Robotic surgery education program of World Laparoscopy Hospital is designed to teach robotic surgery techniques to other teams in a highly efficient and cost-effective way. WLH can facilitate benefits for new and existing robotic programs in a variety of ways:

1. Advance the development and use of robot surgery via the employment of probably the most current technological developments
2. Through skillfully brought robot surgery education programs.
3. Provide efficient spatiotemporal teaching techniques together with condition-of-the-art training modules.
4. Provide facilities while using recognition to be true patient advocates start by making available non-invasive methods to both patients and doctors.

Robotic Minimal Access Surgery (MAS) allows physicians to perform many kinds of major surgery with less patient trauma and pain, minimal scarring, faster recovery and shorter hospital stays. Surgeries are performed through small incisions, which replace the big incisions needed for conventional open surgeries.

The use of robotics takes minimal access techniques right into a new trend, further minimizing the physical and emotional impact of surgery on patients. Robotically assisted MAS represents a third generation of surgery, the one that builds upon the advances to open surgery introduced by MAS. Robotic technology takes surgery beyond limits of the human hand, introducing precise, versatile instrument movement coupled with three-dimensional visualization from the operative site.

The da Vinci® Si-HD with 3D Hd (HD) vision is easily the most advanced platform for non-invasive surgery available today. By integrating computer-enhanced technology with the surgeon’s skill, the da Vinci® Si-HD Surgical System enables surgeons to improve healing and promote well-being by performing non-invasive surgery in a manner never before experienced. The da Vinci® Si-HD Surgical System integrates 3D HD endoscopy and state-of-the-art robotic technology to virtually extend the surgeon’s eyes and hands into the surgical field. Just the da Vinci® System enables new, minimally invasive options for complex surgical treatments.

The World Laparoscopy Hospital faculty has a proven track record of robotic surgical expertise and is dedicated to sharing their clinical robotic experiences and knowledge in order to impact the future of medicine.  As leaders of this state-of-the-art laparoscopic training program, the World Laparoscopy Hospital faculty is committed to the success of their training robotic surgeons and surgical teams. 

This training is for all the speciality of surgery like:

1. Gynecology
2. General Surgery
3. Urology
4. Thoracic Surgery
5. Cardiac Surgery

Despite the fast growth of robotic surgery and it is clinical application, as well as the acceptance of this technology like a tool from the modern operative room, working out and education aspect in seo is still at an earlier stage. Training of robotic surgery for new surgeons is expensive, whether or not the machine is within a passionate laboratory setting or if it's shared inside a clinical setting. Few models are for sale to the dry lab and also the cost of the instruments continues to be high. Furthermore it's very complex to assess the skills from the trainee in an objective way. While there has always been lots of focus on the mechanical characteristics and performance of the robotic system, an essential element of this revolution is sometimes missed: the idea of virtuality.

There are four main components to da Vinci: the surgeon console, patient-side cart, EndoWrist Instruments, and Insite Vision System with high resolution 3D Endoscope and Image Processing Equipment.

1. Surgeon Console

The surgeon is situated at this console several feet away from the patient operating table. The surgeon has his head tilted forward and his hands inside the system’s master interface. The surgeon sits viewing a magnified three- dimensional image of the surgical field with a real-time progression of the instruments as he operates. The instrument controls enable the surgeon to move within a one cubic foot area of workspace.

2. Patient-side Cart

This component of the system contains the robotic arms that directly contact the patient. It consists of four instrument arms including one endoscope arm. The feedback as of today is limited to sensing tool-on-tool collision, so the surgeon needs to rely almost solely on the visual field when suturing or contacting soft tissue.

3. Detachable Instruments

The Endowrist detachable instruments allow the robotic arms to maneuver in ways that simulate fine human movements. Each instrument has its own function from suturing to clamping, and is switched from one to the other using quick-release levers on each da Vinci robotic arm. The device memorizes the position of the robotic arm before the instrument is replaced so that the second one can be reset to the exact same position as the first. The instrument's abilities to rotate in full circles provide an advantage over non-robotic arms. The eight degrees of freedom (meaning the number of independent movements the robot can perform) offers considerable choice in rotation and pivoting. Moreover, the surgeon is also able to control the amount of force applied, which varies from a fraction of an ounce to several pounds. The Intuitive Masters technology also has the ability to filter out hand tremors and scale movements.

