Atrial septal defect robotic repair

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Atrial Septal Defect Microchapters

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Ostium Secundum Atrial Septal Defect
Ostium Primum Atrial Septal Defect
Sinus Venosus Atrial Septal Defect
Coronary Sinus
Patent Foramen Ovale
Common or Single Atrium

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [2]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [3]

Overview

Robotic repair is done through the 'da Vinci Surgical System' (intuitive surgical) is the most recent and advanced approach for the repair of atrial septal defect [1]. Due to this technique a surgeon can perform operations from a remote distance. The surgeon gets an excellent three dimensional view of the heart through the fiberoptic stereoscopic camera. The surgeon's hand motions are relayed to a computer processor, which digitizes and relays them to the fine instrument placed into the chest through small port incisions.

Robotic Repair

Component of Robotic Repair

  • Surgeon console
  • Computerized control system
  • Two instrument arms
  • Fiberoptic camera

Advantages

Surgery Specific

  • High degree of freedom of hand movement.
  • Better precision compared to hand done surgery.
  • Performance of complex operations with great success.
  • Operation could be performed by the surgeon from remote distance.
  • Excellent visualization and magnification of internal anatomy due to two camera system.
  • Doctor does the surgery remotely, so there is decrease in spread of infection to patient from the doctor.

Patient Specific

  • Small incisions
  • Minimal scarring
  • Decreased bleeding
  • Decreased infection
  • Shorter recovery period
  • Less traumatic for patient
  • No restrictions in activities
  • Less pain so less use of pain medications
  • Shorter hospital stay (usually 3 to 4 days)

References

  1. Suematsu Y, Kiaii B, Bainbridge DT, del Nido PJ, Novick RJ (2007). "Robotic-assisted closure of atrial septal defect under real-time three-dimensional echo guide: in vitro study". Eur J Cardiothorac Surg. 32 (4): 573–6. doi:10.1016/j.ejcts.2007.06.026. PMID 17702588.


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