Robotics in Indian Urology: Evolution, Clinical Applications and Future Direction| Chapter 6 | Newer Frontiers in Urology, Volume III

 

Laparoscopy, by the 1990s, had become standard for many urological procedures, but it had intrinsic limitations: two-dimensional vision, limited instrument articulation, tremor, and surgeon fatigue, especially in deep pelvic dissections. Robotic systems were developed to overcome these barriers, offering new levels of precision and control. Robotic systems combine the minimal invasiveness of laparoscopic surgery with enhanced dexterity, three-dimensional magnified vision, tremor filtering, and ergonomic advantages that preserve surgeon precision over long operations. In this chapter, the study expands our understanding of robotics in Indian urology by tracing its evolution and technological developments, examining its clinical applications in both oncology and reconstructive surgery, exploring its advantages and limitations, reviewing training and credentialing, and outlining recent advances and future directions. Robotic technology has permeated nearly every subspecialty of urology. Although its initial appeal was confined to oncological surgery—especially prostate and kidney cancer—its role now extends to reconstructive, functional, and even pediatric urology. The combination of tele-robotics and indigenous cost-effective systems could make complex urological surgery feasible even in government hospitals serving semi-urban populations. Robotic platforms now integrate indocyanine green (ICG) fluorescence imaging, which assists in vascular mapping during partial nephrectomy, delineating renal vasculature and collecting systems. Indian surgeons increasingly use real-time fluorescence to ensure complete tumour excision while minimising ischemia.

 

 

Author(s) Details

Vivek Meyyappan
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Velmurugan Palaniyandi
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Hariharasudhan Sekar
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Sriram Krishnamoorthy
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Please see the book here :- https://doi.org/10.9734/bpi/mono/978-93-47485-93-0/CH6

Management of Perforated Peptic Ulcer: A Review of Operative and Non-operative Approaches | Chapter 6 | Medical Science: Updates and Prospects Vol. 2

 

Perforated peptic ulcer represents the second most prevalent complication associated with peptic ulcer disease, and its management is categorised into surgical and non-surgical approaches. Surgical intervention encompasses the closure of the ulcer utilising an omental patch, which can be executed through either open or laparoscopic techniques. In cases of larger ulcers, surgical resection in the form of partial gastrectomy is performed. Non-surgical treatment modalities include the administration of intravenous antibiotics, endoscopy, and stent placement, primarily reserved for patients deemed unsuitable for surgical intervention. Eradication of Helicobacter pylori is another area where intervention may enhance clinical outcomes and reduce the risk of ulcer recurrence. It is imperative that the surgical treatment of a perforated peptic ulcer is not delayed, as postponement can lead to increased mortality. This review aims to examine the role of laparoscopic surgery in the management of perforated peptic ulcers. Additionally, it will explore the significance of non-operative treatment and the eradication of Helicobacter pylori in the management of perforated peptic ulcers.

 

 

Author(s) Details

Kumar H.R.
Taylor University School of Medicine and Health Science, 47500 Subang Jaya, Malaysia.

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v2/6716

Findings of Hernia Repair Procedure in Iraqi Children: A Cross-Sectional Study | Chapter 9 | Recent Updates in Disease and Health Research Vol. 6

 

Background: Inguinal herniorrhaphy with pediatric surgeons has been performed with more variability, according to prior investigations and their experience. One of the most prevalent conditions in children and young adults is an inguinal hernia. For full-term and preterm newborns, the estimated prevalence rates of inguinal hernia are 1-5% and 9-11%, correspondingly.

Aim: This paper aims to analyze a cross-sectional study to detect the findings of hernia repair procedures in Iraqi children.

Patients and Methods: This paper was conducted in different hospitals in Iraq from 15th September 2021 to 17th December 2021 as a cross-sectional study to analyze cross-sectional study to detect the findings of hernia in Iraqi children. This study contained 54 patients, which were separated into two kinds of groups. The first group included 27 patients who had open surgery, while the second group had 27 patients who were present patients who had laparoscopic surgery. The databases collected were analyzed and plotted by the SPSS program.

