Comparison of robotic‐assisted versus conventional unicompartmental knee arthroplasty for the treatment of single compartment knee osteoarthritis: A meta‐analysis

xlomafota13 shared this article with you from Inoreader Comparison of robotic‐assisted versus conventional unicompartmental knee arthroplasty for the treatment of single compartment knee osteoarthritis: A meta‐analysis Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background The robotic‐assisted unicompartmental knee arthroplasty (UKA) is proposed to improve the accuracy of component positioning. Methods We conducted a literature search in Medline, Embase, Web of Science and the Cochrane Library until April 2020. Results Our meta‐analysis included 10 articles, involving 1231 knees. Our meta‐analysis demonstrated that the robotic group had significantly better results in outliers of limb alignment (p < 0.001) and outliers of tibial alignment (p < 0.001). No statistical differences were found in the American Knee Society Score (p = 0.63), range of motion (p = 0.93), pain (p = 0.27), rate of revisions (p = 0.73) and rate of complications (p = 0.67). Conclusions Robotic‐assisted UKA has better component position accuracy compared with conventional UKA. But there was no significant difference in clinical results. In order to further evaluate the utility of robotic‐assisted UKA, long‐term follow‐up randomized controlled trials (RCTs) are needed, as well as studies to evaluate the correlation between postoperative alignment and long‐term clinical results. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

A study on autonomous suturing task assignment in robot‐assisted minimally invasive surgery

xlomafota13 shared this article with you from Inoreader A study on autonomous suturing task assignment in robot‐assisted minimally invasive surgery Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background Sutures are a set of standard actions which are accomplished by multi‐instruments, researchers studied the robot autonomy of suturing, which was based on movement planning completed by a single instrument, but did not consider the assignment of suturing tasks to instruments. Method A method was proposed for the autonomous suturing task assignment to instruments, which built a comprehensive evaluation index under some constraint conditions to determine the optimal scheme of the suturing task assignment to instruments. Results An experiment of duodenal ulcer repair with a suturing operation was conducted under the guidance of a surgeon, and the results showed that the optimal scheme of the suturing task assignment was obtained by using the proposed method. Conclusions The proposed method can be used for autonomous suturing task assignment, which is beneficial for improving the intelligence of robot operation. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Open versus robot‐assisted partial nephrectomy: A longitudinal comparison of 880 patients over 10 years

xlomafota13 shared this article with you from Inoreader Open versus robot‐assisted partial nephrectomy: A longitudinal comparison of 880 patients over 10 years Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background Most comparisons between robot‐assisted partial nephrectomy (RAPN) and open partial nephrectomy (OPN) indicate the superiority of RAPN, but the learning curve is often not considered. Methods All consecutive partial nephrectomies from the very first RAPN at a single tertiary referral centre (n = 818, 500 RAPN vs. 313 OPN) were retrospectively analyzed. Complications, success rates and surgical outcomes were compared. Inequalities between cohorts and the inherent learning curve were controlled by subgroup comparisons, regression analyses, and propensity score matching. Results Overall, RAPN had fewer complications, less blood loss, and shorter length of stay. However, an inherent learning curve caused higher complications for the first 4 years. Thereafter, perioperative outcomes clearly favoured RAPN, even for more complex tumours. Conclusions In one of the largest monocentric cohorts over more than 10 years, RAPN was found to be superior to OPN. However, not all advantages of RAPN are immediate because a learning curve must be passed. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Uptake and accessibility of surgical robotics in England

xlomafota13 shared this article with you from Inoreader Uptake and accessibility of surgical robotics in England Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background The distribution, utilisation and accessibility of surgical robotics in England is unknown. Methods A nationwide Freedom of Information (FOI) request was sent to all acute National Health Service (NHS) trusts. Accessibility was assessed for 32 843 Lower Super Output Areas in England. Results All 149 acute NHS trusts responded to the FOI request. Sixty‐one robots are distributed between 48 trusts. The number of robots and robotic procedures has increased annually. Urological procedures comprise 84.2% of robotic procedures. Procedure volume varies between robotic centres ranging from 1 to 683 in 2018. Over 2.4 million people have a travel time of over 1 hour to their nearest robotic centre. Discussion National accessibility to robotic services and case volumes are variable and does not represent good value for the NHS. A national robotic surgery registry could improve the quality of robotic surgery and is needed to dynamically assess national provision of this technology. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Indirect visual guided fracture reduction robot based on external markers

