Advertisement

Skin Flaps

  • Thomas LauwersEmail author
  • Tom Van Mulken
  • Darren Booi
Chapter

Abstract

This chapter presents the application of robotic microsurgery with the example of a free groin flap to resolve recurrent problems at the donor site of a previous pedicled radial forearm flap to cover a defect on the dorsal hand. The discussion shows the particular aspects of this kind of surgery: the quality of 3D vision, the absence of haptic feedback and its implications and its consequences. Other aspects such as the availability and the costs of the instrumentation are discussed, as well as the perspectives of the evolution of robot-assisted microsurgery (telemicrosurgery).

Keywords

Visual Feedback Haptic Feedback Dorsal Hand Free Flap Reconstruction Surgeon Console 
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.

References

  1. 1.
    Bourges JL, Hubschman JP, Burt B et al (2009) Robotic microsurgery: corneal transplantation. Br J Ophthalmol 93:1672–1675PubMedCrossRefGoogle Scholar
  2. 2.
    Boyd B, Umansky J, Samson M et al (2006) Robotic harvest of internal mammary vessels in breast reconstruction. J Reconstr Microsurg 22:261–266PubMedCrossRefGoogle Scholar
  3. 3.
    Caillet M, Vandromme J, Rozenberg S et al (2010) Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study. Fertil Steril 94:1844–1847PubMedCrossRefGoogle Scholar
  4. 4.
    Csókay A, Valálik I, Jobbágy A (2009) Early experiences with a novel (robot hand) technique in the course of microneurosurgery. Surg Neurol 71:469–472PubMedCrossRefGoogle Scholar
  5. 5.
    Karamanoukian RL, Bui T, McConnell MP et al (2006) Transfer of training in robotic-assisted microvascular surgery. Ann Plast Surg 57:662–665PubMedCrossRefGoogle Scholar
  6. 6.
    Katz R, Taylor J, Rosson G et al (2006) Robotics in plastic and reconstructive surgery: use of a telemanipulator slave robot to perform microvascular anastomoses. J Reconstr Microsurg 22:53–57PubMedCrossRefGoogle Scholar
  7. 7.
    Katz RD, Rosson GD, Taylor JA et al (2005) Robotics in microsurgery: use of a surgical robot to perform a free flap in a pig. Microsurgery 25:566–569PubMedCrossRefGoogle Scholar
  8. 8.
    King CH, Culjat MO, Franco ML et al (2009) A multi-element tactile feedback system for robot-assisted minimally invasive surgery. IEEE Trans Haptics 2:52–56CrossRefGoogle Scholar
  9. 9.
    King CH, Culjat MO, Franco ML et al (2009) Tactile feedback induces reduced grasping force in robotic surgery. IEEE Trans Haptics 2:103–110CrossRefGoogle Scholar
  10. 10.
    Margossian H, Garcia-Ruiz A, Falcone T et al (1998) Robotically assisted laparoscopic ­microsurgical uterine horn anastomosis. Fertil Steril 70:530–534PubMedCrossRefGoogle Scholar
  11. 11.
    Nectoux E, Taleb C, Liverneaux P (2009) Nerve repair in telemicrosurgery: an experimental study. J Reconstr Microsurg 25:261–265PubMedCrossRefGoogle Scholar
  12. 12.
    Panchulidze I, Berner S, Mantovani G et al (2011) Is haptic feedback necessary to microsurgical suturing? Comparative study of 9/0 and 10/0 knot tying operated by 24 surgeons. Hand Surg 16:1–3PubMedCrossRefGoogle Scholar
  13. 13.
    Parekattil SJ, Atalah HN, Cohen MS (2010) Video technique for human robot-assisted ­microsurgical vasovasostomy. J Endourol 24:511–514PubMedCrossRefGoogle Scholar
  14. 14.
    Sangpradit K, Liu H, Dasgupta P et al (2011) Finite element modelling of soft tissue rolling indentation. IEEE Trans Biomed Eng 58:3319–3327PubMedCrossRefGoogle Scholar
  15. 15.
    Van der Hulst RR, Sawor J, Bouvy NJ (2007) Microvascular anastomosis: is there a role for robotic sugery? J Plast Reconstr Aesthet Surg 60:101–102PubMedCrossRefGoogle Scholar
  16. 16.
    Woo YJ (2006) Robotic cardiac surgery. Int J Med Robotics Comput Assist Surg 2:225–232CrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  1. 1.Department of Plastic, Reconstructive and Hand SurgeryUniversity Hospital MaastrichtMaastrichtThe Netherlands

Personalised recommendations