Results and Discussion: In this study, we examine the results of two techniques for hernia repair in young girls and boys. The results showed that although laparoscopic surgery and open surgery had different post-operative problems, open surgery required less time to complete an inguinal hernia repair in patients than laparoscopic surgery did. The incidence of pre-operative and post-operative problems varied across the two research groups in our study. In comparison to previous studies, our study showed different results, which found the success of open surgery in comparing with laparoscopic surgery where the post-operative complications of open surgery were lower with laparoscopic surgery.

Conclusion: The findings generally demonstrated that even though the preoperative and postoperative problems of the two repair techniques were very close to one another. However, when safety for hernia repair in children under six years old was taken into consideration, herniotomy opening surgery took a little less time to perform than laparoscopic surgery.

 

Author(s) Details:-

 

Ali Abdulhussein Sabri Al Edani
MRCS Iraqi Ministry of Health, Basra Health Directorate, Basra Children Teaching Speciality Hospital, Basra, Iraq.

 

Adil Abdulmajeed Hassan
Iraqi Ministry of Health, Kirkuk Health Directorate, Maternity and Pediatric Hospital, Kirkuk, Iraq.

 

Waleed Khalid Ahmed Al-Jumaili
Iraqi Ministry of Health, Al Anbar Health Directorate, Al-Fallujah Teaching Hospital, Anbar, Iraq.

 

Please see the link here:  https://doi.org/10.9734/bpi/rudhr/v6/177

Management of Cecocutaneous Fistula Following Appendicectomy by Laparoscopic/Minimally Invasive Approach | Chapter 15 | New Advances in Medicine and Medical Science Vol. 2

 The administration of appendicitis with appendicectomy is very common in surgical practice. A very precious and recognized difficulty of appendicitis and appendicectomy is the formation of an enterocutaneous fistula. The management of enterocutaneous fistula changes depending on the production of the fistula, its location, the asperity of the disease and the patient's characteristics etc. They maybe managed discreetly or surgically. Traditional surgical management demands laparotomy with bowel redistribute and anastomosis. Here, we describe a 43-period-old gentleman the one had cecocutaneous fistula on the background of an former open appendectomy. He had laparoscopic fistula excision with more necessary wedge medical procedure of the affected bowel. With advances in littlest invasive surgery, laparoscopic approach is chosen option existing due to early recovery and abated morbidity. At this moment paper we also reviewed the administration of enterocutaneous fistula.

Author(s) Details:

Himanshu Shekhar,
Department of Minimal Access Surgery, Apollo Hospitals, Chennai, India.

Prasanna Kumar Reddy,
Department of Minimal Access Surgery and Surgical Gastroenterology, Apollo Hospitals, Chennai, India.

Raghavendra,
Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India.

T. G. Balachandar,
Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India.

Please see the link here: https://stm.bookpi.org/NAMMS-V2/article/view/10633

A Mini-Review on Current Management Options in Caesarean Scar Ectopic Pregnancy | Chapter 03 | Issues and Developments in Medicine and Medical Research Vol. 3

 Scar ectopic pregnancy is difficult to diagnose since patient symptoms vary widely, with one-third of patients asymptomatic at the time of diagnosis. Scar ectopic pregnancy has been treated using a variety of approaches. To treat patients with scar ectopic pregnancy, a variety of surgical options are available, including D&C and scar ectopic pregnancy excision via abdominal, laparoscopic, or hysteroscopic surgery. The only way to get rid of it for good is to have a hysterectomy.

