Da-Vinci Robotic Surgery
Da-Vinci Robotic Surgery | Medical robots are well known nowadays for their use in surgery, notably the employment of robots, computers, and software to precisely operate surgical tools through one or more small incisions. Over the ensuing ten years, robotic surgery saw an unprecedented rise in India. One of the top hospitals for robotic surgery is Indraprastha Apollo hospital, New Delhi, leading the way in implementing new technology for improved patient care.
There are four types of medical robots used in healthcare industry namely:
- Surgical robots- they help in easing burdens of nurses, surgeons and doctors.
- Hospital robots- used in robot assisted surgeries and procedures
- Exoskeletons- they detect electrical signals in the patient’s body via sensors placed on skin and respond with movements at joints.
- Care robots- they provide support to elderly and disabled people at their homes.
Few examples of robots being utilised in the field of medicine and surgery are
- “Telepresence”, in order to check and treat the patients in isolated or rural areas, doctors employ robots that give them a “telepresence” in the room. Through the robot, experts can be reached on call to provide guidance for therapy from distant locations and answer questions.
- Use of prosthetics, patients are greatly benefiting from new structures and control systems, they make use of bionic skin and neural system that are providing a surprising degree of user control.
- Robotic exoskeletons, also known as orthoses, are being used in rehabilitation to help paralyzed individuals walk and to correct deformities.
- Hospital rooms are disinfected (sterilized) by robot using high intensity UV light
- Nanorobots can be used to navigate blood arteries and deliver treatments like medication or radiation to a particular spot known as “treatment payloads”.
- Robotic endoscopic tablets can be ingested orally that can traverse the digestive system, collect data, and relay that data back to the operator.
- Robots being used for their speed and accuracy as automated prescription dispensing system handling liquids, highly viscous materials and powder.
- There are robotic assistants, which are employed in places that are at high risk of high infection or to help or take the position of overburdened nurses in chores like digital entry, patient monitoring-care, cleaning, delivering medicine, food, supplies, blood drawing, and for moving cart (mobility between and within rooms) which is another way that robots are becoming more prevalent in the healthcare industry.
The use of robotic surgery as the preferred method of surgery is quickly spreading throughout the world. Robotic surgery, commonly referred to as robot-assisted surgery, gives medical professionals more flexibility, control and precision than is possible with conventional methods for performing a variety of complex procedures. Minimally invasive surgery, or MIS, is frequently related to robotic surgery and is carried out through tiny incisions.
The most common clinical robotic surgical system has a camera arm and mechanical arms with surgical instruments attached. The surgeon controls the arms while seated at a computer console next to the operating table. The console shows the surgeon a high-definition, magnified, 3D views of the surgery site. The surgeon guides all other team members who help with the process.
Top five Robotic surgery system includes:
- Da Vinci made by Intuitive surgical
- Ion made by Intuitive surgical
- Monarch by Auris Health
- Mako by Stryker
- Navio by Smith & Nephew
Da-Vinci Robotic Surgery technology has complemented Apollo’s ongoing efforts to provide the greatest therapeutic outcomes for patients with its fully equipped OTs. The da Vinci surgical system, which is placed in modern operating rooms, is the most advanced platform for minimally invasive surgery currently available. By combining computer-assisted technology and their expertise, surgeons may perform extremely delicate and precise minimally invasive surgery (MIS) using the Da Vinci System.
The Apollo Institute of Robotic Surgery was founded by Apollo Hospitals in association with the Vattikuti Foundation of Michigan, USA. Another form of robotic systems used is Renaissance Da-Vinci Robotic Surgery Technology. It is the only robotic system designed specifically for spine surgery, and is being made available for the first time in the Asia-Pacific by Apollo Hospitals. Doctors at Indraprastha Apollo hospitals are extremely knowledgeable and adept, since they have been successfully accomplishing robotic surgical procedures since year 2012, and have approximately performed 2000 successful surgeries till date. To make sure there are sufficient number of qualified professionals, scheduled intensive sessions for efficient training of surgeons are organized so that simplest to advanced procedures can be carried out smoothly using the most cutting-edge robotic systems available.
Advantages of Da-Vinci Robotic Surgery:
- Its key benefit is that surgery can be done through small incisions.
- Fewer problems, such as infections at the surgical site.
- Healthier tissue sustains less injury.
- There is little bleeding, and transfusion rates are below 10%.
- Compared to traditional operations, there is a considerable reduction in pain.
- A shorter hospital stays and a faster recovery
- Keyhole-like, 1 to 2 cm smaller scars that are difficult to see
- Reduced dosage of medicine
- Greater precision: With a wider range of motion than a human hand, the robotic arm’s operations are more accurate. The arms spin the instruments in small spaces in ways that are otherwise impossible resulting in increased mobility and reduced tremor.
- For better visibility, a sophisticated camera provides magnified, high-definition views of the surgical region. Additionally, it is capable of 3D imaging that is superior to what the human eye is capable of.
- Ability to do surgery inside the body; formerly, performing some aspects of the process outside the body would have needed a much wider incision. However, surgeons are now able to perform parts of the procedure within the body thanks to the small equipment at their disposal.
- Reduces patient trauma, particularly in specific locations of the chest, abdomen, or pelvis
- The only tool that lets surgeons operate while seated
- Superior ergonomics to laparoscopic and open surgical techniques
- Natural placement of hand-eye alignment
- Surgery fatigue is reduced
- Increased proficiency of surgical skill
- Patients with high BMI can also get beneficially treated with a minimally invasive procedure.
The risks of robotic surgery may include some that are similar to those of open surgery, such as a minuscule chance of infection and other issues.
The four-armed surgical robotic system is a surgical technology innovation used in the domains of urology, gynecology, cardiology, gastroenterology, bariatrics, neurology, orthopedic, laparoscopic and pediatrics.
The following are the procedures carried out at Indraprastha Apollo hospital, New Delhi that make use of the robotic surgical system:
Cardiac surgery:
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- Mitral valve repair in cardiac (heart) procedures
- Cardiopulmonary bypass
Colorectal surgeries:
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- Crohn’s disease and colonoscopies
- Intestinal cancer
- Diverticulitis
- Inflammatory colitis
- Large intestine abscesses, obstructions, and ruptures
- Recti prolapse
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General operations (abdomen and digestive tract):
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- Liver disorders
- Stomach ailments
- Pancreas disorders
- Intestine-related conditions
- Gallbladder disorders
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Gynecological procedure:
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- Endometriosis
- Hysterectomy
- Pelvic ache
- Unnatural bleeding
- Fibroids
- Prolapse of a pelvic organ
- procedures for incontinence
- Cervix incompetent
- Cancers
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Neck and head operations:
Cancers
Operations on the thorax (chest):
Cancers
Urology procedures:
Cancers
Malignant tumors
Prostate enlargement
Due to their effectiveness and efficiency, robotic procedures cost a bit more than conventional treatment modalities. Robotic surgeries frequently cost Rs 1.5 lakh more than regular ones.
