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Minimally invasive paediatric urology surgery using robotics is the most recent and most exciting technique available. With robot-assisted surgery, children can undergo intricate urological procedures, offering the precision of open surgery and quicker recovery times.
The use of autonomous instruments during an enhanced open surgery replaces traditional steel tools, allowing certain operations (such as spreading the ribs) to be carried out much more smoothly and efficiently than possible with humans alone. They can minimise, if not eliminate, tissue trauma caused by open surgery by using these smart instruments.
How does robotic surgery work?
A standard operating room is used during robotic surgery, which is staffed by surgeons, anaesthesiologists, and nurses. A miniature robotic surgical tool and a camera are positioned inside the patient's body after the surgeon makes two or three tiny incisions. Using computer controls, the surgeon manipulates the instruments inside the patient's body from a console located just a few feet away.
It is like having an extension of a surgeon's hand in the form of robotic arms. Surgeons can see a magnified image of the surgical field on a video screen at the operative console.
Can robotic surgery be beneficial for paediatric urology?
In spite of the shorter recovery time and smaller incisions, robotic surgery gives similar or better results than open surgery.
As compared to traditional surgery, there is less pain, a shorter hospital stay, and a faster recovery time for patients.
A small incision (1/3 to 1/2 cm) spares the patient from scarring and pain associated with a large incision, because the surgeon operates through three to four small incisions.
The surgeon faces some technical limitations with minimally invasive surgeries. By using a robotic surgery system, they can perform complex surgeries with greater dexterity, precision, and visibility.
Which urological procedures are being performed using robotic technology?
Most commonly, robotic assistance is used for Ureteropelvic Junction (UPJ) obstructions , bladder augmentations, pyeloplasty ureteric reimplantation, appendico-vesicostomies, and other abdominal surgery procedures.
What is the expected turnaround time for robotic surgery?
In paediatric robotic assisted urological reconstruction in Yeshawanthpur, Bangalore, positioning the instruments and other equipment may take longer than in other minimally invasive procedures. It is a more time and resource intensive surgery. The effective time for treatment is determined by the doctor and communicated accordingly before the surgery.
How long does it take for a paediatric patient to recover from robotic surgery?
A catheter remains in place for 24 hours after the child has undergone surgery in the postoperative ward. As a general rule, robotic surgery patients have shorter hospitalisation and recovery times than open surgery patients. Open surgery usually requires several weeks for children to return to normal activities.
Are Robotic surgeries still experimental?
Not at all. It is new, but not experimental. To perform robotic surgery on children in the field of urology is safe and feasible.
How is a malfunctioning piece of equipment handled?
There are very few cases like this. In the event that there is a problem with the equipment, the surgeon can do the procedure laparoscopically or perform open surgery if necessary. There are all necessary safeguards in place. Book an appointment at Manipal Hospitals now.
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