The Use of the Symani Surgical System® in Emergency Hand Trauma Care.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI:10.1177/15533506241262568
Nadjib Dastagir, Doha Obed, Martynas Tamulevicius, Khaled Dastagir, Peter Maria Vogt
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引用次数: 0

Abstract

Background: The use of robotic systems for microsurgery has gained popularity in recent years. Despite its drawbacks, such as increased learning time and lack of haptic feedback, robot-assisted microsurgery is beneficial for emergency care due to its reduced risk of tremor and fatigue. The Symani Surgical System® is 1 example of this advanced technology. The device offers a range of possibilities in the field of microsurgery by combining precision and dexterity, revolutionizing microsurgical procedures. This article explores the applications of the Symani in microsurgical procedures in emergency hand trauma care, highlighting its advantages and limitations. Material and Methods: We present the results of 62 anastomoses of blood vessels under .8 mm diameter after hand trauma. 31 anastomoses were conducted using the Symani Surgical System®, and the other 31 were done as a control group in hand-sewn technique. Study Sample: The patient characteristics, including sex, age, and risk factors, were matched. Results: We found no significant differences in the anastomosis surgery length when performed with the Symani (arterial 17.3 ± 1.9 min; venous 11.5 ± 1.3 min) vs the hand-sewn technique (arterial 16.1 ± 1.4 min; venous 10.2 ± 1.8 min). Additionally, the learning curve consistently decreased over time, with the 10th surgery taking 30% (arterial) less time. Conclusion: Our study indicates that robot-assisted microsurgery can help surgeons maintain a relaxed and focused state while producing results comparable to hand-sutured procedures in emergency care.

在手部创伤急救护理中使用 Symani Surgical System®。
背景:近年来,使用机器人系统进行显微外科手术越来越受欢迎。尽管机器人辅助显微外科手术存在学习时间增加和缺乏触觉反馈等缺点,但由于其降低了震颤和疲劳的风险,因此对急诊护理十分有益。Symani Surgical System® 就是这种先进技术的一个实例。该设备结合了精确性和灵巧性,为显微外科领域提供了一系列可能性,彻底改变了显微外科手术。本文探讨了 Symani 在手部创伤紧急护理显微外科手术中的应用,重点介绍了其优势和局限性。材料与方法:我们展示了 62 例手部创伤后直径小于 0.8 毫米的血管吻合术的结果。其中 31 例采用 Symani Surgical System® 进行吻合,另外 31 例作为对照组采用手缝技术进行吻合。研究样本:患者特征,包括性别、年龄和风险因素,均匹配。研究结果我们发现,使用 Symani(动脉 17.3 ± 1.9 分钟;静脉 11.5 ± 1.3 分钟)与使用手缝技术(动脉 16.1 ± 1.4 分钟;静脉 10.2 ± 1.8 分钟)进行吻合手术的时间长度没有明显差异。此外,随着时间的推移,学习曲线持续下降,第 10 次手术花费的时间减少了 30%(动脉)。结论我们的研究表明,机器人辅助显微外科手术可以帮助外科医生保持放松和专注的状态,同时在急诊护理中取得与手工缝合手术相当的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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