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Tele-endomicrosurgery

  • Sybille Facca
  • Kiyohito Naito
  • Thierry Lequint
  • Eric Nectoux
  • Philippe LiverneauxEmail author
Chapter

Abstract

Characteristics of robots are well adapted to open telemicrosurgery: suppression of physiological tremor, optical magnification of the surgeon’s movements and improved ergonomics of the console. The aim of this work is to study the feasibility of limb tele-endomicrosurgery by means of a tele-endomicrosurgical median nerve repair model in the forearm.

The forearm of a fresh defrosted human cadaver forearm was placed in the supine position, the body of the robot on the radial aspect of the limb and the instruments being the ulnar side. Five approaches converged toward a central cavity created with dissecting scissors anterior to the median nerve. Then an experimental laceration of the median nerve was performed. Sutures repair was performed with epiperineural stitches of 10/0 nylon using two Black Diamond® forceps and Potts® scissors.

Tele-endomicrosurgical suture of the median nerve presented no particular technical problem. However, several difficulties were encountered while performing the approach to the median nerve.

Peripheral nerve, vascular and tendinous surgery could very well benefit from and evolve toward less invasive techniques. On reading our results, it seems that a tele-endomicrosurgery feasibility concept has been demonstrated.

Keywords

Median Nerve Suture Repair Intuitive Surgical Ulnar Side Physiological Tremor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Reference

  1. 1.
    Kaouk JH, Goel RK, Haber GP (2009) Robotic single-port trans-umbilical surgery in humans: initial report. BJU Int 103:366–369PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • Sybille Facca
    • 1
  • Kiyohito Naito
    • 1
    • 2
  • Thierry Lequint
    • 1
    • 3
  • Eric Nectoux
    • 4
  • Philippe Liverneaux
    • 1
    • 5
    Email author
  1. 1.Department of Hand SurgeryStrasbourg University HospitalsIllkirch, StrasbourgFrance
  2. 2.Department of OrthopaedicsJuntendo UniversityTokyoJapan
  3. 3.Department of OrthopaedicsGrand HôpitalCharleroiBelgium
  4. 4.Department of Children’s Surgery and OrthopaedicsLille University Hospital, Lille 2 Nord de France UniversityLilleFrance
  5. 5.European Institute of TeleSurgery, IRCADStrasbourgFrance

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