided surgery and robotic assisted surgery techniques. These techniques are integrated into conventional surgical procedures to create new clinical protocols that are known as "digital surgical techniques". Conventional health care is characterized by subjective experiences, while digital medical technologies bring quantifiable information, transferable data, repeatable methods and predictable outcomes into clinical practices...
April 9, 2016: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Elena Tunitsky-Bitton, Katie Propst, Tyler Muffly
BACKGROUND: The number of robotically assisted hysterectomies is increasing, and therefore, the opportunities for trainees to become competent in performing traditional laparoscopic hysterectomy are decreasing. Simulation-based training is ideal for filling this gap in training. OBJECTIVE: The objective of the study was to design a surgical model for training in laparoscopic vaginal cuff closure and to present evidence of its validity and reliability as an assessment and training tool...
March 2016: American Journal of Obstetrics and Gynecology
Yoon Jae Kim, Sung Woo Park, Hong Gi Yeom, Moon Suk Bang, June Sic Kim, Chun Kee Chung, Sungwan Kim
BACKGROUND: A brain-machine interface (BMI) should be able to help people with disabilities by replacing their lost motor functions. To replace lost functions, robot arms have been developed that are controlled by invasive neural signals. Although invasive neural signals have a high spatial resolution, non-invasive neural signals are valuable because they provide an interface without surgery. Thus, various researchers have developed robot arms driven by non-invasive neural signals. However, robot arm control based on the imagined trajectory of a human hand can be more intuitive for patients...
2015: Biomedical Engineering Online
Claudio Pacchierotti, Domenico Prattichizzo, Katherine J Kuchenbecker
Despite its expected clinical benefits, current teleoperated surgical robots do not provide the surgeon with haptic feedback largely because grounded forces can destabilize the system's closed-loop controller. This paper presents an alternative approach that enables the surgeon to feel fingertip contact deformations and vibrations while guaranteeing the teleoperator's stability. We implemented our cutaneous feedback solution on an Intuitive Surgical da Vinci Standard robot by mounting a SynTouch BioTac tactile sensor to the distal end of a surgical instrument and a custom cutaneous display to the corresponding master controller...
February 2016: IEEE Transactions on Bio-medical Engineering
Jennifer A Semrau, Troy M Herter, Zelma H Kiss, Sean P Dukelow
Deep brain stimulation (DBS) is an excellent treatment for tremor and is generally thought to be reversible by turning off stimulation. For tremor, DBS is implanted in the ventrointermedius (Vim) nucleus of the thalamus, a region that relays proprioceptive information for movement sensation (kinaesthesia). Gait disturbances have been observed with bilateral Vim DBS, but the long-term effects on proprioceptive processing are unknown. We aimed to determine whether Vim DBS surgical implantation or stimulation leads to proprioceptive deficits in the upper limb...
2015: Frontiers in Human Neuroscience
Riccardo Secoli, Matthew Robinson, Michele Brugnoli, Ferdinando Rodriguez y Baena
To perform minimally invasive surgical interventions with the aid of robotic systems within a magnetic resonance imaging scanner offers significant advantages compared to conventional surgery. However, despite the numerous exciting potential applications of this technology, the introduction of magnetic resonance imaging-compatible robotics has been hampered by safety, reliability and cost concerns: the robots should not be attracted by the strong magnetic field of the scanner and should operate reliably in the field without causing distortion to the scan data...
March 2015: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
Jimmy Thomas
This presentation is to increase awareness of the potential for brachial plexus injury during prolonged combined plastic surgery procedures. A case of brachial plexus neuropraxia in a 26-year-old obese patient following a prolonged combined plastic surgery procedure was encountered. Nerve palsy due to faulty positioning on the operating table is commonly seen over the elbow and popliteal fossa. However, injury to the brachial plexus has been a recently reported phenomenon due to the increasing number of laparoscopic and robotic procedures...
September 2014: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Sarah L Cohen, Jon I Einarsson, Karen C Wang, Douglas Brown, David Boruta, Stacey A Scheib, Amanda N Fader, Tony Shibley
OBJECTIVE: To describe a technique for contained power morcellation within an insufflated isolation bag at the time of uterine specimen removal during minimally invasive gynecologic procedures. METHODS: Over the study period of January 2013 to April 2014, 73 patients underwent morcellation of the uterus or myomas within an insufflated isolation bag at the time of minimally invasive hysterectomy or myomectomy. This technique involves placing the specimen into a large plastic bag within the abdomen, exteriorizing the opening of the bag, insufflating the bag within the peritoneal cavity, and then using a power morcellator within the bag to remove the specimen in a contained fashion...
September 2014: Obstetrics and Gynecology
Amir E Ibrahim, Karim A Sarhane, John C Pederson, Jesse C Selber
Harvest of the rectus abdominis muscle requires an abdominal incision as well as violation of the anterior rectus sheath, creating the potential for significant surgical-site morbidity (bulges, hernias, infections, seromas). Laparoscopic or endoscopic techniques, although feasible, have not become popular among plastic surgeons due to multiple technical shortcomings. Robotic surgery on the other hand has an easier learning curve, enhanced precision, tremor elimination, motion scaling, high resolution, three-dimensional optics and an intuitive interface...
