In recent years, there has been a notable increase in the use of robotic technology in medical surgery, especially in heart surgery. Many advancements in surgery have been made possible by the development of these robotic devices, such as the da Vinci surgical system (Intuitive Surgical, Sunnyvale, California, United States). These advancements include improved ergonomics, three-dimensional (3D) imaging, and increased dexterity. This research evaluates the advancements, results, and potential applications of robots in heart surgery. A systematic review that adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) principles was carried out. The PubMed and Cochrane databases underwent a thorough search that turned up articles from 2015 to 2023. Nine articles that satisfied the requirements for inclusion were evaluated for quality using the Critical Appraisal Skills Programme (CASP) checklists. Standardized templates and conventional content analysis techniques were used for data extraction and analysis, respectively. Nine studies with a range of approaches, including randomized, prospective, observational, and retrospective investigations, were included in the review. This research included a variety of robotic heart treatments, including mitral valve repair, atrial septal defect (ASD) closure, and coronary artery bypass grafting (CABG). Notable results include identical or shorter operating durations, fatality rates that are comparable to those of conventional techniques, fewer postoperative complications, and shorter hospital stays. Surgeons did, however, face an initial learning curve. Variants of the da Vinci surgical system were the most frequently used robotic systems. Robotic heart surgery has shown encouraging outcomes in terms of effectiveness, safety, and patient recovery. The dependability of robotic procedures is demonstrated by shorter operating times, reduced blood loss, a low incidence of conversion to conventional methods, and a reduction in postoperative complications. Shorter hospital stays suggest better patient outcomes and potential financial advantages. Nonetheless, the need for specific training and knowledge among surgeons is emphasized. Sustained investigation and advancement are essential for the refinement and broader use of robotic heart surgery. Robotic-assisted cardiac surgery has a promising future with a focus on improved patient outcomes, training, and procedural development.
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http://dx.doi.org/10.7759/cureus.74884 | DOI Listing |
Microsurgery
January 2025
Division of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Bonn, University of Bonn, Bonn, Germany.
Open abdomen treatment (OAT) is associated with significant morbidity and mortality. In cases where primary or delayed fascial closure cannot be achieved, vacuum-assisted wound closure and mesh-mediated fascial traction are indicated, which often result in a planned ventral hernia. If secondary skin closure is not feasible, common treatment of granulated abdominal defects involves split-thickness skin-grafting or healing by secondary intention leading to significant scarring and sometimes mutilating defects.
View Article and Find Full Text PDFCancer Commun (Lond)
January 2025
Department of Biotechnology, College of Life Science and Biotechnology, Yonsei University, Seoul, Republic of Korea.
Curr Pain Headache Rep
January 2025
Department of Anesthesiology, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, 71103, USA.
Purpose Of Review: Effective pain management in cardiac surgery presents as a continuous challenge related to the intensity of postoperative pain and reliance on opioid therapy. The dependance of opioid-based therapies is concerning, as these therapies carry risk future addiction and potential severe side effects. The transversus thoracic plane block (TTPB) has emerged as a promising regional anesthesia technique that blocks the anterior branches of the intercostal nerves in the chest wall, potentially providing improved analgesia for cardiac surgery patients.
View Article and Find Full Text PDFCurr Pain Headache Rep
January 2025
Department of Anesthesiology, Perioperative, and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Purpose Of Review: The rhomboid intercostal and subserratus plane (RISS) block is an effective, safer alternative for managing postoperative acute pain following abdominal surgeries. The RISS block offers several advantages over traditional approaches, including reduced incidence of puncture-related complications, lower rates of systemic opioid consumption, and more consistent analgesic coverage of lower thoracic dermatomes.
Recent Findings: Despite a favorable safety profile, the RISS block carries potential risks, such as pneumothorax and local anesthetic systemic toxicity, particularly when long-acting anesthetics such as bupivacaine or ropivacaine are used.
Paediatr Anaesth
January 2025
Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Background: Children who need to have major surgery or are critically ill often require the insertion of a central venous catheter (CVC). To avoid serious complications, it is important to correctly position the CVC tip at the junction of the distal superior vena cava and the right atrium (cavoatrial junction). Transthoracic echocardiography (TTE) can be used to confirm the correct position of the CVC tip.
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