3-D Vision System

The camera unit or endoscope arm provides enhanced three-dimensional images. This high-resolution real-time magnification showing the inside the patient allows the surgeon to have a considerable advantage over regular surgery. The system provides over a thousand frames of the instrument position per second and filters each image through a video processor that eliminates background noise. The endoscope is programmed to regulate the temperature of the endoscope tip automatically to prevent fogging during the operation. Unlike The Navigator Control, it also enables the surgeon to quickly switch views through the use of a simple foot pedal.

This really is one of the most revolutionary features fundamental to robotic surgery also it holds significant relevance for that manner in which new surgeons could be trained in the da Vinci console. The surgeon is not in direct contact with the patient and the interface is operated with a computer. The enormous potential of virtuality in robotic surgery training is obvious: a computer can recreate a surgical scenario and replicate the surgical output on the virtual model. Both easy tasks could be reproduced for novice users and complex procedures can be reproduced for skilled users.

These two simulators are able to reproduce the robotic instrument kinematics inside a realistic tridimensional environment and feature a hardware console that's similar in feel and function to the real da Vinci®. Using these simulators facilitates familiarization using the console and the way it operates, such as the basic troubleshooting.

Additionally, it allows users to build up general skills when it comes to camera and instrument operation, as well as compensation for that lack of tactile feedback. Overall, significant benefits of they include the chance to develop skills within an “off-line” risk-free environment and also the ability to objectively asses these acquired skills via a performance metrics system.

In addition, this process of coaching is more economical in comparison to a skills lab. Indeed, several evaluation studies have been published about the use of these simulators with encouraging results. As of this moment the simulation capabilities of the software is restricted to some simple tasks and incredibly limited surgical treatments. The wet labs are still essential to learn the patient side skills and also to develop confidence with robot use within a clinical setting, however the use of the simulator can definitely speed up this clinical transition. It will be the next goal to build up software that's in a position to reproduce a whole surgical procedure with improved dependability. Beginning with this baseline in virtual training, the close future appears to be even more exciting. For instance, several academic institutions will work on software algorithms that will enable the creation of training models using the actual anatomy of a patient beginning with a High resolution CT scan. In light of this, one can imagine that in the future you'll be able to carry out a “warm-up” procedure on the tridimensional anatomical reconstruction of a patient prior to the “real” surgery. Digital age keeps changing healthcare which is changing it permanently.

FDA Approval:

Using the Robotic Surgical training interface, the system prompts and guides trainees in real-time through the critical stages of an operation before proceeding to the next step. A metrics tool is used by World Laparoscopy Hospital evaluates user performance so that surgeons can track their progress. That step-by-step prompting system is unique in the field of computer-assisted surgical learning tools.

Surgical robotics is a new technology that holds significant promise. Robotic surgical treatment is often heralded because the new revolution, which is probably the most discussed subjects in surgery today. As much as this point in time, however, the drive to build up and acquire robotic devices has been largely driven through the market. There is no doubt that they will become an important tool in the surgical armamentarium, but the extent of their use is still evolving. This surgery is a new and exciting emerging technology that is taking the surgical profession by storm. As much as this time, however, the race to acquire and incorporate this emerging technologies have primarily been driven through the market. Moreover, robotic devices seem to have much more of a marketing role than a practical role. Whether robotic devices will come to be a far more practical role remains to appear.

Robotic surgery, computer-assisted surgery, and robot-assisted surgery are terms for a number of technological developments that currently are developed to support a range of surgical treatments. It was designed to overcome limitations of non-invasive surgery, Instead of directly moving the instruments the surgeon utilizes a computer console to manipulate the instruments mounted on multiple robot arms. The computer translates the surgeon’s movements, which are then carried out on the patient by the robot. Additional features from the robotic system include an integrated tremor filter and the ability for scaling of movements.

