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Implementation Strategies and Ergonomic Factors in Robot-assisted Microsurgery.
J Robot Surg
January 2025
BG Trauma Center Ludwigshafen, Department for Plastic, Hand and Reconstructive Surgery, Department of Plastic Surgery for the Heidelberg University, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany.
Robot-assisted surgery represents a significant innovation in reconstructive microsurgery, providing enhanced precision and reduced surgeon fatigue. This study examines the integration of robotic assistance in a series of 85 consecutive robot-assisted microsurgical (RAMS) operations. It aims to evaluate changes in the integration of RAMS during the implementation phase in a single institution.
View Article and Find Full Text PDFEstablishing a Microsurgical Practice in a Limited Resource African Setting: The Kapsowar Hospital Experience.
Plast Reconstr Surg Glob Open
December 2024
From the Division of Plastic Surgery, NewYork-Presbyterian, Weill Cornell Medical Center, New York, NY.
Background: Microsurgical technique is still not readily available in many low- and middle-income countries. Few works in the scholarly literature describe the establishment of microsurgical practice on the African continent, and there are virtually no descriptions of the financial aspects of free flap performance by locally staffed teams in sub-Saharan Africa. The Kapsowar Hospital is a hospital in rural Kenya with 2 plastic and reconstructive surgeons certified by the American Board of Plastic Surgery and has recently expanded clinical practice to include microsurgical procedures.
View Article and Find Full Text PDFA New Concept in Peripheral Nerve Repair: Incorporating the Tunica Adventitia.
J Reconstr Microsurg
December 2024
Department of Medical Pathology, Hospital of Büyükşehir, Nevşehir, Turkey.
Background: Pedicled, prefabricated, and free nerve flaps have several drawbacks, such as requiring microsurgical anastomosis, the need for secondary operations and the risk of developing thrombosis. In this study, we aimed to vascularize the repaired nerve in a single session by establishing a connection between the epineurium of the repaired median nerve and the tunica adventitia of the brachial artery.
Methods: The technique was performed on the median nerves of a total of 42 rats over 13 weeks.
Robot-assisted microsurgery: a single-center experience of 100 cases.
J Robot Surg
December 2024
Department of Hand, Plastic and Reconstructive Surgery, Department of Hand and Plastic Surgery, BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig Guttmann-Straße 13, 67071, Ludwigshafen, Germany.
The adoption of robot-assisted microsurgery (RAMS) is a cutting-edge advancement in the realm of microsurgery. The Symani Surgical System is CE approved and has recently gained FDA approval. It provides tremor elimination, motion scaling and improved ergonomics.
View Article and Find Full Text PDFHands-On Robotic Microsurgery: Robotic-Assisted Free Flap Reconstruction of the Upper Extremity.
J Clin Med
December 2024
BG Trauma Center Ludwigshafen, Department of Hand, Plastic and Reconstructive Surgery, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen, Germany.
: Robot-assisted microsurgery (RAMS) has been introduced into the field of plastic surgery in recent years. It potentially offers enhanced precision and control compared to traditional methods, which is crucial for complex microvascular tasks in free flap reconstructions. We aim to analyze our experiences with robotic-assisted microsurgery in the field of upper extremity free flap reconstruction.
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