http://www.laparoscopyhospital.com/ - World Laparoscopy Hospital offer concentrated course in robotic and laparoscopic surgery designed for maximum laparoscopic learning and skill building, employing surgical videos and pelvic trainers. Participants are encouraged to attend with a colleague from their practice to increase their successful implementation of skills.
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R. K. MishraWorld Laparoscopy HospitalGurgaon
Robot word was coined by Czech writer Karel Capek It stands for
artificial humansCourtesy of Harald Fischer, Institute for Medical
Technology and Biophysics, Frankfurt
World Laparoscopy Hospital
September 7, 2001, First transatlantic surgery took place from
New York to Strasbourg.
Robotic SurgeryLaparoscopic Surgery3 D Vision2 D VisionMotion
scalingNot possibleWrist ArticulationLimited Range of MotionFluid
MovementRigid MovementTremor FilterTremor MagnifiedRemote Sensing
TechnologyAbdominal wall is FulcrumErgonomically IntuitivePoor
Ergonomics25X Magnification10X MagnificationMIESNot possibleHaptic
FeedbackLimited Tactile FeedbackTelesurgery with teleproctoringNot
possible
World Laparoscopy Hospital
TELEMENTORING - is remote guidance or teachingTELEPROCTORING -
supervision from a distance using error log technology
Robotic Appendectomy
Robotic Hernia
Hysterectomy and Myomectomy
Not cost effective over standard laparoscopic approach for
simple surgery.Increased operative time observedNot necessary where
precise is dissection not requiredLarge Operating room space
requiredGood Patient Side assistant is required
World Laparoscopy Hospital
Some of the notable features of the Amadeus System
are:Multi-articulating arms,Sound communication system, Enhanced
vision systems and Real-time feedback to surgeons to know the
impact of their movements while performing surgery.
Walking robot with legs
Miniaturization to extremesCan roam within human bodyEquipped
with DNA joints and carbon nano tubes Specific functions -
Repairing/Destroying individual cells
1.63 cm3Mounted with cameras, temperature sensors, microphones,
micro tools
Powered autonomously by ATP Biomolecular ActuatorsWorld
Laparoscopy Hospital
Technology is always good - it is neither angel nor evilIt is up
to us to breathe the moral and ethical life into these
technologiesWe should apply them with empathy and compassion for
each and every patientRobotic surgery is one example of such
technology that reduces operative morbidity, hospital stay, and
recovery, while improving clinical outcomes, but at what point do
the BENEFITS justify the increased EXPENSE?World Laparoscopy
Hospital
