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  • World Laparoscopy Hospital 6:21 pm on November 8, 2011 Permalink
    Tags: Free Robotic Surgery   

    To decrease the impact of high cost of Laparoscopic surgery on the financial status of poor people of developing country, there is a trend toward developing affordable treatment models for complex conditions on a fully modern operation theatre. World Laparoscopy Hospital is only institution in the world which provide free laparoscopic surgery for poor and needy patients. We have done a retrospective study of the initial experience of advanced laparoscopic procedures performed in the World Laparoscopy Hospital.

    Over 10 years, 1150 patients underwent free laparoscopic surgery. Data on the nursing postoperative telephone follow-up were available for 100 patients; 62% were successfully contacted. 90% had no complain. The detail about this can be seen at http://www.laparoscopyhospital.com/free_laparoscopic_operation.htm

     
  • World Laparoscopy Hospital 10:11 pm on July 28, 2011 Permalink  

    About Robotic Surgery 

    Robotic surgery in India

    Robotic Surgery at World Laparoscopy Hospital

    Robotic Surgery at World Laparoscopy Hospital

    World Laparoscopy Hospital is one of the premier institute for laparoscopic treatment, training and research in India. Indian healthcare is growing daily and contains marked new level of success. The Indian doctors possess the credit of performing the country’s first robotic surgery for cancer of the prostate. India is gaining interest internationally due to the robotic surgery in India at very low cost along with first class medical amenities with the best results. These factors have driven thousands of international patients from all across the globe for a number of medical treatments including the Robotic surgery in India.

    Getting the industry’s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at the Indian hospitals, they offer the patients the smoothest and seamless care ever imagined. With a ratio of 1 Patient Care Manager to 5 patients our patient care standards are unmatched across the sub continent. The various treatments and surgeries performed in India are available at hospitals within the following cities with latest amenities and state-of-art-facilities.

     


    Surgical robotics is a new technology that holds significant promise. Robotic surgical treatment is often heralded as the new revolution, which is probably the most talked about subjects in surgery today. As much as this point in time, however, the drive to develop and obtain robotic devices has been largely driven by the market. It is obvious that they’ll become an essential tool in the surgical armamentarium, but the extent of the me is still evolving. This surgery is a brand new and exciting emerging technology that is taking the surgical profession by storm. Up to this time, however, the race to acquire and incorporate this emerging technology has primarily been driven by the market. Moreover, robotic devices appear to have much more of a marketing role than the usual practical role. Whether robotic devices will come to be a far more practical role remains to appear.

    What is Robotic Surgery?

    Robotic surgery, computer-assisted surgery, and robot-assisted surgery are terms for a number of technological developments that currently are developed to support a range of surgical treatments. It was developed to overcome limitations of non-invasive surgery, Instead of directly moving the instruments the surgeon uses a computer console to control the instruments mounted on multiple robot arms. The computer translates the surgeon’s movements, that are then completed on the patient through the robot. Other features of the robotic system have an integrated tremor filter and also the ability for scaling of movements.

    Why Robotic Surgical treatment is Required?

    Robotic surgical treatment is a type of procedure that is comparable to laparoscopic surgery. It also can be performed through smaller surgical cuts than traditional open surgery. The little, precise movements that are possible using this type of surgery give it some advantages over standard endoscopic techniques. Sometimes robotic-assisted laparoscopy makes it possible for a surgeon to carry out a less-invasive procedure that used to be only possible with increased invasive open surgery. Once it’s put into the abdomen, a robotic arm is simpler for the surgeon to make use of than the instruments in endoscopic surgery. The robot cuts down on the surgeon’s movements (for example, moving 1/2 inch for every 1 ” the surgeon moves), which reduces a few of the hand tremors and movements that may otherwise make the surgery less precise. Also, robotic instruments can access hard-to-reach regions of your body easier through smaller incisions when compared with traditional open and laparoscopic surgery.

    What are the Kinds of Robotic Surgery?

    Supervisory-Controlled systems: (a.k.a. Computer Assisted Surgery) are the most automated of the three. The surgeon undertakes considerable prep work, inputs data into the robotic system, plans the course of action, takes x-rays, tests the robot’s motions, places the robot within the appropriate start position and oversees the robotic action to make sure everything goes as planned. The favourite prototype is the RoboDoc system produced by Integrated Surgical Systems, which is popular in orthopedic surgeries.

    Telesurgical systems: The Telesurgical robotic product is the second kind of device used in modern robotic surgery. The most common variety, the Da Vinci Robotic Surgical System, improves the surgery by giving 3-D visualization deep within hard-to-reach places like the heart, as well as enhancing wrist dexterity and charge of tiny instruments. Fraxel treatments allows surgeons to create quicker, more controlled and much more accurate movements by using the robot arm with its wider selection of motions. It also allows more surgeons to do these procedures, because so many of the techniques done by robot assistants are highly skilled and very difficult for humans to understand. Now more procedures (like artery repair and valve repair) can be achieved without long recovery times or bodily injury.

