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How technology impacts medicine
Pros and cons of robotic surgery
Pros and cons of robotic surgery
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Technology is a major part of everyday life and is always changing. When most people think about new technology they think of a new iPhone or computer. However technology is not just a new phone or a computer, technology can change things in the medical field. With all the new technology today robot-assisted surgery has evolved over the years, especially in urology.
“Urology is a dynamic surgical discipline, which has undergone many developments and refinements over the past few decades.” (Babbar, Hemal 1). Babbar and Hemal go on to say that laparoscopic surgery is a major breakthrough in the urologic field and provides an invasive alternative to open procedures. “The advent of laparoscopic surgery was a major breakthrough in the urologic landscape and provide a minimally invasive alternative to conventional open procedures.” (Babbar, Hemal 1). According to David Yates and his associates robot-assisted surgery is now well-established in urology and it is being used for operations of the prostate, kidney and bladder. “Robot-assisted surgery is now well-established in urology and although not currently regarded as a ‘gold standard’ appoarch for any urology procedure, it is being increasingly used for index operation of the prostate, kidney and bladder.” (Yates, Vaessen, Roupret 1708). Robot-assisted surgery is not brand new technology but with the new technology today it is changing more every day. “Intuitive Surgical, Inc. was founded in 1995 and the first (standard) da Vinci Robotic Surgical System was introduced to the market in 1999” (Yates, Vaessen, Roupret 1710). Then with new technology the da Vinci robotic surgical system had its first upgrade. “The first upgrade occurred in 2003, with the addition of a fourth robotic arm, ...
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...the smaller incisions of the robot. Robot-assisted surgery has also helped children because children have more options of procedures due to the new technology. However, robot-assisted surgery has its draw backs. Surgeons are required to be trained for certain of number of required hours with the new technology. Even with the all the training surgeon will still have a lack of experience and that will affect the standard time for surgery. Surgeons may feel that have loss control of the operation because robot-assisted surgery is not hands-on like the traditional open surgery. Looking at robot-assisted surgery financially, patients have to pay additional costs. Hospitals also have to pay additional cost because they have to replace the robot-system’s instruments after so many uses. With all the new technology today robot-assisted surgery will always be changing.
The main point of this informative speech was how Medical Robots are changing modern medicine. The first point the speaker showed the audience is how the Medicial Robots help Maurine get a new kidney. The next point he tells the audience is how orderly robots are suppose to transport medicine, food and lab supply. The next robot he tells us about is the remote present robot. Remote present robot helps the doctor be with the patient even if they are not in the same hospital. The last robot he tells us about in his speech is the surgical robots. These robots are used in operating rooms around the world. The speaker did a great job of not speaking to fast or too slow, and he also made eye contact with his whole audience instead of looking down
Recently, articular surgery robot named ‘ROBODOC’ or ‘RIO’ has been widely used for arthritis or arthroplasty. Both robots consist of arthroscope and tiny surgical instruments. Many surgeons estimated that articular surgery using these robots is more accurate, elaborate than using an arthroscope and small surgical instrument,
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
Different studies had different result numbers or different percentage reduction rates which was primarily based on their indifferences in regards to study design utilized and sample size. As evidenced by research results (Magers, June 2013) and (Welden, 2013), these showed a reduction of urinary catheter days resulted in reduced CAUTI rates. Though different outcome results between the different research studies, they all strongly significantly supported the notion that a nurse-driven protocol to assess and evaluate the appropriateness and use of urethral catheter compared with a no protocol is essential to help in the reduction of CAUTIs. Interpreting these results, (Meddings et al., 2013) showed a drop greater than 52% in CAUTIs and a decrease in catheterization by 37%. The study results from the six scholarly research study articles showed nearly similar or corresponding outcomes. The results were significant enough to support the PICO question. In general, though the difference in sample size, the results still strongly supported excellent outcomes when a nurse-driven protocol is used to evaluate the necessity of continued urethral catheter use. (Chen et al., 2013, para.
Robotic Surgery is an emerging technology that utilizes purpose-built robots to perform surgical procedures on patients. At present these robots are not autonomous, they are controlled by a surgeon at all times.
