06/Nov/2024
Robotic cardiac surgery for removal of iliac venous stent embolized in the right cardiac chambers: a case report
DOI: 10.31744/einstein_journal/2024RC0943
ABSTRACT A 42-year-old female patient with a surgical history of iliac venous angioplasty with stenting developed dyspnea on exertion 9 months later. Chest computed tomography angiography revealed a fractured vascular stent in the right cardiac chamber. Doppler echocardiography confirmed that the stent was anchored by the tricuspid valve, causing mild obstruction of the right ventricular filling. The patient underwent robot-assisted cardiac surgery with stent removal, annuloplasty under general anesthesia, and cardiopulmonary bypass via an axillary incision. No sternotomy, cardioplegia, or […]
Keywords: Angioplasty; Dyspnea; Endovascular procedures; Minimally invasive surgical procedures; Robotic surgical procedures; Stents/adverse effects
20/Aug/2024
Current status of laparoscopy teaching in gynecology and obstetrics medical residency in Brazil
DOI: 10.31744/einstein_journal/2024AO0458
Highlights Only 20% of the medical residency programs have laparoscopic teaching. Preceptors of the residency programs have advanced experience. Most programs have no plan to set up a training center. Resideny programs are concentrated in the Southeast region and in capitals. ABSTRACT Objective: To characterize laparoscopy teaching in Medical Residency Programs in Gynecology and Obstetrics in Brazil, and to evaluate preceptors’ characteristics in laparoscopy programs and map laparoscopic training practice scenarios. Methods: This descriptive cross-sectional study evaluated questionnaire responses from […]
Keywords: Brazil; Education, medical; Health Knowledge, Attitudes, Practice; Internship and residency; Laparoscopy; Minimally invasive surgical procedures; Surveys and questionnaires
29/Jul/2024
Hernia 3D training model: a new inguinal hernia 3D-printed simulator
DOI: 10.31744/einstein_journal/2024AO0620
Highlights The model was considered simple, realistic, and capable of precisely simulating inguinal anatomy. Recreating the inguinal region in a more anatomical manner without increasing costs is possible. The model could be a good option, particularly beneficial for training surgeons at the beginning of their careers. ABSTRACT Objective: To evaluate the functionality and quality of the anatomical representation of the hernia 3D training model. Methods: A model was created based on subtraction data derived from computed tomography scans of the […]
Keywords: Hernia, inguinal; Minimally invasive surgical procedures; Printing, three-dimensional; Simulation training
17/Apr/2024
Robotic and Plastic Surgery: actuality and prospects for the near future, a scoping review
DOI: 10.31744/einstein_journal/2024RW0710
ABSTRACT Objective This work aims to review the existing use of robotics in plastic surgery. Methods A meticulous selection process identified 22 articles relevant to this scoping review. Results The literature on the use of robotics in plastic surgery is sparse. Nonetheless, this review highlights emerging benefits in microsurgery, breast reconstruction, and transoral surgery. Conclusion This scoping review identifies critical articles reporting the emerging use of robotics in plastic surgery. While the scientific medical community has yet to extensively document […]
Keywords: Microsurgery; Minimally invasive surgical procedures; Robotic surgical procedures; Surgery, plastic
02/Feb/2022
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations
DOI: 10.31744/einstein_journal/2022AO6318
ABSTRACT Objective To describe the technical specificities and feasibility of simulation of minimally invasive spine surgery in live pigs, as well as similarities and differences in comparison to surgery in humans. Methods A total of 22 Large White class swine models, weighing between 60 and 80kg, were submitted to surgical simulations, performed during theoretical-practical courses for training surgical techniques (microsurgical and endoscopic lumbar decompression; percutaneous pedicular instrumentation; lateral access to the thoracic spine, and anterior and retroperitoneal to the lumbar […]
Keywords: Decompression, surgical; Microsurgery; Minimally invasive surgical procedures; Models, animal; Orthopedic procedures; Simulation training; Spine/surgery; Swine
01/Jan/2016
Advances in fetal surgery
DOI: 10.1590/S1679-45082016MD3449
ABSTRACT This paper discusses the main advances in fetal surgical therapy aiming to inform health care professionals about the state-of-the-art techniques and future challenges in this field. We discuss the necessary steps of technical evolution from the initial open fetal surgery approach until the development of minimally invasive techniques of fetal endoscopic surgery (fetoscopy).
Keywords: Fetoscopy/methods; Fetus/surgery; Meningomyelocele; Minimally invasive surgical procedures; Spinal dysraphism
18/Sep/2015
Single-port robotic cholecystectomy. Initial and pioneer experience in Brazil
einstein (São Paulo). 18/Sep/2015;13(4):607-10.
View Article18/Sep/2015
Single-port robotic cholecystectomy. Initial and pioneer experience in Brazil
DOI: 10.1590/S1679-45082015RC3275
The technique of a single-port laparoscopy was developed over the last years as an attempt to lower surgical aggression and improve the aesthetic results of the minimally invasive surgery. A new robotic platform used with the da Vinci® Robotic System Single-Site System® (Intuitive Surgical, Sunnyvale, California, United States) was recently launched on the global market and is still not documented in Brazil. The authors report on the first four robotic single-port cholecystectomies performed with this da Vinci® Robotic System in […]
Keywords: Cholecystectomy; Cholecystectomy/methods; Gallbladder; Gallbladder diseases; Minimally invasive surgical procedures