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CC BY-NC 4.0 · Arch Plast Surg 2014; 41(03): 225-230
DOI: 10.5999/aps.2014.41.3.225
Topic: Microsurgery Trainings

Robotic Microsurgery Optimization

Jamin V Brahmbhatt
Personalized Urology & Robotics, The PUR Clinic, South Lake Hospital, Clermont, FL, USA
,
Ahmet Gudeloglu
Personalized Urology & Robotics, The PUR Clinic, Memorial Ankara Hospital, Ankara, Turkey
,
Philippe Liverneaux
Department of Hand Surgery, Strasbourg University Hospitals, Strasbourg, France
,
Sijo J Parekattil
Personalized Urology & Robotics, The PUR Clinic, South Lake Hospital, Clermont, FL, USA
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The increased application of the da Vinci robotic platform (Intuitive Surgical Inc.) for microsurgery has led to the development of new adjunctive surgical instrumentation. In microsurgery, the robotic platform can provide high definition 12×-15× digital magnification, broader range of motion, fine instrument handling with decreased tremor, reduced surgeon fatigue, and improved surgical productivity. This paper presents novel adjunctive tools that provide enhanced optical magnification, micro-Doppler sensing of vessels down to a 1-mm size, vein mapping capabilities, hydro-dissection, micro-ablation technology (with minimal thermal spread-CO2 laser technology), and confocal microscopy to provide imaging at a cellular level. Microsurgical outcomes from the use of these tools in the management of patients with infertility and chronic groin and testicular pain are reviewed. All these instruments have been adapted for the robotic console and enhance the robot-assisted microsurgery experience. As the popularity of robot-assisted microsurgery grows, so will its breadth of instrumentation.

Keywords

Robotics - Microsurgery - Instrumentation - Equipment and supplies


Publication History

Received: 07 February 2013

Accepted: 31 July 2013

Article published online:
02 May 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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