Brachial Plexus Reconstruction using Tele Robotic Manipulation - First case on Latin America

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Brachial Plexus Reconstruction using Tele Robotic Manipulation - First case on Latin America

By Gustavo Ruggiero 7 Videos

900 views

April 30, 2012

This video documents the first use of tele-robotic manipulation using the Da Vinci surgical manipulator ...
read more ↘ on the treatment of brachial Plexus injury, on Latin America.
On this clinical case the robot is used on the place of the microscope. Conventional approach was done to explore the plexus and prepare the reconstruction, using sural nerve graft. When the microsurgical steps were supposed to start the robot was docked behind the patient and the micro nerve anastomosis using 9-0 suture was performed, under tele-robotic manipulation. On this case fibrin glue and wrapping using colagen nerve conduits (Neuragen-Integra) were added to the technique to prevent adhesions and optimize the nerve axonal flow.
The benefits of tele-robotic manipulation on microsurgical procedures include:
1- great visual magnification with HD resolution and 3D images,
2- best ergonomic situation for the surgeon, in any anatomic area,
3- physiological tremor filter
4- amplification of surgeon's dexterity and functional range of motion
The robotic system improves not only how good we can see, as the microscope, but also how good we can do.
For more information about the technique:

www.rash-society.org
www.roboticmicrosurgeons.org

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