How Robotic Surgery is Done

Robotic Surgeries are advanced version of laparoscopic Surgeries. In compared to open surgeries, laparoscopic surgeries are advanced and less invasive. But laparoscopic surgery has its own limitations. It is very effective for normal routine procedures but when there are more complex surgeries involved; option of laparoscopic surgery is not feasible. In such surgeries, greater precision is required and it is only possible by the most advanced robotic surgeries.

In cases such as radical prostatectomy, the target (prostate) is delicate and tightly surrounded with the nerves affecting urinary control and sexual functions. Using the robots your surgeon has a better tool to spare surrounding nerves, which may enhance in recovery experience and clinical outcomes.

 

Robotic Surgery has added advantage such as:

  • Less Pain
  • Less Scarring
  • Less Blood Loss
  • Faster recovery to normal activities

At Centre for Robotic Surgery a super specialty initiative of Muljibhai Patel Urology Hospital, we use da Vinci Si® surgical system instruments for surgeries related to Nephro-Urology. We generally receive the comments that how will the surgery be made? Will there be a doctor available or only robots will perform the surgeries? Well, this article is written to clear those confusions. Let’s observe the picture given in fig (A).

Figure A: da Vinci Si® surgical instrument

In laparoscopic surgeries, several incisions are made and small camera and other instruments are inserted through them. This camera is connected with the visual output unit where surgeons can see inside view of the patients’ body.

In robotic surgery, the surgical instruments are hooked up to the machine, and surgeon sits at one console to operate them. Here high definition 3-D camera is inserted in patient’s body and the 3D display is shown on the screen. We call this entire setup as Robot. Here actual surgery is performed by doctors, but through mechanical arms. In the above image, you can see

  1. Surgeon’s Console – Surgeon sits here and operates robots. This console also has the video output from where surgeon can view the inner part of patient’s body.
  2. Image Processing Equipment – It’s a video output to see the ongoing surgery to anesthesiologist, other doctors and nurse.
  3. Endowrist Instruments – They are the human wrist like instruments to provide superior motion control, precision and fluid ambidexterity.
  4. Surgical Arm Cart – They are robotic hands acts like human arms
  5. Hi-Resolution 3-D Endoscope – It has high definition 3-D camera at its end which is inserted in to patient’s body through separate incision.

Now it’s an obvious question that what are the advantages of doing so?

robotic surgery in IndiaFigure – B High Definition 3D Vision with Zooming

Above is the video snippet from Dr. Mahesh Desai who is current president of Endourology Society and Medical Director at Muljibhai Patel Urology Hospital, Nadiad. He describes the advantages in his video. To view click here.

Advantages of robotic surgeries are:

  1. High Definition 3-D Vision: You are able to see target organ with much more clarity. The Zoom option shows the picture bigger and 3-D vision shows the depth.
  2. Greater Precision: In laparoscopy, after long time the surgeon usually gets tired. This effect in tremors in his / her hands. Robotic arms solve this issue. It enables 360 degree moment which is not possible by human hand.
  3. Quick Recovery: It requires very small incisions to operate through robots. Which is not the case with open surgery? This helps in fewer traumas, less pain and less loss of blood. Ultimately it results in to faster recovery.

A new era of tele-surgery:

Robotic surgery has opened new era of surgery. While human doctors will still perform common types of surgeries, robots will perform complex surgeries that are seemingly impossible even if attempted. The console is not attached with surgical arm-cart. That means surgeon can operate on patient. by sitting at distant place. In future, it will be possible for surgeon to sit in one country and operate a patient located at remote place.

The only point of consideration would be latency – that means there will a time delay in transmission of signals from one end to other end and vice versa. This will lead to delay in moment in surgeon’s hands and robotic hands. But it will be sorted out sooner with the use of technology. This will give birth to the concept of tele-surgery. It will also lead to modify international laws on surgery.

Technology is a boon to medicines. Robotic surgery is increasingly becoming popular. It takes a huge cost of investment and in training and development. Since the purchasing, installment and maintenance costs are very high, the surgery is comparatively costly. Day by day this surgery is becoming popular and sooner the cost associated will be lowered. It requires spreading awareness among people and erasing the myths for traditional thinking of “Robots”.

Source: How Stuff works

Benefits of Robotic Surgery for Prostate (Prostatectomy) Cancer

Robotic Surgery has revolutionized the medical field by storm. This surgery is gaining immense popularity for prostatectomy, hysterectomy, and heart related diseases. It is a minimally invasive surgery performed by a robot, wherein the systems are controlled by the surgeon and his/her movement’s are translated in the computer and further carried out by the robot on patients. Here, the robotic arms are attached to long instruments and are placed through small keyhole openings in the patient’s abdomen instead of the surgeon’s hands.

Though, the robot performs the operation but the entire process is actually controlled by the surgeon, which includes handling the forceps with the help of ‘master control’. The surgeon monitors the robot’s work and every movement step by step. Da Vinci Surgical System – state-of-the-art technology is used for this surgery.

Why is Robotic Surgery gaining popularity to cure prostate cancer?

Basically, prostate cancer is a malignant tumor forming in the small outer part of the masculine gland. It usually happens when the prostate cells grow without any control and invades nearby tissues to spread rapidly throughout the body. Usually if the disease is detected at an early stage it’s curable but if it’s not detected and treated on time then it can prove futile.

The reason why robotic surgery for prostate cancer is gaining popularity is due to its high level of precision during operation compared to traditional surgeries. Robotic Prostatectomy removes the entire prostate, which involves taking out all the prostatic tissue and lymph nodes. After completion of the surgery the patient can go through Prostate-specific antigen (PSA), where the results for any disease will show negative as the cancer gets eliminated completely due to this low-dose radiation.