Robotic surgical treatment is a type of method that is similar to laparoscopic surgery. Additionally, it can be carried out through smaller surgical cuts than traditional open surgery. The little, precise movements which are possible with this type of surgery give it some advantages over standard endoscopic techniques. Sometimes robotic-assisted laparoscopy can allow a surgeon to perform a less-invasive method that used to be only possible with increased invasive open surgery. Once it is put into the abdomen, a robotic arm is simpler for that surgeon to use compared to instruments in endoscopic surgery. The robot cuts down on the surgeon’s movements (for instance, moving 1/2 inch for each 1 " the surgeon moves), which reduces some of the hand tremors and movements that might otherwise result in the surgery less precise. Also, robotic instruments can access hard-to-reach regions of the body easier through smaller incisions compared to traditional open and laparoscopic surgery.

Supervisory-Controlled systems: (a.k.a. Computer Assisted Surgery) are the most automated of the three. The surgeon undertakes considerable set-up, inputs data in to the robotic system, plans the path of action, takes x-rays, tests the robot's motions, places the robot in the appropriate start position and oversees the robotic action to make sure everything goes as planned. The most famous prototype may be the RoboDoc system developed by Integrated Surgical Systems, which is popular in orthopedic surgeries.

Telesurgical systems: The Telesurgical robotic system is the 2nd type of device used in modern robotic surgery. The most typical variety, the Da Vinci Robotic Surgical System, enhances the surgery by giving 3-D visualization deep within hard-to-reach places such as the heart, as well as enhancing wrist dexterity and control of tiny instruments. Fraxel treatments allows surgeons to make quicker, more controlled and much more accurate movements by using the robot arm using its wider range of motions. Additionally, it allows more surgeons to perform these procedures, since many of the techniques performed by robot assistants are highly skilled and extremely a hardship on humans to understand. Now more procedures (like artery repair and valve repair) can be achieved without long recovery times or bodily injury.

Shared-Control systems: The Shared-Control Product is the final group of robotic surgery devices. Within this system, the human does the majority of the work, however the robot assists when needed. In many cases, the robotic system monitors the surgeon, providing stability and support during the procedure. Before getting started, the surgeons program the robots to identify safe, close, boundary and forbidden territories inside the body. Safe regions would be the main focus of the surgery. Through forced feedback in the surgical tools, the machine will limit their used in the appropriate area. As with supervisor-controlled systems, there is some setup required by the surgeon prior to the procedure to define the parts of the surgical field.

Robotic Radiosurgery Systems: Robots are also utilized in delivering radiation for the management of tumors. These systems use robotics to manage highly focused beams of ionizing radiation to precise locations in the human body. Medical imaging first locates the tumor and a map of the area to become treated is created. A number of commands are then entered by the physician into the system to instruct it how you can deliver the treatment. The individual is then registered using the system for proper positioning of the body and the treatment methods are begun. The robotics will follow the commands to precisely deliver a number of doses to the tumor. This cuts down on the chance of harm to surrounding tissues.

Applications of Robotic Surgeries

Robotic surgery is particularly useful in specific situations or surgeries. For example, in laparoscopic surgeries, or surgeries in which a laparoscope is used, the arms from the robot are incredibly helpful. The most typical procedures are:

1. Robotic Gastro-jejunostomy,
2. Pyloroplasty
3. RY gastric bypass for obesity,
4. Esophageal Myotomy for achalasia,
5. Nephrectomy for transplantation and bile duct surgery

General Robotic Surgery

1. Adrenalectomy
2. Cholecystectomy
3. Esophagectomy
4. Gastric Bypass
5. Heller Myotomy
6. Nissen Fundoplication

Thoracic Robotic Surgery

1. Esophageal surgery
2. Thymectomy
3. Mediastinal Tumor Resection
4. Lobectomy
5. Biventricular Resynchronization Epicardial Leads

