Outpatient Robotic surgery: Considerations for the Anesthesiologist

Tameze, Yasmine; Low, Ying Hui

doi:10.1016/j.aan.2022.06.001

Cited by 15 publications

(9 citation statements)

References 44 publications

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“…Furthermore, it is important to acknowledge challenges in robotic surgery for high BMI patients, such as Trendelenburg positioning, CO 2 insufflation, and ventilation. 44,45 These concerns are important considerations in surgical decision making. It is crucial to carefully consider the individual patient's comorbidities, expectations, and needs when selecting the optimal vaginoplasty method.…”

Section: Discussionmentioning

confidence: 99%

“…These factors, in combination, could potentially lead to a reduced incidence of delayed wound healing in robotic cases. Furthermore, it is important to acknowledge challenges in robotic surgery for high BMI patients, such as Trendelenburg positioning, CO 2 insufflation, and ventilation 44,45 . These concerns are important considerations in surgical decision making.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Obesity on Vaginoplasty Outcomes

Berger,

Lava,

Spoer

et al. 2024

Ann Plast Surg

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Background Some surgeons use body mass index criteria within the patient selection processes before vaginoplasty, thereby limiting access to select obese patients. We sought to better characterize the effect of obesity on postoperative outcomes across multiple vaginoplasty techniques. Methods A single-center retrospective review of all transfeminine patients undergoing primary vaginoplasty procedures from December 2018 to July 2022 was conducted. Patients were stratified into cohorts according to the World Health Organization Obesity Class criteria. Data regarding demographics, comorbidities, operative details, postoperative complications, and all-cause revision were collected. Results A total of 237 patients met the inclusion criteria. Average follow-up duration was 9.1 ± 4.7 months. Multivariate regression revealed that patients with class I and class II/III obesity were associated with higher odds of developing vaginal stenosis (class I: odds ratio [OR], 7.1 [P = 0.003]; class II/III: OR, 3.4 [P = 0.018]) and all-cause revision (class I: OR, 3.7 [P = 0.021]; class II/III: OR, 4.8 [P = 0.027]). Undergoing either robotic peritoneal or robotic intestinal vaginoplasty was associated with lower odds of delayed wound healing (peritoneal: OR, 0.2 [P < 0.001]; intestinal: OR, 0.2 [P = 0.011]). Lastly, adherence to dilation regimen was negatively associated with development of vaginal stenosis (OR, 0.04; P < 0.001). Conclusions Patients with obesity may be at a higher risk of developing vaginal stenosis after vaginoplasty, which may ultimately necessitate operative revision. Although patients with obesity may remain surgical candidates, proper preoperative counseling and adherence to postoperative vaginal dilation regimens are critical to optimizing outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of Obesity on Vaginoplasty Outcomes

Berger,

Lava,

Spoer

et al. 2024

Ann Plast Surg

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“…There is no absolute contraindication to robotic surgery[ 7 ] though factors like disease severity, and surgical and anaesthesiologist inexperience can result in a high risk of harm. In such cases, modifications like insufflation speed, and shorter duration of Trendelenburg position with an experienced surgeon, may enable the surgery to proceed.…”

Section: General Issuesmentioning

confidence: 99%

“…Relative contraindications include ventral hernia repair, cirrhosis/ascites, laparotomy for large tumours, chronic obstructive pulmonary disease, pulmonary artery hypertension, CHD, etc. [ 7 ]…”

Section: General Issuesmentioning

confidence: 99%

Anaesthetic management of robot-assisted laparoscopic surgery

et al. 2023

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Recent trend shows that minimally invasive surgery is in great demand. Robot-assisted procedures have become more popular, as they overcome several drawbacks of traditional laparoscopic techniques. Robotic surgery, however, might necessitate changes in how patients are positioned and how staff and equipment are organised generally, which might go against the traditional approach to anaesthesia care. The novel effects of this technology have the potential to produce paradigm-shifting therapeutic improvements. To provide better anaesthetic treatment and advance patient safety, anaesthesiologists should be aware of these developments by understanding the fundamental components of robotic surgical systems.

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“…By deploying small Internet-connected robots inside the human body, surgeons can perform complex procedures that would be difficult to manage using human hands. At the same time, robotic surgeries are performed by small IoT devices [25].…”

Section: Robotic Surgerymentioning

confidence: 99%

Review of Internet of Things (IoT) and Blockchain In Healthcare: Chronic Disease Detection and Data Security

Rubaeah¹,

Mangkunegara²,

Purwono³

2023

JAHIR

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The role of Internet of Things (IoT) technology continues to increase in various fields, especially health. IoT can connect doctors with their patients via the Internet. Portable IoT-based health monitoring devices can significantly reduce the distance between patients and doctors. The important influence of IoT technology in the health sector can be seen from its efficiency and important role in developing and improving the quality of health services. IoT is the last Internet revolution that allows integrity between machines and objects. Developers and users still have to pay attention to data security, considering that medical history is a matter of privacy for some people. Blockchain technology has been predicted by the industry and research community as a secure, fast, reliable and transparent solution for IoT-based systems. Most blockchain technology is used for data management operations in the IoT-based health sector, which improves data security, including data integrity, access control, and maintenance of privacy.

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Outpatient Robotic surgery: Considerations for the Anesthesiologist

Cited by 15 publications

References 44 publications

The Effect of Obesity on Vaginoplasty Outcomes

The Effect of Obesity on Vaginoplasty Outcomes

Anaesthetic management of robot-assisted laparoscopic surgery

Review of Internet of Things (IoT) and Blockchain In Healthcare: Chronic Disease Detection and Data Security

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