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Perioperative Protocols to Facilitate Early Discharge and Rapid Recovery After Robotic Surgery

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Abstract

Robotic surgery has been developed with the goals of improving accuracy of component position, reducing surgical exposure, optimizing functional outcomes, and improving implant durability. As robotic surgical technology matures, the ancillary technologies that support the procedures themselves evolve concurrently. Facilitating processes around robotic surgery requires attention to several perioperative elements in order to optimize success. Appropriate preoperative planning to help with execution of the surgery, to optimize the patient physically and medically, and to set patient expectations will ensure a smooth transition toward early discharge and full recovery. Self-directed home exercising, to support or supplant formal physical therapy, as well as multimodal pain management to limit narcotic consumption, both inhospital and at home, will help maximize clinical results and patient satisfaction. Web-based rehabilitation, augmented by burgeoning technologies, promises to offer improved results at a lower cost. Finally, it is important to prepare the clinic, hospital, and staff accordingly for the transition to rapid recovery and early discharge after robotic surgery.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kaiser Permanente, San Francisco, CA, USA

    Michael J. Feldstein

  2. Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    Jess H. Lonner

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  1. Michael J. Feldstein
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  2. Jess H. Lonner
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Correspondence to Jess H. Lonner .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    Jess H. Lonner

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Feldstein, M.J., Lonner, J.H. (2019). Perioperative Protocols to Facilitate Early Discharge and Rapid Recovery After Robotic Surgery. In: Lonner, J. (eds) Robotics in Knee and Hip Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-16593-2_5

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  • DOI: https://doi.org/10.1007/978-3-030-16593-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16592-5

  • Online ISBN: 978-3-030-16593-2

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