Page 23 - Swsthya Winter Edition Vol 1 Issu 3 DEC 2020 Circulation copy BP

SURGERY

Overall benefits to patients- impacting vision due to cautery smoke The “Productivity Paradox” holds true - it
or risk of losing the pneumoperitoneum takes on average 20 years for an innovation
1. Minimal scarring with constant suction. to reap its productivity benefits. First
2. Less pain, requiring less analgesia robotic surgery was performed in year
3. Less wound related issues Airseal technology, especially during 2000 and robotic surgery; in the last 20
4. Less hospitalisation Covid time has been a boon to facilitate years it has managed to establish its place
5. Less blood loss concealing potentially trapped in the field of surgery. It has been predicted
6. Early ambulation and return to work Coronavirus contaminated plume and its that by year 2050, 90% of surgeries will be
safe discard through a dedicated suction using a robot in some or other way either to
Benefits to Surgeons- system. diagnose or treat the ailments.
1. Improved 3D vision- Future developments- It is high time we embrace these
technological advancements which
2. Magnified view- 10x HD magnified Haptics in Robotics- Ability to get the feel complement medical field. q
view of the tissue
3. Superior manoeuvrability of Virtual reality Vs Augmented reality-
instruments with “Endowrist” Such technology is already been used
outside clinical trials.
4. Ergonomically far superior than
standard laparoscopy Remote (Tele) surgery- inter-continental
surgery has taken place, but due to
5. Excellent educational tool- Dual potential medico-legal issues and some lag
console allows the main surgeon to in instrument movement it has not gained
control the robotic arms of training acceptance.
console.
Single Port Surgery- The new daVinci SP
6. Tile-pro imaging- allows the surgeon system has been launched recently.
to simultaneously visualise real time
intraoperative USG whilst operating. Surgical assist- will enable the surgeon
to get a roadmap and didactic guidance of Dr Santoshi Nagaonkar
7. Firefly technology- Allows to identify surgery as he/she continues to operate MB, MS, DNB (GENERAL SURGERY),
vascularity or vascular territory DNB (GU SURGERY), FEBU FRACS (UROLOGY)
of the feeding vessel. A built in Fusion imaging- Superimposing the Consultant Urologist and Robotic Surgeon
P D Hinduja National hospital - Mumbai
infrared camera allows the tissue to radiological images (CT/ MRI) with real
Fellow European Board of Urology
discriminate the vascular territory time operative view.
Formally, Fellow, Minimal invasive urology at Port
after injecting ICG dye.
Macquarie and Repatriation hospitals, Adelaide,
Micro-bots- The crude example is “capsule Awarded Fellowship of Royal Australian
8. Bipolar diathermy- built in. endoscopy”. Once we achieve technology college of surgeons (RACS),Membership of
to navigate such miniature/micro capsules urological society of Australia and NZ (USANZ),
9. Airseal technology- keeps the intra- to enter the body system, it would open Publications- Over 50 publications in peer
abdominal pressure maintained another dimension to diagnose and treat reviewed journals.
throughout the surgery without several medical conditions.

Image Credit: http://nyulangone.org/files/da-vinci-xi-robotic-surgical-system.jpg

Volume: 1 I Issue: 3 I 2020 2020 I Volume: 1 I Issue: 3 23