Author(S) Details

M. Asiri
King Saud Medical City Maternity Hospital, Saudi Arabia.

View Book:- https://stm.bookpi.org/IDMMR-V3/article/view/5464

A Review on Minimally Invasive Right Colectomy from Conventional Laparoscopic Resection to Robotic-Assisted Surgery | Chapter 1 | Recent Developments in Medicine and Medical Research Vol. 12

 The goal of robotic-assisted abdominal surgery was to overcome the limitations of the traditional laparoscopic technique. The current narrative review compares the short and long-term results, costs, and learning curve of laparoscopic versus robotic-assisted techniques for right colectomy (RC). The main technical issues of using robotic assistance for this treatment are explored in further detail. The introduction of next-generation optics (3D, 4K) and more ergonomic instruments can be seen as a step forward in terms of technical facilitation. Because of the unique vascular structure of the right and middle colics, minimally invasive RC is considered technically tough. Due to the high prices and operating times, robotic RC has failed to gain traction. Its use, on the other hand, may have advantages in terms of short-term clinical outcomes and facilitates the acquisition of basic surgical skills, thus shortening the learning curve of minimally invasive colorectal surgery.

Author(S) Details

Dilip M. Chafle
Research Centre of Taywade College, Koradi, Dist. Nagpur (441111), India.

Carmen Payá-Llorente
Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.

Lelde Lauka
Department of Digestive and Hepatobiliary Surgery, Henri-Mondor Hospital, University Paris Est-Créteil – UPEC, Créteil, 94010, France.

Elisa Reitano
Department of Digestive and Hepatobiliary Surgery, Henri-Mondor Hospital, University Paris Est-Créteil – UPEC, Créteil, 94010, France.

Riccardo Memeo
Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari, Italy.

Paschalis Gavriilidis
Department of Hepato-Biliary-Pancreatic and Oesophago-Gastric Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London W12 0HS, UK.

Francesco Brunetti
Department of Digestive and Hepatobiliary Surgery, Henri-Mondor Hospital, University Paris Est-Créteil – UPEC, Créteil, 94010, France.

Aleix Martínez-Pérez
Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.

View Book:- https://stm.bookpi.org/RDMMR-V12/article/view/4667

Hand Assisted Laparoscopic Surgery: An Updated Descriptive Overview | Chapter 4 | Research Trends and Challenges in Medical Science Vol. 5

 Introduction: Hand assisted laparoscopic surgery is an updated highly advanced version oflaparoscopic technique. Such technique bridges the gap between traditional surgery and totallaparoscopic surgery. Introduction of the hand intracorporeally enhanced the degree of freedom,hence, a remarkable degree of precision and safety in task performance. Clinical and experimental studies confirmed safe use of the hand with insufflation pressure enhancing dexterity as well as a steep learning curve. Therefore, the author made an overview analysis to the factors related to safety; efficiency; dexterity; instrumentation and cost-effectiveness for the use of hand assisted laparoscopic surgery; with an emphasis on live donor nephrectomy.

Results and Discussion: Prospective studies made by Kolvenbach on the use of hand assistedlaparoscopic surgery in aortic aneurysm repair proved high degree of safety and efficiency as well as cost effectiveness. Several studies highlighted a multitude of factors significantly contributing into a high degree of precision and task performance; which reflected on uneventful enhanced recovery programme. The introduction of either hand intracorporeally enhanced the limited degree of freedom for the current laparoscopic tools. There are various hand port devices of which the pros and cons for each port will be discussed in detail. The author’s experimental studies confirmed that optimum safe insufflation pressure would be 10 mm Hg with no leak from the hand port and optimum dexterity and task performance.

Conclusion: Hand assisted laparoscopic surgery is a safe and efficient technique. It significantly
enhances concept of Enhanced Recovery programme. Raising public awareness can provide a high
impact in enhancing live donor nephrectomy; hence reducing the inexorable renal transplant waiting
list for patients with end stage renal disease. Such patients are at progressive rise of mortality risk
with prolonged waiting list

Author (s) Details

Elenin Haussam
Queen’s University Teaching Hospitals; Antrim Area Hospital, Northern Ireland, UK

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/264