Robotic Microsurgical Vasovasostomy and Vasoepididymostomy: A Prospective Randomized Study in a Rat Model

Schiff, Jonathan D.; Li, Philip S.; Goldstein, Marc

doi:10.1097/01.ju.0000115902.00988.68

Cited by 89 publications

(48 citation statements)

References 21 publications

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“…Early studies in animal model 34,35 using LIVE demonstrated a 100% patency rate. The group from Parekattil et al 36,37 has reported one of the earliest series of human robotic microsurgical VE.…”

Section: Robotic-assisted Microsurgical Vementioning

confidence: 99%

“…Additional advantages of the robotic LIVE include improved stability and motion reduction during microsurgical suturing, 34 which may be in part related to shorted operating time observed. 37 It should, however, be pointed out that the availability of robotic is far from being universal in most parts of the world and that the cost-effectiveness of this approach remains to be established.…”

Section: Robotic-assisted Microsurgical Vementioning

confidence: 99%

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The evolution and refinement of vasoepididymostomy techniques

Chan¹

2012

Asian J Androl

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Obstructive azoospermia secondary to epididymal obstruction can be corrected by microsurgical reconstruction with vasoepididymostomy (VE). Although alternative management such as epididymal or testicular sperm aspiration in conjunction with intracytoplasmic sperm injection is feasible, various studies have established the superior cost-effectiveness of VE as a treatment of choice. Microsurgical VE is considered one of the most technically challenging microsurgeries. Its success rate is highly dependent on the skills and experience of the surgeons. Various techniques have been described in the literature for VE. We have pioneered a technique known as longitudinal intussusception VE (LIVE) in which the epididymal tubule is opened longitudinally to obtain a larger opening to allow its tubular content to pass through the anastomosis. Our preliminary data demonstrated a patency rate of over 90%. This technique has been widely referenced in the recent literature including robotic-assisted microsurgery. The history of the development of different VE approaches, the preoperative evaluation along with the techniques of various VE will be described in this article.

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Section: Robotic-assisted Microsurgical Vementioning

confidence: 99%

Section: Robotic-assisted Microsurgical Vementioning

confidence: 99%

The evolution and refinement of vasoepididymostomy techniques

Chan¹

2012

Asian J Androl

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“…The use of RAMS instruments was later extended for carrying out coronary artery anastomoses [18], and soon successful animal trials were documented. Other studies pointed out that robotic devices could also be used for endoscopic cardiac surgical procedures, including endoscopic anastomosis [19,20].…”

Section: Figurementioning

confidence: 99%

Origins of Surgical Robotics: From Space to the Operating Room

Takács

Nagy

Rudas

et al. 2016

APH

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The rapid development of telerobotic systems led to novel applications beyond the nuclear and industrial domains. Medical telerobotics enabled surgeons to perform medical operations from remote places, far from their patient. Telesurgery systems allow great flexibility, improved performance in general, and support the creation of ideal surgical conditions. The first attempts to develop telesurgical systems borrowed the idea from space research, where the need of novel robots emerged for invasive treatment, even under extreme situations, such as weightlessness. Telesurgical instruments on Earth appeared following the same concept, aiming first for military, then onward for civilian applications. Today, more than 1.5 million patients are receiving telerobotic treatment annually, worldwide. As the surgical robotics domain grew from the initial concepts, it developed along three major concepts: telesurgery, cooperatively controlled robots and automated (image-guided) applications. These domains continue to develop into application specific systems with the goal of reaching the specificity and versatility of conventional surgical instruments.

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“…This study illustrates the potential of the robot to shorten the learning curve for surgeons in microsurgical skills training. Schiff et al 5 then followed up with the first randomized control trial comparing standard MVV and vasoepididymostomy to robot assisted procedures in a rat model. Although the patency rates were 100% in RAVV and robotic assisted vasoepididymostomy (RAVE) groups and 90% in MVV and microsurgical vasoepididymostomy (MVE) groups, this did not reach statistical significance due to the small sample size.…”

Section: Introduction and Historical Perspectivementioning

confidence: 99%

“…Schiff et al 5 then performed the first randomized prospective study comparing robotic assisted vasovasostomy (RAVV) and pure microsurgical vasovasostomy (MVV). This ground-breaking work clearly showed advantages of robotic assistance in terms of decreasing operative duration and decreasing sperm granuloma formation at the anastomosis.…”

Section: Introduction and Historical Perspectivementioning

confidence: 99%

Robotic assisted andrological surgery

Parekattıl¹,

Güdeloğlu²

2012

Asian J Androl

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The introduction of the operative microscope for andrological surgery in the 1970s provided enhanced magnification and accuracy, unparalleled to any previous visual loop or magnification techniques. This technology revolutionized techniques for microsurgery in andrology. Today, we may be on the verge of a second such revolution by the incorporation of robotic assisted platforms for microsurgery in andrology. Robotic assisted microsurgery is being utilized to a greater degree in andrology and a number of other microsurgical fields, such as ophthalmology, hand surgery, plastics and reconstructive surgery. The potential advantages of robotic assisted platforms include elimination of tremor, improved stability, surgeon ergonomics, scalability of motion, multi-input visual interphases with up to three simultaneous visual views, enhanced magnification, and the ability to manipulate three surgical instruments and cameras simultaneously. This review paper begins with the historical development of robotic microsurgery. It then provides an in-depth presentation of the technique and outcomes of common robotic microsurgical andrological procedures, such as vasectomy reversal, subinguinal varicocelectomy, targeted spermatic cord denervation (for chronic orchialgia) and robotic assisted microsurgical testicular sperm extraction (microTESE).

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Robotic Microsurgical Vasovasostomy and Vasoepididymostomy: A Prospective Randomized Study in a Rat Model

Cited by 89 publications

References 21 publications

The evolution and refinement of vasoepididymostomy techniques

The evolution and refinement of vasoepididymostomy techniques

Origins of Surgical Robotics: From Space to the Operating Room

Robotic assisted andrological surgery

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