Robotic Surgery and its Post-Op Effects

In today’s time of demand and supply of healthcare needs, organizations must discover or improve services that can meet the needs of patients’ whole at the same time generating revenue as well as achieving high standards for quality of care. One way organizations have done this is by investing in robotic systems to carry out a range of surgeries. In the following presentation I will discuss the topics of: Investing in the MAKO RIO Robotic System, The Utilization of the RIO Robotic System, Stakeholders

robotic assisted surgery, and research. McLaren was the first hospital in the area to perform a

Ben-Or, S., Nifong, W., & Chitwood, W. (2013). Robotic Surgical Training. The Cancer Journal, 19(2), 120-123.

Al). This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring (Scott.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

3) Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and

Sam has identified thrombotic events as the problem in his problem statement. The surgical step-down unit would be the place that Sam would collect his data. Although Sam needs to be more specific. What surgical population is he wanting to do research on? Is it a particular type of surgery, such as orthopedic surgery, cardiac surgery, or neurosurgery? Does he want to narrow this search down to particular surgery? Is his research intended for all ages or a specific age range, as well as the physical health of the patient, is the patient obese or physically fit? Is the research culture related or ethnicity? Is the patient compliant? Non-compliant? Sam will need to consider all these factors as he is preparing for his problem statement and

The 21st century can rightfully be considered as the era of technology when the new inventions and discoveries will most likely affect all the segments of human life. At this point, some of the breakthrough inventions of our times have been in the medical field. Robotic surgery has become an almost common practice in the advanced medical world and new uses for robotic assisted surgery are everyday set in place. However, such developments also attract different interests and implications.

As long as the affected area is still numb from the anesthesia, it is possible to injure your tongue and/or cheek when chewing. Due to this fact, drinking and eating during this period is not recommended and should be avoided. When the numbness has dissipated, be extremely careful when consuming warm/hot beverages and foods.

Enhanced Recovery After Surgery (ERAS) is a multimodal peri-operative evidence-based structured care pathway proposed to accomplish fast recovery following major and minor surgeries. The ERAS aim is to reduce the physiological stress response following surgery thereby reducing potential surgical complications, and increase patient satisfaction. Various research in the United Kingdom has proven that the introduction of ERAS has lead to a significant drop in hospital stay postoperatively and fewer morbidity rates compared to the traditional approach. (Melnyk M, Casey R.G, Black P, &Koupparis A.J,2011). The objective of this literature review is to discuss the barriers to implement Enhanced Recovery After Surgery in the operation theatre and compare the possible outcomes after

During my junior year of high school, I assisted in a research project at Bronson Methodist Hospital. The project was to determine the effectiveness of Kyphoplasty and its ability to decrease patient pain caused by vertebral compression fractures. The study was led by Dr. Jeff Miller, a neuro-interventional surgeon at Bronson Hospital, and coordinated by Dr. Michelle Sciamanna, CEO of C2RS, a local research firm. I was involved in the design of the study along with the methods that were used in collecting the data. With the help of Dr. Sciamanna, I was able to determine the parameters of the patient population, along with the measurements that were collected to determine if the procedure was successful or not. During the study, I analyzed operating room reports along with patient pain reports to determine if the pain decreased. Over 250 patients were involved in the study. After I finished compiling the data collected from the OR reports and the patient pain reports, I analyzed the data using excel. After the study was complete, I constructed a twelve-page analysis that will be used in the publication of this

In the last five years, Enhanced Recovery After Surgery (ERAS) pathways for colorectal resection have been thrust into spotlight with evidence of expedited recovery time and improved postoperative outcomes1–5. However, there exists little uniformity in the recommendations and results of published ERAS pathways, and there is some evidence suggesting that the wrong cocktail of bundle elements can increase Surgical Site Infection (SSI) rates6. This inconsistency can be attributed to a lack of consensus on the efficacy of some common bundle elements, such as preoperative antibacterial showering, maintenance of normothermia, and high intraoperative Fraction of Inspired Oxygen (Fi02) 7–15. Such dissonance in studied ERAS efforts

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).

Most of patients are hoping to see well without spectacle or contact lenses. So in last years the refractive surgery increased in patients dissatisfied with spectacles and contact lenses either due to quality of vision, cosmetic appearance or difficulties in contact lenses wearing and its complications. corneal surgeries like corneal ablation ( photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis LASIK) and different types of phakic intraocular lens (PIOL) implantation either in the anterior or posterior chamber and the anterior chamber either iris claw or angle fixation IOL aim to correct s refractive errors in myopic patients [1,2].

As today’s technology is changing, some of the most major effects of it are superior advances in the medical field. One advance in the medical field is tissue engineering. It is being developed for use in regenerative medicine and soon to be in wider use for other treatments. Tissue engineering’s goal for the future is for the medicine to be able to stimulate other cells around the damage area of the body to get them to grow and produce living tissue (Sciencedaily). Another medical advancement is the monitoring systems and how hospitals can better track for problems and signs of an emergency. This can also help the surgeons decide how to stitch up a patient for best recovery time (Sciencedaily). As technology keeps progressing, another medical advancement is the way surgeons are doing operations. Today, for complex surgeries, surgeons now will get help from the use of a robot for accurate procedures; this will help with the size of the incision and keep the recovery time shorter than during standard surgery.

Feedback relating to surgery included a participant expressing that they awaited a greater improvement. Research has shown that patient’s expectations after surgery involve improvements in measures that extend beyond seizure control, such as; happiness, independence, quality of life and even memory and intellectual advances (Baxendale & Thompson, 1996). Evidence for deflated expectations of surgery in adults, using pre-surgical hopes and follow up feedback has been documented in the adult population. As previously discussed, improvements from surgery are often observed as slow and gradual, occurring over a long period of time. No research has been conducted on the expectations of surgery in a paediatric setting.