Surgery


Robotics: A boon for spine surgeons

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Recent advancements in spine surgery have come in the form of robotics, a specialised approach to a complex procedure that allows planning a surgery and facilitates highly accurate and predictable execution of the plan. Robotics is particularly helpful in inserting implants in the spine; for a spine surgeon, robotics is a boon, and has marked the beginning of a new era in spine surgery. Planning is the foundation of surgical robotics; the ability to plan a surgery in an advanced 3D visual environment allows a surgeon to factor any unique anatomy or challenges associated with the patient much ahead of the surgery. The technology allows surgeons to use images from a computerised tomography scan (CT scan) taken before surgery to create a blueprint for each case. These images are loaded into a computerised 3D planning system so that in the operating room, surgeons do the physical surgery while the system guides his or her instruments based on pre-operative planning of spinal implant placement.


Machine learning helps predict complications, rehospitalizations after PCI

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In a related editorial, R. Jeffrey Westcott, MD, and James E. Tcheng, MD, said Zack and colleagues' findings support the idea that machine learning could outperform classical statistical approaches to risk prediction--but it'll take some work to make it an industry standard. "Transforming healthcare, and, more specifically, transforming the management of data within healthcare to enable AI and its siblings, requires foundational investment and culture change," the editorialists wrote. They said artificial intelligence and machine learning will undoubtedly become "increasingly important in clinical medicine" as we move forward, with equity funding for healthcare-related AI ventures topping $2.4 billion in 2018. "Machine learning has proven to be valuable and is therefore the future," Westcott and Tcheng wrote. "Data warehouses and data lakes contain amazing amounts of structured and unstructured data that will change how medical research, drug and device trials, and device tracking are done. A collaborative effort is needed with EHR vendors, third-party vendors, professional societies and others to start meaningful standardized data collection and workflow redesign now."


Using artificial evolution to design bespoke surgical snakebots

Robohub

In a world first, Australian Centre for Robotic Vision researchers are pushing the boundaries of evolution to create bespoke, miniaturised surgical robots, uniquely matched to individual patient anatomy. The cutting-edge research project is the brainchild of Centre PhD researcher Andrew Razjigaev, who impressed HRH The Duke of York with the Centre's first SnakeBot prototype designed for knee arthroscopy, last November. Now, the young researcher, backed by the Centre's world-leading Medical and Healthcare Robotics Group, is taking the next step in surgical SnakeBot's design. In place of a single robot, the new plan envisages multiple snake-like robots attached to a RAVEN II surgical robotic research platform, all working together to improve patient outcomes. The novelty of the project extends to development of an evolutionary computational design algorithm that creates one-of-a-kind, patient-specific SnakeBots in a'survival-of-the-fittest' battle.


Robotic surgery set to transform medical care in the Gulf

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DUBAI: When it comes to man versus machine, many industries, including medical science, are at a critical juncture. Advancements in technology are creating a world where robots are performing tasks with speed and efficiency unmatched by their human counterparts. Increasingly, robots are becoming a familiar presence in operating theaters, especially in the Gulf. Experts predict that the region could become the leader in the field of robotic surgery. In June, Johns Hopkins Aramco Healthcare (JHAH) -- the result of a joint venture between Saudi Aramco and Johns Hopkins Medicine -- became the first hospital in the Kingdom to perform a robot-assisted hysterectomy.


Japan health ministry panel OKs robotic telesurgery - The Mainichi

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A Ministry of Health, Labor and Welfare expert panel has given the green light to remotely-controlled surgery using medical robots, opening the way for patients to get operations by highly-skilled doctors far away. The panel approved a draft amendment to the guidelines for online medical treatment on June 28 lifting the ban on robotic telesurgery. In response, medical societies concerned will set guidelines on detailed prerequisites for the operations, aiming for practical implementation within the coming years. Under the scheme, telesurgeries will be performed using the U.S.-made da Vinci Surgical System. The system has multiple arms equipped with endoscopes, scalpels, and other surgical necessities, and will even stitch up incisions.


Doctors Learn The Nuts And Bolts Of Robotic Surgery

NPR Technology

Mary Scott Hodgin/WBHM 90.3 hide caption Across the country, surgeons are learning to use more than just scalpels and forceps. In the past decade, a growing number of medical institutions have invested in the da Vinci robot, the most common device used to perform robot-assisted, or robotic, surgery. Compared to traditional open surgery, robotic surgery is minimally invasive and recovery time is often shorter, making the technology attractive to patients and doctors. But the da Vinci surgical system is expensive, costing as much as $2 million, and recent studies show that for certain procedures it can sometimes lead to worse long-term outcomes than other types of surgery. Even so, the robot has become common practice in some specialties, such as urology and gynecology, and that growth is expected to continue, which means more surgeons are learning to use the device.


Robotic surgery is turning out to be an expensive fad

New Scientist

SURGERY performed with the help of a robot has been billed as the next revolution in healthcare: such procedures can be carried out through an incision the width of a finger, causing less scarring and often allowing people to return to their homes more quickly. The UK's National Health Service recently announced plans to spend £50 million on more robotic surgical equipment for operating theatres, and yet the benefits of this high-tech approach are debated.


Spectrum Health robotic surgery improves recovery time for patients

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June is Hernia Awareness Month, and sometimes hernias require surgery to repair. Abdominal surgery recovery can be difficult, taking weeks for patients to get back on their feet, but at Spectrum Health they're working to return people back to their normal lives faster. More and more hernia surgeries are done robotically and Spectrum Health has added 13 robots to their fleet since 2017. Robotic surgery is less invasive, allows for faster recovery time, and has improved range of motion compared to open surgery. For more information, go to spectrumhealth.org.


Robots are coming to a hospital near you

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Hospitals and medical practices are already using a fair amount of automation. Some hospitals are set up for delivery robots to open remote-control doors and even use elevators to get around the building. Robots can also assist with more complex tasks, like surgery. Their participation can range from simply helping stabilize a surgeon's tools all the way to autonomously performing the entire procedure. Perhaps the most famous robotic surgery system lets a surgeon operate full-size, ergonomically friendly equipment as a remote control to direct extremely tiny instruments what to do inside a patient's body, often through extremely small incisions.


"The Robot Will See You Now" - Consequences of Automation - Westernston

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If you thought your profession, trade or job is safe from the inevitable onslaught of AI and robots… from the consequences of automation… think again. Because surgeons surely will have to. Scientists have revealed a robotic drill that can cut the most sensitive brain surgery down from two hours to two and a half minutes. The machine, developed at the University of Utah, is being hailed as a potential breakthrough in survival for brain patients as the reduced time they spend in surgery will drastically cut the chances of infection. Researchers say can make one type of complex cranial surgery 50 times faster than standard procedures.