ABSTRACT
OBJECTIVE: This work aims to review the existing use of robotics in plastic surgery. METHODS: A meticulous selection process identified 22 articles relevant to this scoping review. RESULTS: The literature on the use of robotics in plastic surgery is sparse. Nonetheless, this review highlights emerging benefits in microsurgery, breast reconstruction, and transoral surgery. CONCLUSION: This scoping review identifies critical articles reporting the emerging use of robotics in plastic surgery. While the scientific medical community has yet to extensively document its use, the available evidence suggests a promising future for robotics in this field.
Subject(s)
Robotic Surgical Procedures , Humans , Robotic Surgical Procedures/trends , Robotic Surgical Procedures/methods , Plastic Surgery Procedures/trends , Plastic Surgery Procedures/methods , Surgery, Plastic/trends , Surgery, Plastic/methods , Microsurgery/trends , Microsurgery/methods , Microsurgery/instrumentation , Mammaplasty/methods , Mammaplasty/trendsSubject(s)
Health Plan Implementation/organization & administration , Mammaplasty/methods , Mastectomy/methods , Microsurgery/methods , Adult , Breast Neoplasms/pathology , Breast Neoplasms/surgery , Cohort Studies , Female , Forecasting , Humans , Mammaplasty/trends , Mexico , Microsurgery/trends , Middle Aged , Program Development , Program Evaluation , Retrospective StudiesABSTRACT
Technological advances such as optical instruments and surgical tools have enabled the considerable contributions of microsurgery to surgical therapies. Accordingly, surgical therapeutics has provided the latest information across a wide range of medical specialties, including immunology and pharmacology, despite specialization according to organs and organ systems. The International Society for Experimental Microsurgery, an academic organization, has utilized experimental microsurgery technology in the identification of curative concepts for diseases that remain difficult to treat. For this publication to mark the 32nd anniversary of the Brazilian Surgical Society, I introduced the following types of technology related to the further development of microsurgical technological innovations in the future: high-resolution three-dimensional (3D) video and touch-sensitive microsurgery robots.
Subject(s)
Microsurgery/methods , Robotic Surgical Procedures/education , Translational Research, Biomedical/methods , Brazil , Humans , Imaging, Three-Dimensional , Microsurgery/education , Microsurgery/instrumentation , Microsurgery/trends , Robotic Surgical Procedures/trends , Surgery, Computer-Assisted/education , Surgery, Computer-Assisted/methods , Translational Research, Biomedical/education , Translational Research, Biomedical/trendsABSTRACT
Technological advances such as optical instruments and surgical tools have enabled the considerable contributions of microsurgery to surgical therapies. Accordingly, surgical therapeutics has provided the latest information across a wide range of medical specialties, including immunology and pharmacology, despite specialization according to organs and organ systems. The International Society for Experimental Microsurgery, an academic organization, has utilized experimental microsurgery technology in the identification of curative concepts for diseases that remain difficult to treat. For this publication to mark the 32nd anniversary of the Brazilian Surgical Society, I introduced the following types of technology related to the further development of microsurgical technological innovations in the future: high-resolution three-dimensional (3D) video and touch-sensitive microsurgery robots.(AU)
Subject(s)
Microsurgery/trends , Video-Assisted Surgery , Robotic Surgical ProceduresABSTRACT
Abstract Technological advances such as optical instruments and surgical tools have enabled the considerable contributions of microsurgery to surgical therapies. Accordingly, surgical therapeutics has provided the latest information across a wide range of medical specialties, including immunology and pharmacology, despite specialization according to organs and organ systems. The International Society for Experimental Microsurgery, an academic organization, has utilized experimental microsurgery technology in the identification of curative concepts for diseases that remain difficult to treat. For this publication to mark the 32nd anniversary of the Brazilian Surgical Society, I introduced the following types of technology related to the further development of microsurgical technological innovations in the future: high-resolution three-dimensional (3D) video and touch-sensitive microsurgery robots.
Subject(s)
Humans , Translational Research, Biomedical/methods , Robotic Surgical Procedures/education , Microsurgery/methods , Brazil , Imaging, Three-Dimensional , Surgery, Computer-Assisted/education , Surgery, Computer-Assisted/methods , Translational Research, Biomedical/education , Translational Research, Biomedical/trends , Robotic Surgical Procedures/trends , Microsurgery/education , Microsurgery/instrumentation , Microsurgery/trendsABSTRACT
OBJECTIVES: The aim of the study is to present the therapeutic results of intradural tumor management over a 10 years period in a single institution. PATIENTS AND METHODS: The study consists in a prospective case series of patients treated at the neurosurgery service of the Social Security Institute of Mexico State and Provinces (ISSSEMYM), between January 2006 and December 2016. All patients were provided with information about the procedure and signed informed consent and institutional board approved files review for this study. RESULTS: Thirty-five patients with intradural tumor were treated between 2006-2016. Most frequent lesions were extramedullary (30 patients, 85.7%). Most frequent tumor was Schwannoma, with thoracic/thoraco-lumbar location, being the most frequent location. All patients underwent surgical treatment, with total gross resection accomplished in 19 patients (54.3%). Surgical complication rate was 11.4%. Spine instrumentation was necessary in 26 patients (74.3%) because of bone destruction by the tumor, or bone removal for approach. All patients with intramedullary lesions and 5 patients (16.7%) with extramedullary lesions received post-operative radiotherapy. During the follow-up, 8.5% of patients had recurrence/progression of residual disease. CONCLUSIONS: Microsurgery is the treatment of choice for intradural spinal tumors, and gross total resection with low morbidity must be the surgical goal. When this is not possible, partial resection and adjuvant therapy with radiosurgery are a valid option. Patients most be long followed-up because of recurrence risk or disease progression.