Robotic Surgery

Besides there are numerous other potential benefits of Robotic Prostatectomy over traditional (open) prostate surgery, this includes:

  • Small incisions
  • Very low amount of blood loss
  • Faster recovery
  • Less expensive and shorter period of stay in hospital
  • Minimal pain
  • Less risk of infection & scarring
  • Better erectile function

Moreover, the best part of this surgery is that the patient’s life won’t change very drastically due to it and they will be able to return back to their normal life as soon as possible. It’s indeed amazing that how this technology has expanded with leaps & bounds to completely eradicate certain urological diseases like prostate cancer.

World Environment Day 2015

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Environment Day

World environment day is also known as the Environment Day, Eco Day or short form WED. It has been one of the great annual events for years which is being celebrated worldwide by the people aiming to protect the unique and life nurturing Nature on every 5th June.

World Environment Day History

World Environment Day (also called as WED) has been started celebrating as an annual event on every 5th of June since 1973 in order to raise the global awareness about the importance of the healthy and green environment in the human lives, to solve the environmental issues by implementing some positive environmental actions as well as to make aware common public worldwide that everyone is responsible for saving his environment and not only somebody, government or organizations working for it.

World environment day was first established to be celebrated every year by running some effective campaigns by the United Nations General Assembly and United Nations Environment Programme (UNEP) in the conference on Human Environment began from 5th to 16th of June at United Nations in 1972. It was first time celebrated in 1973 with the particular theme “Only one Earth”. Since 1974, the celebration campaign of the world environment day is hosted in different cities of the world.

It is a big annual celebration started by the United Nations General Assembly to engage millions of people from different countries across the globe as well as draw attention of political and health organizations to implement some effective actions.

Why World Environment Day is Celebrated

World environment day annual celebration campaign was started to address the huge environmental issues like wastage and losses of food, deforestation, increasing global warming and so many. Every year celebration is planned according to the particular theme and slogan of the year to bring effectiveness in the campaign all through the world.

It is celebrated to successfully get carbon neutrality, focusing on the forest management, reducing greenhouse effects, promoting bio-fuels production by planting on degraded lands, use of hydro-power to enhance electricity production, encourage common public to use solar water heaters, energy production through solar sources, developing new drainage systems, promoting coral reefs and mangroves restoration in order to get prevented from flooding and erosion including other ways of environmental preservation. Some of the objectives of the world environment day campaign are mentioned below:

  • It is celebrated to make aware the common public about the environmental issues.
  • Encourage common people from different society and communities to actively participate in the celebration as well as become an active agent in developing environmental safety measures.
  • Let them know that community people are very essential to inhibit negative changes towards the environmental issues.
  • Encourage people to make their nearby surroundings safe and clean to enjoy safer, cleaner and more prosperous future.

source:

www.indiacelebrating.com

 

World Blood Donor Day – 2015


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” If you’re a blood donor, you’re a hero to someone, somewhere, who received your gracious gift of life. ”

June 2015 — “Thank you for saving my life”. It focuses on thanking blood donors who save lives every day through their blood donations and strongly encourages more people all over the world to donate blood voluntarily and regularly with the slogan “Give freely, give often. Blood donation matters.” The campaign aims to highlight stories from people whose lives have been saved through blood donation, as a way of motivating regular blood donors to continue giving blood and people in good health who have never given blood to begin doing so.

Robotic Surgery in India – MPUH-CRS

Source: WHO

Health Benefits Of Exercise

Exercise is the miracle cure we’ve always had, but for too long we’ve neglected to take our recommended dose. Our health is now suffering as a consequence. The benefits of exercise extend far beyond weight management. Research shows that regular physical activity can help reduce your risk for several diseases and health conditions and improve your overall quality of life. Regular physical activity can help protect you from the following health problems.

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Heart Disease and Stroke:- Daily physical activity can help prevent heart disease and stroke by strengthening your heart muscle, lowering your blood pressure, raising your high-density lipoprotein (HDL) levels (good cholesterol) and lowering low-density lipoprotein (LDL) levels (bad cholesterol), improving blood flow, and increasing your heart’s working capacity. Optimizing each of these factors can provide additional benefits of decreasing the risk for Peripheral Vascular Disease.
High Blood Pressure:- Regular physical activity can reduce blood pressure in those with high blood pressure levels. Physical activity reduces body fat, which is associated with high blood pressure.
Noninsulin-Dependent Diabetes. By reducing body fat, physical activity can help to prevent and control this type of diabetes.
Obesity:- Physical activity helps to reduce body fat by building or preserving muscle mass and improving the body’s ability to use calories. When physical activity is combined with proper nutrition, it can help control weight and prevent obesity, a major risk factor for many diseases.
Back Pain:- By increasing muscle strength and endurance and improving flexibility and posture, regular exercise helps to prevent back pain.
Osteoporosis:- Regular weight-bearing exercise promotes bone formation and may prevent many forms of bone loss associated with age.
Self Esteem And Stress Management:- Studies on the psychological effects of exercise have found that regular physical activity can improve your mood and the way you feel about yourself. Researchers have found that exercise is likely to reduce depression and anxiety and help you to better manage stress.
Disability:- Running and aerobic exercise have been shown to postpone the development of disability in older adults.

Boost happy chemicals,Improve self-confidence, Help control addiction, Increase relaxation. Keep these health benefits in mind when deciding whether or not to exercise.