xlomafota13 shared this article with you from Inoreader Indirect visual guided fracture reduction robot based on external markers Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background Traditional fracture reduction surgery cannot ensure the accuracy of the reduction while consuming the physical strength of the surgeon. Although monitoring the fracture reduction process through radiography can improve the accuracy of the reduction, it will bring radiation harm to both patients and surgeons. Methods We proposed a novel fracture reduction solution that parallel robot is used for fracture reduction surgery. The binocular camera indirectly obtains the position and posture of the fragment wrapped by the tissue by measuring the posture of the external markers. According to the clinical experience of fracture reduction, a path is designed for fracture reduction. Then using position‐based visual serving control the robot to fracture reduction surgery. The study is approved by the ethics committee of the Rehabilitation Hospital, National Research Center for Rehabilitation Technical Aids, Beijing, China. Results Ten virtual cases of fracture were used for fracture reduction experiments. The simulation and model bone experiments are designed respectively. In model bone experiments, the fragments are reduced without collision. The angulation error after the reduction of this method is 3.3° ± 1.8°, and the axial rotation error is 0.8° ± 0.3°, the transverse stagger error and the axial direction error after reduction is 2 ± 0.5 mm and 2.5 ± 1 mm. After the reduction surgery, the external fixator is used to assist the fixing, and the deformity will be completely corrected. Conclusions The solution can perform fracture reduction surgery with certain accuracy and effectively reduce the number of radiographic uses during surgery, and the collision between fragments is avoided during surgery. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Outcomes and complications of radical cystectomy with ileal conduit urinary diversion: A comparison between open, semi‐robotic and totally robotic surgery

xlomafota13 shared this article with you from Inoreader Outcomes and complications of radical cystectomy with ileal conduit urinary diversion: A comparison between open, semi‐robotic and totally robotic surgery Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background It was aimed to compare open versus robotic‐assisted radical cystectomy (RARC) with intracorporeal ileal conduit (ICIC), versus RARC with extracorporeal ileal conduit (ECIC) formation for bladder cancer. Materials and Methods Open, RARC‐ECIC and RARC‐ICIC groups were compared in terms of patient demographics, operative and postoperative parameters, pathological parameters, complications and functional outcomes. Results Mean operative times were lower in the RARC‐ECIC group (p = 0.004). Mean estimated blood loss was significantly lower (p < 0.01) in the robotic groups. The blood transfusion was lower in RARC‐ICIC groups (p < 0.001). Rates of stage pT3–4 disease were the highest in the RARC‐ICIC group (p = 0.004). LOS was significantly shorter in the RARC‐ICIC group (p = 0.01). Numbers of Clavien 3–5 complications were lower in the robotic groups (p = 0.012). Conclusions RARC and ICIC is a complex procedure involving an increased operation time but with the advantages of lower estimated blood loss, transfusion rates, complications and hospital stays compared with open surgery. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Dynamic Model and Control for A Cable‐driven Continuum Manipulator Used for Minimally Invasive Surgery

xlomafota13 shared this article with you from Inoreader Dynamic Model and Control for A Cable‐driven Continuum Manipulator Used for Minimally Invasive Surgery Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background Due to its unique flexible and dexterity, continuum robot has been widely used in small constrained environment. However, those advantages also bring that Motion modeling and accurate control for the continuum robot is more complicated and tedious. A dynamic model and control strategy is presented for improving its control performance. Methods The kinematics and velocity model of the robot is derived. And the inertial force, elastic force, gravity and actuation force applied to the continuum robot are analyzed, respectively. Meanwhile, the friction in drive system is investigated and dynamic model is established by the Kane's method. Finally, a motion control strategy is proposed based on this model to verify the dynamic model. Results Results of the simulation and experiment of a prototype verify the proposed model and its control method. Conclusions The proposed model and control strategy can be used to achieve the bending deformation of the robot. This article is protected by copyright. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

A Body‐Mounted Device for MRI‐Guided Spinal Therapy

xlomafota13 shared this article with you from Inoreader A Body‐Mounted Device for MRI‐Guided Spinal Therapy Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease with no cure and limited treatment options. Recent studies have shown that delivering cellular therapeutics to the ventral horn of the spinal cord can effectively halt neurodegeneration associated with ALS in small animal models. Methods We developed a robotic system that assists with MRI‐guided percutaneous injections to the spinal cord. The needle positioning robot consists of two linear axes with motorized translational sleds for two‐degree‐of‐freedom (2‐DOF) needle translation and a radial template for 2‐DOF discrete rotation. Results The robot's targeting capability, evaluated using phantom models and swine cadavers, showed mean targeting errors of 0.48 mm and 2.84 mm, respectively. The duration of the targeting procedure is approximately 60 minutes, with an extra 10 minutes for each additional injection. Conclusions The presented robot does not affect imaging quality during MRI‐guided procedures, and it enables a simplified workflow for MRI‐guided spinal therapy. This article is protected by copyright. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Parotid Swelling Presenting as Branchial Cleft Cyst