Subject(s)
Hospitals, State/trends , Microsurgery/trends , Neurosurgical Procedures/trends , Spinal Cord Neoplasms/epidemiology , Spinal Cord Neoplasms/surgery , Adult , Female , Follow-Up Studies , Humans , Male , Mexico/epidemiology , Microsurgery/methods , Middle Aged , Prospective Studies , Spinal Cord Neoplasms/diagnosis , Time Factors , Treatment OutcomeABSTRACT
RESUMEN: Los músculos del pie son frecuentemente afectados por accidentes que pueden comprometer su inervación. Así, el conocimiento anatómico de los nervios plantares y de sus ramos musculares adquiere importancia en los aspectos morfológico y quirúrgico. Se ha efectuado esta investigación debido a la poca información morfométrica existente respecto a los nervios de la musculatura inervada por el nervio plantar lateral, antes de su división en ramos superficial y profundo. En 5 pies de cadáveres adultos, se disecó el nervio plantar lateral desde su origen hasta su división en ramos superficial y profundo identificándose los ramos originados en esta parte. A través de cortes histológicos transversales de los nerviosse obtuvo información cuantitativa sobre el número de fascículos, área de los fascículos y número de fibras por nervio. El número promedio de fascículos de los nervios para los músculos abductor del dedo mínimo y cuadrado plantar, fue de 3. El área promedio de los fascículos para los músculos abductor del dedo mínimo, cuadrado plantar y ramo cutáneo lateral, fue 0,165 mm2 (DE 0,119), 0,070 mm2 (DE 0,042) y 0,041m2 (DE 0,005), respectivamente. El número de fibras en los nervios para losmúsculos abuctor del dedo mínimo y cuadrado plantar y ramo cutáneo lateral, fue de 1.161 (DE 111), 419 (DE 136) y 445 (DE 97), respectivamente. Con este trabajo se espera contribuir al conocimiento morfométrico de los nervios del pie sirviendo, además, como un apoyo anatómico a la microcirugía reparadora que se realiza en esa región.
Subject(s)
Humans , Male , Adult , Tibial Nerve/anatomy & histology , Foot/anatomy & histology , Foot/innervation , Microsurgery/trends , Microsurgery , Muscles/innervation , Neuromuscular Junction/anatomy & histologyABSTRACT
Se presenta una serie de quince pacientes consecutivos operados por cabeza y cuello. Trece fueron varones y el promedio de edad fue de 54 años (rango 24-81). Siete enfermos tuvieron carcinoma epidermoide de la región orofaringea, 4 carcinoma avanzado de piel de la cara ( 2 basocelulares y 2 epidermoides), 3 extensos carcinoma epidermoide de labio inferior y uno, melanoma de cuero cabelludo. A todos se les realizó reconstrucción inmediata luego de la resección tumoral con colgajo libre escapular. El tamaño del colgajo varió entre 48 y 220 cm2, y en dos casos se incluyó un segmento óseo para reconstrucción mandibular. La zona dadora fue cerrada siempre en forma primaria. Una paciente presentó necrosis total del colgajo y falleció al 2§ día postoperatorio. No se registraron otras complicaciones mayores debidas a la técnica reconstructiva inmediata en grandes y complejos defectos por la cirugía oncológica de cabeza y cuello
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Surgery, Plastic/methods , Surgical Flaps/methods , Head and Neck Neoplasms/surgery , Back , Carcinoma, Squamous Cell/surgery , Carcinoma, Basal Cell/surgery , Surgical Flaps/adverse effects , Surgical Flaps/rehabilitation , Head and Neck Neoplasms/rehabilitation , Microsurgery , Microsurgery/trends , Mouth Neoplasms/surgery , Pharyngeal Neoplasms/surgeryABSTRACT
Se presenta una serie de quince pacientes consecutivos operados por cabeza y cuello. Trece fueron varones y el promedio de edad fue de 54 años (rango 24-81). Siete enfermos tuvieron carcinoma epidermoide de la región orofaringea, 4 carcinoma avanzado de piel de la cara ( 2 basocelulares y 2 epidermoides), 3 extensos carcinoma epidermoide de labio inferior y uno, melanoma de cuero cabelludo. A todos se les realizó reconstrucción inmediata luego de la resección tumoral con colgajo libre escapular. El tamaño del colgajo varió entre 48 y 220 cm2, y en dos casos se incluyó un segmento óseo para reconstrucción mandibular. La zona dadora fue cerrada siempre en forma primaria. Una paciente presentó necrosis total del colgajo y falleció al 2º día postoperatorio. No se registraron otras complicaciones mayores debidas a la técnica reconstructiva inmediata en grandes y complejos defectos por la cirugía oncológica de cabeza y cuello (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Surgical Flaps/methods , Head and Neck Neoplasms/surgery , Surgery, Plastic/methods , Microsurgery/methods , Microsurgery/trends , Head and Neck Neoplasms/rehabilitation , Surgical Flaps/adverse effects , Surgical Flaps/rehabilitation , Carcinoma, Squamous Cell/surgery , Carcinoma, Basal Cell/surgery , Back , Pharyngeal Neoplasms/surgery , Mouth Neoplasms/surgeryABSTRACT
Debido a una rápida aceptación, práctica y proliferación de las técnicas de micro cirugía endonasal y cirugía endoscópica de senos paranasales en los últimos años, se ha creado un problema en el uso no uniforme de una nomenclatura para clasificar los hallazgos patológicos y reportar los resultados obtenidos en este tipo de cirugía. Con el fin de eliminar este problema de falta de correlación, interpretación y estandarización, proponemos adoptar este sistema de clasificación para todos los procedimientos paranasales.