...uys out. In conclusion, a warning, technology is there to guide and help a physician it is not, nor has it ever been intended to replace the physician patient relationship.
Kavoussi, L. R., Moore, R. G., Adams, J. B., & Partin, A. W. (1995). Comparison of robotic versus human laparoscopic camera control. Journal of Urology. doi:10.1016/S0022-5347(01)66715
7) Spettel, Sara, and Mark Donald White. "The portrayal of J. Marion Sims' controversial surgical legacy." The Journal of urology 185.6 (2011): 2424-2427.
How effective can this machine actually be? This surgical system is controlled 100% by the surgeon and is programmed to make sure it does not do anything on its own. There is a misconception about robots, which is the main reason why the Da Vinci Surgical system is being questioned by the FDA. This surgical system is a minimally invasive surgery that is more precise and leaves smaller incisions which leads to many more benefits postoperative like quicker recovery times and smaller
The medical field has revolutionized the health and well being of society. Throughout the decades, the medical field has been through sweeping changes that leave society astonished. It seems like each year that passes by, there is a new technological advancement that modernizes the medical field. Not only do these advancements modernize medicine, but they in return aid doctors, nurses, and specialists by improving their effectiveness within the field. About ten years ago, the da Vinci Surgical System was introduced to hospitals and the medical field, in general because the FDA had finally approved the system within the United States (Dunkin). The da Vinci Surgical System, also known basically as robotic surgery, introduced the use of a surgical robot, which is operated by the doctor himself using a controlled manipulator (Declan et al.). Prior to the invention of robot-assisted surgeries, most surgeons simply did a typical laparoscopic surgery on a patient. Laparoscopic surgery is “a type of surgery performed through several small incisions, rather than one (or more) large ones as in standard "open" surgery” (Schmitz). Through the development of superior technology, such as the surgical robot; it brought about changes that effected doctors, patients, and the medical world.
The use of supplies is a problem because we are spending too much money on them. We are a world-renowned hospital with very high-end robots and equipment. Therefore, our surgeons demand the best and the higher valued machines and supplies. Cost and quality need to be considered. We do not want the quality of care for the patients to be jeopardized because of inadequate planning in regards to low quality supplies (Sullivan, 2009).
On my first clinical rotation outside of 5w, in the Roanoke Memorial Hospital, I had the pleasure of visiting the OR. My last week of clinical rotation, I got the opportunity to witness two different cases. I saw a hemorrhoidectomy, and a Laparoscopic colectomy. Although I only had an opportunity of witnessing the hemorrhoidectomy in the middle of the procedure, both procedures were quite invasive. There were both very interesting to watch.
Therefore, it is important for the reader to understand that compared to previous methods, robotic surgery is indeed an enhancement to society. Research has shown that with robotic surgeries, bleeding has been significantly decreased. This is due to the smaller incisions that are needed for the procedure, but it is also due to the fact that the movements that are being controlled by the surgeon have the added feature of tremor control in the device. This feature actually compensates for the natural hand tremors of the surgeon and makes for steadier movements during surgery. (Lanfranco, Castellanos, Desai, & Meyers,
By convention, the field of healthcare research was entirely occupied by physicians and doctors. They were the ones who came up with new methods to treat diseases and get better results from diagnostic tests. Technology, on the other hand, was always looked at as a way to solve problems that we faced that didn’t pertain to the medical sector. It was employed to enhance the quality of life and make day to day work easier. But as technology progressed, so did the areas of application. The structural balancing techniques which were previously used to hold a building steady were now being used to develop near-perfect artificial joints and prosthetic limbs. Transparent polymers, developed to enhance robotic vision, were being suggested as a candidate for an artificial lens for the human eye. Before anyone could even understand what was happening, engineering had taken up the mantle to further medical technology to dizzying new heights.
This article highlights the creative technology and its uses in medicine today. There are examples and comparisons on the useful and destructive ways technology has impacted society. The author speaks directly about the benefits of improved technology in healthcare as well as a wide range of other fields. This source will help support my claims of how medical technology has improved by providing descriptive facts.