    Shared-Control systems: The Shared-Control System is the final group of robotic surgery devices. In this system, a persons does the bulk of the work, however the robot assists when needed. Oftentimes, the robotic system monitors the surgeon, providing stability and support during the procedure. Prior to getting started, the surgeons program the robots to identify safe, close, boundary and forbidden territories inside the human body. Safe regions would be the main focus of the surgery. Through forced feedback in the surgical tools, the system will limit their use within the appropriate area. As with supervisor-controlled systems, there’s some setup required by the surgeon prior to the procedure to define the parts of the surgical field.

    Robotic Radiosurgery Systems: Robots are also used in delivering radiation for the management of tumors. Scalping strategies use robotics to control highly focused beams of ionizing radiation to precise locations in the human body. Medical imaging first locates the tumor along with a map of the area to be treated is made. A number of commands are then entered through the physician into the system to instruct it how you can deliver the treatment. The individual is then registered using the system for proper positioning from the body and also the treatment methods are begun. The robotics will stick to the commands to precisely deliver a series of doses to the tumor. This reduces the risk of harm to surrounding tissues.

    Robotic surgery is particularly useful in certain situations or surgeries. For example, in laparoscopic surgeries, or surgeries where a laparoscope can be used, the arms from the robot are extremely helpful. The most typical procedures are:

    Gastro-jejunostomy,
    Pyloroplasty
    RY gastric bypass for obesity,
    Esophageal Myotomy for achalasia,
    Nephrectomy for transplantation and bile duct surgery

    General Surgery

    Adrenalectomy
    Cholecystectomy
    Esophagectomy
    Gastric Bypass
    Heller Myotomy
    Nissen Fundoplication

    Thoracic Surgery

    Esophageal surgery
    Thymectomy
    Mediastinal Tumor Resection
    Lobectomy
    Biventricular Resynchronization Epicardial Leads

    Cardiac Surgery

    Atrial Septal Defect Repair
    Mitral Valve Repair
    Coronary artery bypass

    Others

    Cutting away cancer tissue from sensitive parts of the body for example arteries, nerves, or important body organs
    Gallbladder removal
    Hip replacement
    Hysterectomy
    Kidney removal
    Kidney transplant
    Mitral valve repair
    Pyeloplasty (surgery to correct ureteropelvic junction obstruction)
    Pyloroplasty
    Radical prostatectomy
    Tubal ligation

    Common Robotic Procedures

    Robotic Abdominal Surgery: Surgeons use robot-assisted approaches for abdominal procedures which range from gallbladder and appendix surgery to hernia repair and strategy to rectal cancer. Most sufferers, who undergo robotic procedures experience significantly less postoperative pain, leave a healthcare facility sooner and go back to normal activities more quickly. For those who have rectal cancer, robotic surgery will also help prevent harm to vital nerves and tissues. In the past, it had been hard to treat cancers within the lower part of the rectum without removing the anal sphincter, the muscle that controls elimination. This resulted in some patients needed an artificial opening in the abdomen to get rid of waste (colostomy). But that changed using the advent of robotic surgery. Because robotic arms are more flexible than standard laparoscopic tools and allow greater precision in difficult areas, experienced surgeons now can often spare delicate nerves to preserve sphincter control and sexual and urinary function.

    Robotic Cardiothoracic surgery: This method enables your surgeon to reach your heart through small incisions within the side of the chest wall instead of splitting open the breastbone. Avoiding a long chest incision reduces pain and recovery time so you resume normal activities sooner. Robotic surgery also leaves smaller, less noticeable scars than open chest surgery, has a lower risk of infection and may lessen blood loss. Robot-assisted surgery can treat heart problems which are present at birth as well as those that develop later in life. The robot technology is used to repair heart valves and congenital heart problems, including atrial Septal defects and atrioventricular canal defects. It’s performed without splitting the breastbone or stopping your heart, robotic off-pump bypass usually means fewer complications, less postoperative bleeding, a shorter stay in hospital – often just Two days – and quicker recovery. Robotic off-pump bypass also provides stronger results, sparing you repeat operations, and extends a choice of bypass surgery to people who may not well be candidates for that procedure.

    Robotic Gynecologic surgery: this is accomplished while using da Vinci robotic system for gynecologic surgery and assisted in the process. The use of the machine has resulted in safer, more effective, less intrusive treating a wide range of pelvic disorders affecting women. These include:
    Cervical cancer
    Endometriosis
    Hysterectomy
    Pelvic organ prolapse, especially vaginal prolapse and paravaginal defects
    Uterine cancer; vaginal fistulas
    Uterine fibroids
    Vaginal fistulas

    Because robotic technology helps surgeons operate and suture with greater accuracy and flexibility, many women experience markedly less postoperative pain, reduced scarring and a faster return to normal activities. Depending on how old you are and the procedure, robotic surgery also may help preserve your fertility and improve reproductive health.

