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Tuesday, November 23, 2010

Know Art Technology Robotic Surgery

Posted by Hanny Evasari | Tuesday, November 23, 2010 | Category: |




Its history, starting from the use of needles to perform a biopsy on brain tissue in 1985 that relies on the robot (PUMA 560) with the help of CT scans to ensure the accuracy of puncture position. Then developed in 1992 is used for surgery of the prostate gland and some minimally invasive surgery in the orthopedic field. At present robots are widely used is the production of Intuitive Surgical da Vinci called the operation is supported by Computer Motion using the ZEUS robotic surgical system. This surgical tool has 3 main komponon; Surgeon's console in the form of computers, robots with a 4 arm / lever (1 to control the camera and 3 to move the instrument) and 3D vision system. Surgery doctor's hand movements as an operator who holds the remote control can be adjusted to fit the micro-movements on instrument inside a patient. Operating field conditions are shown on a computer monitor comes from a small camera with a magnification up to 25 times. With a sophisticated vision system makes the operator can precisely manipulate (hold, set aside, cut, clamped) network in the area of surgery using the robotic arms through a cannula into the patient's body part.
So there are 3 main advantages of the use of Robotic Surgery, namely: it could be run by remote control (not directly touch), minimally invasive and the operator does not need to be present in the operating room. Thus this operation can reduce pain, minimize the surgical wound incision, minimizing bleeding and shorten the time of post-operative care. Can be applied almost to all sub-areas of surgery such as cardiac surgery (cardiovascular), digestive surgery, urology, oncology, neurosurgery, pediatric and others are already well developed for surgery gynecologi. Recorded in America and Europe, the da Vinci Robotic Surgical System has been used more at 800 hospitals in 2006 to complete as many as 48,000 cases of surgery.
So what are the implications of this technique that allows doctors surgery Surgery can do remotely even thousands of kilometers (cross country) ..? Imagine, a doctor surgery in America is operating on patients who are in a hospital operating table in Jakarta, for example ... It is clear the obstacles too much! Either in relation to technical problems, such as dependency tool, electric impact, network-connected either telephone or the Internet-and others as well as ethical and legal issues. Patients no longer have contact with her doctor did not even know because there is no touch of physical examination and psychological relationships through the receipt of complaints, diagnose, advice and the advice of a doctor. From a legal standpoint, let alone the current, clear SIP (Practice Permit) does not allow a doctor delivering the services kesehaten elsewhere outside the permit area. Even if this technology can be smoothly in its application, it might be better if used for guidance, direction and technical assistance from the doctors surgery who have experienced a lot of colleagues who are relatively close touch and contact with the patient. How to practice like this is called tele-mentoring.
However, advances in technology that aims to facilitate users in the medical world sometimes it collided with the ethics of the medical profession itself. So still need a way or Stretegi to be able to use technology without sacrificing human values and ethics ....

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