Robotics in Plastic and Reconstructive Surgery

✍ Scribed by Jesse C. Selber (editor)

• Publisher: Springer
• Year: 2021
• Tongue: English
• Leaves: 162
• Edition: 1st ed. 2021
• Category: Library

✦ Synopsis

This book describes the current state of robotics in plastic and reconstructive surgery. It examines existing clinical applications, emerging and future applications and evolving technological platforms.

Concise yet comprehensive, this book is organized into four sections. It begins with an introduction to robotic microsurgical training and robotic skills assessment, including crowd-sourced evaluation in surgery. Section two explores a variety of robotic clinical application, including robotic breast reconstruction, robotic mastectomy, robotic cleft palate surgery and robotic microsurgery in a urologic private practice. Following this, section three addresses the opportunities and challenges an interested surgeon might face when considering incorporating this technology into their practice. To close, the final section discusses new microsurgical robotic platforms and the potential directions this technology may take in the future. 

Supplemented with high quality videos and images, Robotics in Plastic and Reconstructive Surgery is an invaluable resource for both plastic surgeons and multi-specialty micro-surgeons.

✦ Table of Contents

Preface
Contents
Contributors
Part I: Training and Evaluation
1: Robotic Microsurgical Training
Microsurgery Teaching Methods
Assessment of Microsurgery and Robotic Microsurgery Skill Acquisition
Simulation Models
Learning Curves in Microsurgery
References
2: Robotic Skills Assessment: Crowd-Sourced Evaluation in Surgery and Future Directions in Plastic Surgery
Introduction
The Current State of Assessment in Surgical Education
Credentialing
Objective Structured Assessment
Barriers to OSATS
Crowd-Sourced Assessment of Technical Skills (CSATS)
Dry-Lab Validation
Relevant Surgery Skills Validation
Barriers to Adoption of a CSATS Methodology to Robotic Microsurgical Procedures in Plastic Surgery
Conclusion
References
Part II: Clinical Applications
3: Robotic Harvest of the Rectus Abdominis Muscle
Introduction
Flap Anatomy
Indications and Contraindications for Robotic-Assisted Rectus Harvest
Advantages
Disadvantages
Surgical Technique
Patient Positioning
Docking and Port Placement
Instruments and Positioning
Flap Harvest
Urologic Indications and Pelvic Inset (for Pedicled Flaps)
Postoperative Care
Outcomes
Case Examples
Pearls and Pitfalls
References
Selected Reading
4: Robotic Breast Reconstruction with the Latissimus Dorsi Flap
Introduction
Anatomy
Patient Selection
Preoperative Planning and/or Patient Preparation
Surgical Technique
Postoperative Care
Clinical Cases and Outcomes
Conclusion
References
5: The RoboDIEP: Robotic-Assisted Deep Inferior Epigastric Perforator Flaps for Breast Reconstruction
Introduction
Patient Selection
Technique
Discussion
Conclusion
References
6: Robotic Nerve and Upper Extremity Surgery
Introduction
Clinical Case
Conclusion
References
7: Robotic Cleft Palate Surgery and Simulation
Introduction
The Challenges of Performing Cleft Palate Surgery
The Potential Advantages of Using a Robot for Cleft Palate Repair
Cleft Palate Simulator Test Bed
Simulators as Test Beds for Developing Robotic Surgical Approaches
Trans-oral Robotic Surgery (TORS)
The da Vinci Surgical System
The Limitations of the da Vinci for TORS
Robotic Cleft Palate Repair
Pre-clinical Studies
Clinical Studies
Robotic Platforms and Instruments for Infant Cleft Palate Surgery
Overall System Architecture
Articulating Surgical Wrist Mechanisms
Requirements for Infant Cleft Palate Surgery Robotic Instruments
New Instrument Design
Conclusions and Future Directions
References
8: Robotic Microsurgery in Urology Private Practice: Advantages and Outcomes
Introduction
Robotic Microsurgical Vasovasostomy (RMVV)
Robotic-Assisted Microsurgical Varicocelectomy (RAVx)
Microsurgical Denervation of Spermatic Cord
Procedure
Outcomes
References
9: Robotic Nipple-Sparing Mastectomy with Immediate Prosthetic Breast Reconstruction
Introduction
Advantages of Robotic Assistance in Nipple-Sparing Mastectomy
Patient Selection
Preoperative Drawings
Surgical Technique
Results (Figs. 9.8, 9.9, 9.10, 9.11, 9.12, 9.13, 9.14, 9.15, 9.16, 9.17, 9.18, 9.19, 9.20, 9.21, and 9.22)
Conclusion
References
Part III: Considerations for a Robotic Plastic Surgery Practice
10: Incorporating Robotics into a Plastic Surgery Practice
Benefits of Robotic Plastic Surgery
Feasibility of a Robotic Practice (US Perspective)
Feasibility of a Robotic Practice (International Perspective)
Practical Approach to Starting the Robotic Practice
Future Challenges
References
Part IV: New Microsurgical Robotic Platforms
11: Development of a New Robotic Platform for Microsurgery
Robotic Systems for Microsurgery
User Requirements and Design Inputs for Microsurgical Robotic Systems
References
12: A Dedicated Robotic System for Open (Super-)Microsurgery
Introduction
Robotic Platforms
A New Robotic Platform for Microsurgery
Preclinical Experience
First Commercially Available Robot for Microsurgery: MUSA
First-in-Human Robot-Assisted Supermicrosurgery
Other Novel Robotic Platforms
Robotic Microsurgical Applications
Cardiac Surgery
Transoral Surgery and Otolaryngology
Ophthalmology
Neurosurgery
Urology
Plastic and Reconstructive Microsurgery
Super-Microsurgery
Discussion – Future Directions
Conclusion
References
Index