Atrial septal defect robotic repair: Difference between revisions

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__NOTOC__
{{Atrial septal defect}}
{{Atrial septal defect}}
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh@perfuse.org]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@perfuse.org]
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]


==Overview==
==Overview==
Robotic repair is done through the ''' 'da Vinci Surgical System' ''' (Intuitive Surgical) is the most recent and advanced approach for the repair of [[atrial septal defect]] <ref name="pmid17702588">{{cite journal| author=Suematsu Y, Kiaii B, Bainbridge DT, del Nido PJ, Novick RJ| title=Robotic-assisted closure of atrial septal defect under real-time three-dimensional echo guide: in vitro study. | journal=Eur J Cardiothorac Surg | year= 2007 | volume= 32 | issue= 4 | pages= 573-6 | pmid=17702588 | doi=10.1016/j.ejcts.2007.06.026 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17702588  }} </ref>. Due to this technique a surgeon can perform operations from a remote distance. The surgeon gets an excellent three dimensional view of the heart through the [[fiberoptic]] [[stereoscopic]] camera. The surgeon's hand motions are relayed to a computer processor, which digitizes and relays them to the fine instrument placed into the chest through small port incisions.
Robotic repair is done through the 'da Vinci Surgical System' (intuitive surgical) is the most recent and advanced approach for the repair of [[atrial septal defect]] <ref name="pmid17702588">{{cite journal| author=Suematsu Y, Kiaii B, Bainbridge DT, del Nido PJ, Novick RJ| title=Robotic-assisted closure of atrial septal defect under real-time three-dimensional echo guide: in vitro study. | journal=Eur J Cardiothorac Surg | year= 2007 | volume= 32 | issue= 4 | pages= 573-6 | pmid=17702588 | doi=10.1016/j.ejcts.2007.06.026 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17702588  }} </ref>. Due to this technique a surgeon can perform operations from a remote distance. The surgeon gets an excellent three dimensional view of the [[heart]] through the fiberoptic stereoscopic camera. The [[surgeon]]'s hand motions are relayed to a computer processor, which digitizes and relays them to the fine instrument placed into the [[chest]] through small port incisions.
==Component of robotic repair==
 
*Surgeon console
==Robotic Repair==
===Component of Robotic Repair===
*[[Surgeon]] console
*Computerized control system
*Computerized control system
*Two instrument arms  
*Two instrument arms  
*Fiberoptic camera
*Fiberoptic camera
==Advantage==
===Advantages===
'''Surgery specific'''
====Surgery Specific====
* High degree of freedom of hand movement.  
* High degree of freedom of hand movement.  
* Better precision compared to hand done surgery.
* Better precision compared to hand done [[surgery]].
* Performance of complex operations with great success.
* Performance of complex operations with great success.
* Operation could be performed by the surgeon from remote distance.
* Operation could be performed by the surgeon from remote distance.
* Excellent visualization and magnification of internal anatomy due to two camera system.
* Excellent visualization and magnification of internal [[anatomy]] due to two camera system.
* Doctor does the surgery remotely, so there is decrease in spread of infection to patient from the doctor.
* Doctor does the surgery remotely, so there is decrease in spread of [[infection]] to patient from the doctor.
'''Patient specific'''
 
====Patient Specific====
* Small incisions  
* Small incisions  
* Minimal scarring
* Minimal [[scar]]ring
* Decreased bleeding
* Decreased [[bleeding]]
* Decreased infection
* Decreased [[infection]]
* Shorter recovery period
* Shorter recovery period
* Less traumatic for patient
* Less traumatic for patient
* No restrictions in activities
* No restrictions in activities
* Less pain so less use of pain medications
* Less pain so less use of [[pain medication]]s
* Shorter hospital stay (usually 3 to 4 days)
* Shorter hospital stay (usually 3 to 4 days)
==Video: Robotic repair==
'''Heart surgeons are now using robots to help them perform surgeries such as septal defect repairs, [[coronary artery bypass]] operations. Advantages of this procedure are smaller incision, faster recovery and fewer complications for the patients.'''
<youtube v=suJahF9VCe4/>


==References==
==References==
{{reflist|2}}
{{reflist|2}}


==See also==
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*[[Atrioventricular septal defect]]
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*[[Congenital heart disease]]
[[CME Category::Cardiology]]


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Latest revision as of 02:28, 15 March 2016

Atrial Septal Defect Microchapters

Home

Patient Information

Overview

Anatomy

Classification

Ostium Secundum Atrial Septal Defect
Ostium Primum Atrial Septal Defect
Sinus Venosus Atrial Septal Defect
Coronary Sinus
Patent Foramen Ovale
Common or Single Atrium

Pathophysiology

Epidemiology and Demographics

Risk Factors

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Complications

Diagnosis

History and Symptoms

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Doppler

Transcranial Doppler Ultrasound

Cardiac Catheterization

Exercise Testing

ACC/AHA Guidelines for Evaluation of Unoperated Patients

Treatment

Medical Therapy

Surgery

Indications for Surgical Repair
Surgical Closure
Minimally Invasive Repair


Robotic ASD Repair
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Diving and Decompression Sickness
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Pulmonary Hypertension
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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [2]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [3]

Overview

Robotic repair is done through the 'da Vinci Surgical System' (intuitive surgical) is the most recent and advanced approach for the repair of atrial septal defect [1]. Due to this technique a surgeon can perform operations from a remote distance. The surgeon gets an excellent three dimensional view of the heart through the fiberoptic stereoscopic camera. The surgeon's hand motions are relayed to a computer processor, which digitizes and relays them to the fine instrument placed into the chest through small port incisions.

Robotic Repair

Component of Robotic Repair

  • Surgeon console
  • Computerized control system
  • Two instrument arms
  • Fiberoptic camera

Advantages

Surgery Specific

  • High degree of freedom of hand movement.
  • Better precision compared to hand done surgery.
  • Performance of complex operations with great success.
  • Operation could be performed by the surgeon from remote distance.
  • Excellent visualization and magnification of internal anatomy due to two camera system.
  • Doctor does the surgery remotely, so there is decrease in spread of infection to patient from the doctor.

Patient Specific

  • Small incisions
  • Minimal scarring
  • Decreased bleeding
  • Decreased infection
  • Shorter recovery period
  • Less traumatic for patient
  • No restrictions in activities
  • Less pain so less use of pain medications
  • Shorter hospital stay (usually 3 to 4 days)

References

  1. Suematsu Y, Kiaii B, Bainbridge DT, del Nido PJ, Novick RJ (2007). "Robotic-assisted closure of atrial septal defect under real-time three-dimensional echo guide: in vitro study". Eur J Cardiothorac Surg. 32 (4): 573–6. doi:10.1016/j.ejcts.2007.06.026. PMID 17702588.


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