February 2014: Seminars in Plastic Surgery
Jesse C Selber, Taiba Alrasheed
Robotic surgery has expanded rapidly over the past two decades and is in widespread use among the surgical subspecialties. Clinical applications in plastic surgery have emerged gradually over the last few years. One of the promising applications is robotic-assisted microvascular anastomosis. Here the authors first describe a process by which an assessment instrument they developed called the Structured Assessment of Robotic Microsurgical Skills (SARMS) was validated. The instrument combines the previously validated Structured Assessment of Microsurgical Skills (SAMS) with other skill domains in robotic surgery...
February 2014: Seminars in Plastic Surgery
Jesse C Selber
No abstract text is available yet for this article.
February 2014: Seminars in Plastic Surgery
Brian C Becker, Robert A Maclachlan, Louis A Lobes, Cameron N Riviere
Peeling delicate retinal membranes, which are often less than 5 µm thick, is one of the most challenging retinal surgeries. Preventing rips and tears caused by tremor and excessive force can decrease injury and reduce the need for follow up surgeries. We propose the use of a fully handheld microsurgical robot to suppress tremor while enforcing helpful constraints on the motion of the tool. Using stereo vision and tracking algorithms, the robot activates motion-scaled behavior as the tip reaches the surface, providing finer control during the critical step of engaging the membrane edge...
December 31, 2012: IEEE International Conference on Robotics and Automation: ICRA: [proceedings]
Salah Eldin Mohamed, Ahmad Saeed, Thomas Moulthrop, Emad Kandil
BACKGROUND: Robotic-assisted thyroid surgery using a retroauricular approach was reported as a novel remote access technique for hemithyroidectomy. We report our experience with this remote access technique using a single incision in the retroauricular crease and occipital hairline incision. For the first time, we show additional neck-lift surgery performed concomitantly to achieve better cosmetic outcomes. METHODS: Robotic retroauricular left hemithyroidectomy with concomitant neck-lift surgery was performed in a 59-year-old female patient who was referred for management of a 1...
January 2015: Annals of Surgical Oncology
Steven D McCarus
As patients are diagnosed with a health condition that requires a hysterectomy, surgical recommendations are generally discussed. Surgical options for a variety of procedures have expanded greatly in the past decade because of the development of innovations including, but not limited to, robots, advanced bipolar energy systems, HD cameras, single-site access systems, minilaparoscopic instruments, and novel uterine manipulators. These advances allow the surgeon to consider an expanded variety of procedures that may not only improve patient outcomes but also accommodate patient preferences...
September 2013: Surgical Technology International
Petros Konofaos, Sarah Hammond, Jon P Ver Halen, Sandeep Samant
BACKGROUND: Although the use of transoral robotic surgery for tumor extirpation is expanding, little is known about national trends in the reconstruction of resultant defects. METHODS: An 18-question electronic survey was created by an expert panel of surgeons from the Department of Otolaryngology-Head and Neck Surgery and the Department of Plastic and Reconstructive Surgery at the University of Tennessee. Eligible participants were identified by the American Head and Neck Society Web site and from the Intuitive Surgical, Inc...
February 2013: Plastic and Reconstructive Surgery
Sijo J Parekattil, Ahmet Gudeloglu
The introduction of the operative microscope for andrological surgery in the 1970s provided enhanced magnification and accuracy, unparalleled to any previous visual loop or magnification techniques. This technology revolutionized techniques for microsurgery in andrology. Today, we may be on the verge of a second such revolution by the incorporation of robotic assisted platforms for microsurgery in andrology. Robotic assisted microsurgery is being utilized to a greater degree in andrology and a number of other microsurgical fields, such as ophthalmology, hand surgery, plastics and reconstructive surgery...
January 2013: Asian Journal of Andrology
Aladdin H Hassanein, Brian A Mailey, Marek K Dobke
Robot assisted surgery is a technology that is being used frequently among multiple surgical specialties; robot assisted microsurgery (RAMS) and transoral robotic surgery (TORS) are applications relevant to plastic surgery that are being studied and clinically utilized. Advantages of RAMS include elimination of tremor and the ability to provide enhanced exposure. TORS facilitates oropharyngeal tumor excision and reconstruction without mandibular splitting. This article investigates current and potential uses of the surgical robot in plastic surgery as well as obstacles to its application...
October 2012: Clinics in Plastic Surgery
Takeyoshi Ota, Nicholas A Patronik, Cameron N Riviere, Marco A Zenati
BACKGROUND: : To expand minimally invasive beating-heart surgery, we have developed a miniature 2-footed crawling robot (HeartLander) that navigates on the epicardium. This paradigm obviates mechanical stabilization and lung deflation, and avoids the access limitations of current approaches. We tested the locomotion of the device on a beating porcine heart accessed through a closed-chest subxiphoid approach. METHODS: : HeartLander consists of 2 modules that are connected by an extensible midsection...
2006: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
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