Outpatient Surgery Magazine

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Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 99 of 122

1 0 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • N O V E M B E R 2 0 1 7 Over the past 5 years, I've repaired about 35 inguinal hernias using a robotic surgical system, which is a paltry number compared with the nearly 2,000 I've performed laparo- scopically throughout my career. But I'm confident those numbers will likely come closer together in the years ahead. Here's why. • Benefits to the patient. A robot- ic surgical system's 3D optics and precise motion are far superior to that of its laparoscopic counterpart, meaning there's much less of a chance of injuring surrounding structures. Also, the 360- degree rotation of the robotic wrist is vastly superior to the 180- degree rotation of the human wrist, so the arm articulation makes it easier to suture for seamless fixation. • Benefits to the surgeon. If you've mastered laparoscopic her- nia repair, there tends to be a relatively short learning curve with robotics. In addition, when you're using a robotics system, you're sitting at a console away from the patient's bedside — theoreti- cally, you could be doing the surgery on a patient who's across the country — and I find that little bit of distance makes the sur- gery less stressful. • Benefits to the surgical facility. A surgeon has only 2 hands, so in a laparoscopic case you need other people to hold the instruments for you. With a robotic case, I can essentially control 4 different arms holding the camera and the instruments, which ROBOTIC ARMS RACE Can Robotics Yield Better Outcomes in Hernia Repair? • AT EASE A surgeon might find that sitting at the robotics console, away from the patient's bedside, removes some stress from hernia repair surgery. Mark A. Reiner, MD

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