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Skin Flaps

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Abstract

This chapter presents the application of robotic microsurgery with the example of a free groin flap to resolve recurrent problems at the donor site of a previous pedicled radial forearm flap to cover a defect on the dorsal hand. The discussion shows the particular aspects of this kind of surgery: the quality of 3D vision, the absence of haptic feedback and its implications and its consequences. Other aspects such as the availability and the costs of the instrumentation are discussed, as well as the perspectives of the evolution of robot-assisted microsurgery (telemicrosurgery).

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References

  1. Bourges JL, Hubschman JP, Burt B et al (2009) Robotic microsurgery: corneal transplantation. Br J Ophthalmol 93:1672–1675

    Article  PubMed  Google Scholar 

  2. Boyd B, Umansky J, Samson M et al (2006) Robotic harvest of internal mammary vessels in breast reconstruction. J Reconstr Microsurg 22:261–266

    Article  PubMed  Google Scholar 

  3. Caillet M, Vandromme J, Rozenberg S et al (2010) Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study. Fertil Steril 94:1844–1847

    Article  PubMed  Google Scholar 

  4. Csókay A, Valálik I, Jobbágy A (2009) Early experiences with a novel (robot hand) technique in the course of microneurosurgery. Surg Neurol 71:469–472

    Article  PubMed  Google Scholar 

  5. Karamanoukian RL, Bui T, McConnell MP et al (2006) Transfer of training in robotic-assisted microvascular surgery. Ann Plast Surg 57:662–665

    Article  PubMed  CAS  Google Scholar 

  6. Katz R, Taylor J, Rosson G et al (2006) Robotics in plastic and reconstructive surgery: use of a telemanipulator slave robot to perform microvascular anastomoses. J Reconstr Microsurg 22:53–57

    Article  PubMed  Google Scholar 

  7. Katz RD, Rosson GD, Taylor JA et al (2005) Robotics in microsurgery: use of a surgical robot to perform a free flap in a pig. Microsurgery 25:566–569

    Article  PubMed  Google Scholar 

  8. King CH, Culjat MO, Franco ML et al (2009) A multi-element tactile feedback system for robot-assisted minimally invasive surgery. IEEE Trans Haptics 2:52–56

    Article  Google Scholar 

  9. King CH, Culjat MO, Franco ML et al (2009) Tactile feedback induces reduced grasping force in robotic surgery. IEEE Trans Haptics 2:103–110

    Article  Google Scholar 

  10. Margossian H, Garcia-Ruiz A, Falcone T et al (1998) Robotically assisted laparoscopic ­microsurgical uterine horn anastomosis. Fertil Steril 70:530–534

    Article  PubMed  CAS  Google Scholar 

  11. Nectoux E, Taleb C, Liverneaux P (2009) Nerve repair in telemicrosurgery: an experimental study. J Reconstr Microsurg 25:261–265

    Article  PubMed  Google Scholar 

  12. Panchulidze I, Berner S, Mantovani G et al (2011) Is haptic feedback necessary to microsurgical suturing? Comparative study of 9/0 and 10/0 knot tying operated by 24 surgeons. Hand Surg 16:1–3

    Article  PubMed  Google Scholar 

  13. Parekattil SJ, Atalah HN, Cohen MS (2010) Video technique for human robot-assisted ­microsurgical vasovasostomy. J Endourol 24:511–514

    Article  PubMed  Google Scholar 

  14. Sangpradit K, Liu H, Dasgupta P et al (2011) Finite element modelling of soft tissue rolling indentation. IEEE Trans Biomed Eng 58:3319–3327

    Article  PubMed  Google Scholar 

  15. Van der Hulst RR, Sawor J, Bouvy NJ (2007) Microvascular anastomosis: is there a role for robotic sugery? J Plast Reconstr Aesthet Surg 60:101–102

    Article  PubMed  Google Scholar 

  16. Woo YJ (2006) Robotic cardiac surgery. Int J Med Robotics Comput Assist Surg 2:225–232

    Article  Google Scholar 

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Correspondence to Thomas Lauwers M.D. .

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© 2013 Springer-Verlag France

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Lauwers, T., Van Mulken, T., Booi, D. (2013). Skin Flaps. In: Liverneaux, P., Berner, S., Bednar, M., Parekattil, S., Mantovani Ruggiero, G., Selber, J. (eds) Telemicrosurgery. Springer, Paris. https://doi.org/10.1007/978-2-8178-0391-3_16

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  • DOI: https://doi.org/10.1007/978-2-8178-0391-3_16

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  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0390-6

  • Online ISBN: 978-2-8178-0391-3

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