    Robotic Head and Neck surgery: Is really a new robotic procedure performed through the mouth (transorally) to treat cancers of the tongue base and tonsils. Transoral robotic surgery offers several benefits over conventional head and neck procedures. The maneuverability and precision of the robotic arms help surgeons operate more easily within the small spaces of the throat and mouth. Robotic surgery also provides far better visualization of tumors. A chance to be employed in multiple directions and also to see in three dimensions helps surgeons effectively eliminate cancer while sparing healthy tissue, reducing complications and improving standard of living. Most sufferers who undergo Transoral robotic surgery also undergo a simultaneous open operation to get rid of lymph nodes within the neck. Nevertheless, the majority of patients leave the hospital within three days and are in a position to swallow within two weeks – much sooner than is common with other treatment options. Studies of Transoral robotic surgery show that most people have excellent outcomes.

    Robotic Urologic surgery: is the method in which your surgeon removes the prostate and surrounding lymph nodes through 5 or 6 small abdominal incisions. One of the most notable benefits of this approach is fewer traumas to delicate tissues and reduced hemorrhaging. Under 1 percent in men who undergo robotic prostatectomy require a transfusion, instead of 5 to fifteen percent of those who have open prostate surgery. It makes sense a quicker, easier recovery. The enhanced precision of robotic surgery also makes sparing vital nerves easier and reduces the probability of complications for example sexual or urinary dysfunction. The patients who’re candidates for traditional open or laparoscopic surgery are also candidates for robotic prostatectomy. Robotic surgery offers outcomes much like those of standard laparoscopic surgery, with less tissue trauma and hemorrhaging, reduced risk of infection, and significantly faster postoperative recovery. You may expect one to three times of hospital recovery following robotic surgery, instead of traditional open surgery, which often takes a stay of up to 5 days.

    Benefits of Robotic Surgery

    Robots in neuro-scientific surgery have dramatically changed the procedures for that better. The most important benefit to Robotic Surgery to the patient is the decrease in pain and scaring. The Robotic Product is changing surgical treatments, which may improve both patient’s experience and surgical outcomes. It reduces trauma towards the patient by permitting surgery to be performed through small ports or “keyholes” rather than large incisions, leading to shorter recovery times, fewer complications along with a reduced stay in hospital. By integrating computer-enhanced technology using the surgeon’s expertise, the da Vinci System enables surgeons to perform extremely delicate and precise non-invasive surgery (MIS).
    The individual may experience the following benefits

    Reduced trauma towards the body
    Less anesthesia
    Often less blood loss and need for transfusions
    Less post-operative discomfort and pain
    Less chance of infection
    Shorter hospital stay
    Faster recovery and return to normal day to day activities
    Less scarring and improved cosmesis

    The surgeons have the following benefits

    Enhanced 3-D Visualization
    Improved Dexterity
    Greater Surgical Precision
    Improved Access
    Increased Selection of Movement
    Reproducibility
    Simplifies many existing MIS surgical techniques
    Makes difficult MIS operations routine
    Makes new MIS procedures possible in most surgical specialties

    Complications of Robotic Surgery

    Possible reasons that can lead to unsafe operation of the medical unit include flawed design, malfunction of hardware and software components, misinterpretation and incorrect or inadequate specification. As with a number of other applications, improving a few of these parameters produces a degraded performance in other areas, while a general increased degree of safety is accompanied by a rise in cost, complexity, or both

    You can’t have food or fluid for 8 hours before the surgery. If you’re having certain kinds of abdominal surgery, your surgeon may recommend that you cleanse your bowels with an enema or laxative the day before surgery.

    Quit taking aspirin, blood thinners such as warfarin (Coumadin) or Plavix, anti-inflammatory medications, vitamins, or other supplements Ten days prior to the procedure.

    You’ll be come to a recovery room following the procedure. Depending on the kind of surgery performed, you might want to remain in a healthcare facility overnight or a couple of days. You ought to be in a position to walk in a day following the procedure, depending on which kind of procedure was done. Avoid heavy-lifting or straining until your physician provides you with the okay. Your doctor may counsel you not to drive for at least a week.

    Since the surgical cuts are typically small compared to with traditional open surgery, robotic surgery may lead to:

    Faster recovery
    Less pain and bleeding
    Less risk of infection
    Shorter hospital stay
    Smaller scars

    Robotic Surgery Cost in India

    Advanced methods of treatment are available in India at pocket friendly prices. India offers outstanding medical services at 60-80% under prevailing USA rates. Even with travel expenses taken into consideration, the comprehensive medical tourism packages still provide a savings measured in the thousands of dollars for major procedures. The following cost comparison is a good curtain raiser for patients looking for medical services in India. It is surprising that World Laparoscopy Hospital, Gurgaon is even performing free Robotic Surgery to some of the needy patient.

     
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