Cardiac Robotic Surgery

1. Atrial Septal Defect Repair
2. Mitral Valve Repair
3. Heart bypass

Other Robotic Surgery

Cutting away cancer tissue from sensitive areas of the body such as arteries, nerves, or important body organs
Gallbladder removal
Hip replacement
Hysterectomy
Kidney removal
Kidney transplant
Mitral valve repair
Pyeloplasty (surgery to fix ureteropelvic junction obstruction)
Pyloroplasty
Radical prostatectomy
Tubal ligation

Common Robotic Procedures

Robotic Abdominal Surgery: Surgeons use robot-assisted approaches for abdominal procedures which range from gallbladder and appendix surgery to hernia repair and treatment for rectal cancer. Most patients, who undergo robotic procedures experience significantly less postoperative pain, leave a healthcare facility sooner and return to normal activities faster. For those who have rectal cancer, robotic surgery can also help prevent damage to vital nerves and tissues. Previously, it had been difficult to treat cancers within the lower part of the rectum without removing the anal sphincter, muscle that controls elimination. This meant that some patients needed a man-made opening in the abdomen to get rid of waste (colostomy). But that changed with the creation of robotic surgery. Because robotic arms tend to be more flexible than standard laparoscopic tools and allow greater precision in difficult areas, experienced surgeons can now often spare delicate nerves to preserve sphincter control and sexual and urinary function.

Robotic Cardiothoracic surgery: This method enables your surgeon to achieve your heart through small incisions in the side of your chest wall rather than by splitting open the breastbone. Avoiding a long chest incision reduces pain and recovery time so you resume normal activities sooner. Robotic surgery also leaves smaller, less noticeable scars than open chest surgery, has a lower chance of infection and could lessen blood loss. Robot-assisted surgery can treat heart disease which are present at birth in addition to the ones that develop later. The robot technology can be used to correct heart valves and congenital heart disease, including atrial Septal defects and atrioventricular canal defects. It's performed without splitting the breastbone or stopping your heart, robotic off-pump bypass results in fewer complications, less postoperative bleeding, a shorter stay in hospital - often just Two days - and quicker recovery. Robotic off-pump bypass also offers more durable results, sparing you repeat operations, and extends a choice of bypass surgery to individuals who may not otherwise be candidates for that procedure.

Robotic Gynecologic surgery: this is done using the da Vinci robotic system for gynecologic surgery and assisted in the process. Using the machine has resulted in safer, more efficient, less intrusive treatments for a wide range of pelvic disorders affecting women. These include:

• Cervical cancer
• Endometriosis
• Hysterectomy
• Pelvic organ prolapse, especially vaginal prolapse and paravaginal defects
• Uterine cancer; vaginal fistulas
• Uterine fibroids
• Vaginal fistulas

Because robotic technology helps surgeons operate and suture with greater accuracy and adaptability, many women experience markedly less postoperative pain, reduced scarring and a faster go back to normal activities. Depending on your age and the procedure, robotic surgery also may help preserve your fertility and improve reproductive health.

Robotic Head and Neck surgery: Is really a new robotic procedure performed with the mouth (transorally) to treat cancers of the tongue base and tonsils. Transoral robotic surgery offers several benefits over conventional neck and head procedures. The maneuverability and precision of the robotic arms help surgeons operate more easily in the small spaces of the mouth and throat. Robotic surgery also provides much better visualization of tumors. The ability to operate in multiple directions and to see in three dimensions helps surgeons effectively eliminate cancer while sparing healthy tissue, reducing complications and improving standard of living. Most sufferers who undergo Transoral robotic surgery also undergo a simultaneous open operation to get rid of lymph nodes in the neck. Nevertheless, nearly all patients leave the hospital in about three days and are able to swallow within two weeks - much sooner than is typical along with other treatment methods. Studies of Transoral robotic surgery show that almost everyone has excellent outcomes.

