High tech or high risk? An analysis of media reports about robotic surgery

Ficko, Zita; Koo, Kevin; Hyams, Elias S.

doi:10.1007/s11701-016-0647-z

Cited by 9 publications

(5 citation statements)

References 18 publications

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“…Additional concerns may exist for robotic-assisted surgery (RAS). Safety of RAS has increasingly been in news due to the permeation of the da Vinci surgical system into health systems across the country 12. Historically, RAS has been marketed as providing great advantage in visualization and reconstruction in the deep pelvis, resulting in rapid uptake by gynecologic and urologic oncologists; but market forces and patient demand have expanded the use to almost every surgical subspecialty 13,14.…”

Section: Resultsmentioning

confidence: 99%

Patient positioning during minimally invasive surgery: what is current best practice?

Zillioux

Krupski

2017

RSRR

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Introduction: Positioning injuries are a known surgical complication and can result in significant patient morbidity. Studies have shown a small but significant number of neurovascular injuries associated with minimally invasive surgery, due to both patient and case-specific factors. We sought to review the available literature in regards to pathophysiological and practical recommendations. Methods: A literature search was conducted and categorized by level of evidence, with emphasis on prospective studies. The result comprised 14 studies, which were summarized and analyzed with respect to our study objectives. Results: While incidence of positioning injury has been identified in up to one-third of prospective populations, its true prevalence after surgery is likely 2%-5%. The mechanism is thought to be intraneural disruption from stretching or pressure, which results in decreased perfusion. On a larger scale, this vascular compromise can lead to ischemia and rhabdomyolysis. Prevention hinges on addressing patient modifiable factors such as body mass index, judicious positioning with appropriate devices, and intraoperative team awareness consisting of recurrent extremity checks and time management. Conclusion:The risk for positioning injuries is underappreciated. Surgeons who perform minimally invasive surgery should discuss the potential for these complications with their patients, and operative teams should take steps to minimize risk factors. Keywords: positioning, neuropraxia, minimally invasive, robotic-assisted, injury, peripheral neuropathy IntroductionInjury resulting from patient positioning is a known perioperative risk and a significant contributor to patient morbidity. These complications can range from transient peripheral neuropathies to compartment syndrome and rhabdomyolysis. There exists no comprehensive data on the incidence and costs though the American Society of Anesthesiologists Closed Claims study offers a glimpse: peripheral nerve injury, which represents just a subset of positioning injuries, made up 15% of claims across surgical disciplines. Nevertheless, the perception among many surgeons is that positioning injuries are rare events that "don't happen at our institution". This paper attempts to summarize what is known about the problem and offers insight on preventive measures and best practices. MethodsOur goal was to scour the available literature with the following two broad aims. First, we sought to report on the incidence/prevalence of injuries and provide the theorized mechanisms of injury for understanding the pathophysiology. Second, we wanted to provide practical guidance on risk factors and prevention.We initially undertook a literature search of PubMed and Ovid medical databases. The search terms utilized included: positioning, injury, peripheral neuropathy, nerve injury, compartment syndrome, rhabdomyolysis, ischemic optic neuropathy, laparoscopic, robotic, and surgery in varied combinations. The search criteria and selection of articles are depicted in Figure 1.We limited ...

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Section: Resultsmentioning

confidence: 99%

Patient positioning during minimally invasive surgery: what is current best practice?

Zillioux

Krupski

2017

RSRR

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“…Ficko and colleagues analyzed media reports about robotic surgery in the US newspapers [23]. During the study period of 2010-2015, there was a total of 83 articles.…”

Section: Articles That Reviewed Media Coverage Of Specific Cancer Tre...mentioning

confidence: 99%

Media coverage of cancer therapeutics: A review of literature

Rubagumya

Galica

Rugengamanzi

et al. 2023

Journal of Cancer Policy

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“…For instance, when engineering was mentioned, most profiles emphasized contributions to society ( Clark and Illman, 2006a ). Yet, not all coverage surrounding engineering and society is positive: National news coverage of robotics in surgery/medicine featured a negativity bias, highlighting the negative or unfavorable aspects of these surgeries ( Ficko et al, 2017 ). Thus, the ways that science writers communicate can create and highlight images of science that uphold and challenge popular views of scientific knowledge and scientists.…”

Section: Introductionmentioning

confidence: 99%

Out of the Lab and Into the World: Analyses of Social Roles and Gender in Profiles of Scientists in The New York Times and The Scientist

2022

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Although representations of female scientists in the media have increased over time, stereotypical portrayals of science persist. In-depth, contemporary profiles of scientists’ roles have an opportunity to reflect or to challenge stereotypes of science and of gender. We employed content and linguistic analyses to examine whether publicly available profiles of scientists from New York Times and The Scientist Magazine support or challenge pervasive beliefs about science. Consistent with broader stereotypes of STEM fields, these portrayals focused more on agency than communality. However, profiles also challenged stereotypes through integrating communality, purpose, and growth. This analysis also found similar presence of communal and agentic constructs for both female and male scientists. The current findings highlight the importance of considering counterstereotypic representations of science in the media: Communicating messages to the public that challenge existing beliefs about the culture of science may be one path toward disrupting stereotypes that dissuade talented individuals from choosing science pathways.

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High tech or high risk? An analysis of media reports about robotic surgery

Cited by 9 publications

References 18 publications

Patient positioning during minimally invasive surgery: what is current best practice?

Patient positioning during minimally invasive surgery: what is current best practice?

Media coverage of cancer therapeutics: A review of literature

Out of the Lab and Into the World: Analyses of Social Roles and Gender in Profiles of Scientists in The New York Times and The Scientist

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