xlomafota13 shared this article with you from Inoreader A Rare Case of Parotid Swelling Presenting as Branchial Cleft Cyst Via Otolaryngology Indian Abstract First brachial cleft cyst arise due to incomplete fusion of first and second brachial arches. It is classified into type 1, which is thought to arise from the duplication of the membranous external ear canal and are composed of ectoderm only, and type 2 that have both ectoderm and mesoderm which presents as parotid swelling. As it is rare it is easily misdiagnosed and mismanaged. First branchial cleft cyst are rare causes of parotid swellings as in this case reports. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Kurative Radiochemotherapie von Kopf-Hals-Tumoren

xlomafota13 shared this article with you from Inoreader Kurative Radiochemotherapie von Kopf-Hals-Tumoren Via Laryngo-Rhino-Otologie Laryngorhinootologie DOI: 10.1055/a-1351-0417 Radio- und Chemotherapie stellen sowohl als definitiver Therapieansatz als auch im adjuvanten Setting wesentliche Bestandteile der Behandlung von malignen Kopf-Hals-Tumoren dar. Der Behandlungserfolg ist hier wesentlich abhängig von Auswahl und Dosierung der verwendeten Substanzen sowie vom spezifischen radiotherapeutischen Setting in Bezug auf Fraktionierung, Therapiegesamtdauer und Bestrahlungstechnik.Hinzu kommen Untersuchungen zur immunologisch basierten Therapie und strahlentherapeutischen Modifikation durch Evaluation der Partikeltherapie innerhalb oder additiv zu etablierten Behandlungskonzepten. Die Therapie HPV-induzierter Tumoren stellt aufgrund der differenten Tumorbiologi e und des damit verbundenen verbesserten Gesamtüberlebens eine weitere aktuell untersuchte therapeutische Herausforderung dar. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Telephone triage is effective in identifying nasal fractures that require manipulation

xlomafota13 shared this article with you from Inoreader Telephone triage is effective in identifying nasal fractures that require manipulation Via Clinical Otolaryngology Abstract Acute nasal fracture is one of the commonest referrals to the ENT emergency clinic. Many patients attending the clinic reported little or no change in the external appearance of their nose, so a telephone triage service was developed to identify patients that would benefit from a face‐to‐face appointment for manipulation. The telephone triage system led to a reduction in nasal fracture face‐to‐face appointments by half (from 16.8% to 8.5% of the total). Patients that underwent a review after a telephone triage had a greater requirement for manipulation (49.7% compared to 29.6% in the control group). The telephone triage strategy led to a two‐fold improvement in utilisation of outpatient capacity in the National Health Service by reducing the need for face‐to‐face appointments, and by decreasing patients' non‐attendance to their appointments. Although in place prior to the coronavirus disease 2019 pandemic, the telephone triage service was particularly useful as an alternative way of working to reduce the need for face‐to‐face interaction. Further work is needed to explore the scope of telemedicine in ENT. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Complications following titanium cranioplasty compared with nontitanium implants cranioplasty: A systematic review and meta-analysis.

xlomafota13 shared this article with you from Inoreader Complications following titanium cranioplasty compared with nontitanium implants cranioplasty: A systematic review and meta-analysis. Via leak of cerebrospinal fluid Related Articles Complications following titanium cranioplasty compared with nontitanium implants cranioplasty: A systematic review and meta-analysis. J Clin Neurosci. 2021 Feb;84:66-74 Authors: Zhu S, Chen Y, Lin F, Chen Z, Jiang X, Zhang J, Wang J Abstract Decompressive craniectomy is widely used to treat medically refractory intracranial hypertension. There were still few studies focusing on the complications between titanium cranioplasty with non-titanium materials cranioplasty. Our systematic review and meta-analysis aimed to assess the complications following titanium cranioplasty and to make a comparison with nontitanium materials. A systematic review was used to review titanium cranioplasty characters in recent articles. A systematic literature review and meta-analysis were performed by using PubMed/MEDLINE, Scopus, the Cochrane databases and Embase for studies reporting on cranioplasty procedures that compared complication outcomes between titanium with non-titanium materials. The final 15 studies met inclusion criteria and represented 2258 cranioplasty procedures (896 titanium, 1362 nontitanium materials). Overall complications included surgical site infection, hematoma, implant exposure, seizure, cerebrospinal fluid le ak, imprecise fitting. Titanium cranioplasty was associated with a significant decrease in overall complications rate (OR, 0.72; P = 0.007), hematoma rate (OR, 0.31; P = 0.0003) and imprecise fitting rate (OR, 0.35; P = 0.04). However, it also suggested that titanium cranioplasty can be greatly increased implant exposure rate (OR, 4.11; P < 0.00001). Our results confirmed the advantages of titanium cranioplasty in reducing complications including hematoma, imprecise fitting, and also suggested that clinicians should pay more attention to postoperative implant exposure. With new synthetic materials emerging, it would also be interesting to study the cost-effect and functional outcomes associated with cranioplasty materials. PMID: 33485602 [PubMed - in process] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.