Robotic Urologic surgery: is the procedure in which your surgeon removes the prostate and surrounding lymph nodes through five or six small abdominal incisions. One of the most notable advantages of this approach is fewer traumas to delicate tissues and reduced blood loss. Under 1 % in men who undergo robotic prostatectomy need a transfusion, as opposed to 5 to 15 percent of those who have open prostate surgery. It makes sense a faster, less complicated recovery. The enhanced precision of robotic surgery also makes sparing vital nerves easier and cuts down on the likelihood of complications for example sexual or urinary dysfunction. The patients who're candidates for traditional open or laparoscopic surgery will also be candidates for robotic prostatectomy. Robotic surgery offers outcomes similar to the ones from standard laparoscopic surgery, with less tissue trauma and blood loss, reduced risk of infection, and significantly faster postoperative recovery. You can expect one to three days of hospital recovery following robotic surgery, instead of traditional open surgery, which often requires a stay as high as 5 days.

Advantages of Robotic Surgery

Robots in neuro-scientific surgery have dramatically changed the procedures for the better. The most important advantage to Robotic Surgery towards the patient may be the reduction in pain and scaring. The Robotic Product is changing surgical treatments, which may improve both the patient's experience and surgical outcomes. It reduces trauma towards the patient by allowing surgery to be performed through small ports or "keyholes" instead of large incisions, resulting in shorter recovery times, fewer complications and a reduced stay in hospital. By integrating computer-enhanced technology with the surgeon’s expertise, the da Vinci System enables surgeons to perform extremely delicate and precise non-invasive surgery (MIS).

The patient can experience the following benefits:

• Reduced trauma to the body
• Less anesthesia
• Often less blood loss and want for transfusions
• Less post-operative pain and discomfort
• Less risk of infection
• Shorter stay in hospital
• Faster recovery and go back to normal daily activities
• Less scarring and improved cosmesis

The surgeons possess the following advantages

• Enhanced 3-D Visualization
• Improved Dexterity
• Greater Surgical Precision
• Improved Access
• Increased Range of Movement
• Reproducibility
• Simplifies many existing MIS surgical techniques
• Makes difficult MIS operations routine
• Makes new MIS procedures possible in most surgical specialties

Complications of Robotic Surgery

Possible reasons that may lead to unsafe operation of a medical unit include flawed design, malfunction of hardware and software components, misinterpretation and incorrect or inadequate specification. As in many other applications, improving a few of these parameters results in a degraded performance in the areas, while a general increased degree of safety factors are accompanied by an increase in cost, complexity, or both

Before Robotic Surgery

You can't have food or fluid for 8 hours prior to the surgery. If you're having certain types of abdominal surgery, your surgeon may recommend that you cleanse your bowels with an enema or laxative yesterday surgery.

Quit taking aspirin, blood thinners such as warfarin (Coumadin) or Plavix, anti-inflammatory medications, vitamins, or any other supplements 10 days prior to the procedure.

Following the Procedure

You will be come to a recovery room after the procedure. With respect to the type of surgery performed, you may have to remain in the hospital overnight or a few days. You should be able to walk within a day after the procedure, based on what type of procedure ended. Avoid heavy lifting or straining until your physician provides you with the okay. Your physician may advise you to not drive for at least per week.

Recovery

Since the surgical cuts are typically small compared to with traditional open surgery, robotic surgery may lead to:

Faster recovery
Less pain and bleeding
Less risk of infection
Shorter hospital stay
Smaller scars

Robotic surgery in India

Indian healthcare keeps growing daily and contains marked new level of success. The doctors of World Laparoscopy Hospital have the credit of starting the Asia's first robotic training institute. India is gaining interest internationally because of the robotic surgery in India at really low cost together with world class medical amenities with the best results. These factors have driven thousands of international patients all across the globe for a number of medical treatments such as the Robotic surgery in India.

Having the industry's most elaborate and exclusive Patient Care and Clinical Coordination teams stationed in the Indian hospitals, they provide the patients the smoothest and seamless care ever imagined. With a ratio of 1 Patient Care Manager to five patients our patient care standards are unmatched across the sub continent. The various treatments and surgeries performed in India are available at hospitals in the following cities with latest amenities and state-of-art-facilities.

The extra warmth and care the global patients receive while going for various treatments and surgeries surpasses all the value added services they avail at their respective places.

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