Guide To Image Guided Sinus Surgery

Download the patient's guide to image guided sinus surgery.

SURGICAL INSTRUMENTS

A surgical instrument is a specially designed tool or device for performing specific actions of carrying out desired effects during a surgery or operation, such as modifying biological tissue, or to provide access or viewing it. Over time, many different kinds of surgical instruments and tools have been invented. Some surgical instruments are designed for general use in surgery, while others are designed for a specific procedure or surgery. Accordingly, the nomenclature of surgical instruments follows certain patterns, such as a description of the action it performs (for example, scalpel, hemostat), the name of its inventor(s) (for example, the Kocher forceps), or a compound scientific name related to the kind of surgery (for example, atracheotome is a tool used to perform a tracheotomy).

The expression surgical instrumentation is somewhat interchangeably used with surgical instruments, but its meaning in medical jargon is really the activity of providing assistance to a surgeon with the proper handling of surgical instruments during an operation, by a specialized professional, usually a nurse.

CLASSIFICATION

There are several classes of surgical instruments:

Graspers, especially tweezers and forceps
Clamps and occluders for blood vessels and other organs
Retractors, used to spread open skin, ribs and other tissue
Distractors, positioners and stereotactic devices
Mechanical cutters (scalpels, lancets, drill bits, rasps, trocars, etc.)
Dilators and specula, for access to narrow passages or incisions
Suction tips and tubes, for removal of bodily fluids
Irrigation and injection needles, tips and tubes, for introducing fluid
Tyndallers, to help "wedge" open damaged tissues in the brain.
Powered devices, such as drills, dermatomes
Scopes and probes, including fiber optic endoscopes and tactile probes
Carriers and appliers for optical, electronic and mechanical devices
Ultrasound tissue disruptors, cryotomes and cutting laser guides
Measurement devices, such as rulers and calipers

An important relative distinction, regarding surgical instruments, is the amount of bodily disruption or tissue trauma that their use might cause the patient. Terms relating to this issue are 'atraumatic' and minimally invasive. Minimally invasive systems are an important recent development in surgery. In the future, these devices will include many microscopic autonomous and directed devices.

ROBOTIC SURGERY

Robotic surgery is the use of robots in performing surgery.


(ROBOTIC SURGERY)

Three major advances aided by surgical robots are :

i.)Remote Surgery


(REMOTE ROBOT SURGERY)

ii.)Minimally invasive Surgery


(Minimal Invasive Robot Surgery)

iii.)Unmanned Surgery.


(UNMANNED ROBOT SURGERY)

ADVANTAGES OF ROBOTIC SURGERY :

Major potential advantages of robotic surgery are

i.)Precision and Miniaturization.
ii.)Articulation beyond normal manipulation and
iii.)Three-dimensional magnification.

Some surgical robots are autonomous, not under control of a surgeon.


(VARIOUS CONCEPTS IN AUTOMATIC CONTROL ROBOTS)

HISTORY OF ROBOTIC SURGERY

In 1985 a robot, the PUMA 560, was used to place a needle for a brain biopsy using CT guidance.


(PUMA 560 ROBOT)

In 1988, the PROBOT, developed at Imperial College London, was used to perform prostatic surgery.


(PROBOT ROBOT)

The ROBODOC from Integrated Surgical Systems was introduced in 1992 to mill out precise fittings in the femur for hip replacement.


(ROBODOC ROBOT HIP SURGERY)

Further development of robotic systems was carried out by Intuitive Surgical with the introduction of the da Vinci Surgical System and Computer Motion with the AESOP and the ZEUS robotic surgical system.


(DA VINCI SURGICAL SYSTEM ROBOT)

Intuitive Surgical purchased Computer Motion in 1994 and discontinued development of the ZEUS System.



DA VINCI SURGICAL SYSTEM



The da Vinci Surgical System is comprised of three components: a surgeon’s console, a patient-side robotic cart with four arms manipulated by the surgeon, and a high-definition 3D vision system. Articulating surgical instruments are mounted on the robotic arms which are introduced into the body through cannulas. The surgeon’s hand movements are scaled and filtered to eliminate hand tremor then translated into micro-movements of the proprietary instruments.


(DA VINCI ROBOT SYSTEM, A- SURGEON CONSOLE, B- 3D VISION SYSTEM, C- PATIENT SIDE ROBOT CART WITH 4 ARMS)


(DA VINCI ROBOT ARMS)


(VIEW OF DA VINCI ROBOT SYSTEM SURGERY)

The da Vinci System is FDA cleared for a variety of surgical procedures including surgery for prostate cancer, hysterectomy and mitral valve repair and used in more than 800 hospitals in the Americas and Europe. The da Vinci System was used in 48,000 procedures in 2006 and sells for about $1.2 million.

In May 1998, Dr. Friedrich-Wilhelm Mohr using the Da Vinci surgical robot performed the first robotically assisted heart bypass at the Leipzig Heart Centre in Germany.

In 2001, Marescaux used the Zeus robot to perform a cholecystectomy on a patient in Strasbourg, France while in New York.

The first unmanned robotic surgery took place in May 2006 in Italy.

Applications



Cardiac surgery

Endoscopic coronary bypass surgery and mitral valve replacement have been performed. Totally closed chest, endoscopic mitral valve surgeries are being performed now with the robot.



Gastrointestinal surgery

Multiple types of procedures have been performed with either the Zeus or da Vinci robot systems, including bariatric surgery.


(GASTROINTESTINAL BARIATIC ROBOT SURGERY)



(SURGICAL ROBOT PARTS)


Gynecology

Reproductive surgery and ablative surgery including hysterectomy have been performed.





Neurosurgery

Several systems for stereotactic intervention are currently on the market.






Orthopedics

The ROBODOC system was released in 1992 by the Integrated Surgical Systems, Inc.



Pediatrics

Surgical robotics has been used in many types of pediatric surgical procedures including:
i.)Tracheoesophageal fistula repair,
ii.)Cholecystectomy,
iii.)Nissen fundoplication,
iv.)Morgagni hernia repair,
v.)Kasai portoenterostomy,
vi.)Congenital diaphragmatic hernia repair, and others.


(SURGICAL ROBOT ARMS)

On January 17, 2002, surgeons at Children's Hospital of Michigan in Detroit performed the nation's first advanced computer-assisted robot-enhanced surgical procedure at a children's hospital.


For more Robotic Surgery Articles, Visit
1.) Robotic Surgery Institute
2.)Cardiac Surgery Associates