Source: Journal of Robotic Surgery, Volume 1, Number 4 / February, 2008
Urological surgeons should be encouraged to perform a thorough inguinal exam during preoperative evaluation and intraoperatively to detect subclinical hernias. Inguinal herniorrhaphy done concurrently at the time of RALP is safe, with no added morbidity and should be routinely performed.
This is a paper Dr. Ahlering and I wrote which is a review of our results and techniques of fixing hernias during dvP.
Since conferring with Dr Ahlering on this paper, I have changed my technique to resemble his more.
The main point of the article is that hernias are common and it is beneficial for patients to have them fixed.
Thoughts from a robotic surgeon
I have started this blog to express some of my personal thoughts.
I started the robotic surgery blog (http://www.roboticsurgeryblog/) 16 months ago and will still write there along with several other robotic surgeons.
I wanted a forum that I could share my more personal thoughts, some maybe controversial or personal.
I also wanted a place to put my patient’s testimonials and letters that was separate from the robotic surgery blog.
I also like blogger for quick-posting and to link easily to other blogger blogs.
After blogging for almost a year and a half here, I wanted a forum to express some of my thoughts that are not robotically based.
I started with an entry on where my patients have travelled from for minimally invasive surgery: 4 continents, 6 countries, and 10 states.
|“It always helps to be able to feel what you are doing, to feel the tissue
tension and to feel the force when manipulating a suture,” says Domenico
Savatta, chief of minimally invasive and robotic urology surgery at Newark
Beth Israel Medical Center. “Haptics would make it easier to learn robotic
surgery, operate on things that are very delicate, and be an overall
advantage to have in the system.”
Surgical Robots Get a Sense of Touch
This was a nice review in technology review, by Brittany Sauser.
I appreciate the chance to stress the importance of what haptics will mean to robotic surgery.
Currently I have learned to rely on a highly magnified image and what I call, “visual haptics”. Having a 10 times magnified image with a camera that is a few inches away from the surgical field allows me to see the tension in tissue. I await the day when I can combine the visual haptics with touch.
I learned from this article that the team at John Hopkins is working on a visual haptic system that has dots that can change colors as a marker of tension.
I remember reading about a system that worked on auditory haptics, where a sound would increase in intensity with increasing tension.