Ergonomic use of the fourth arm to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP)
Objective To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP). Patients and Methods Balloon of a Foley catheter inflated in the bulbar urethra. Fourth arm cranial traction via suture in the tip of the c...
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Veröffentlicht in: | BJU international 2013-01, Vol.111 (1), p.179-180 |
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creator | Karim, Omer Rao, Amrith Marsdin, Emma Kavia, Rajesh Parnham, Arie Motiwala, Hanif Laniado, Marc |
description | Objective
To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP).
Patients and Methods
Balloon of a Foley catheter inflated in the bulbar urethra.
Fourth arm cranial traction via suture in the tip of the catheter.
DVC oversewn under direct vision.
Results
Oversew of DVC with minimal patient‐side surgical assistance.
About a 50% reduction in apical positive margin rate.
Conclusion
A useful, ergonomic method of oversewing the DVC during RALP. |
doi_str_mv | 10.1111/j.1464-410X.2012.11716.x |
format | Article |
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To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP).
Patients and Methods
Balloon of a Foley catheter inflated in the bulbar urethra.
Fourth arm cranial traction via suture in the tip of the catheter.
DVC oversewn under direct vision.
Results
Oversew of DVC with minimal patient‐side surgical assistance.
About a 50% reduction in apical positive margin rate.
Conclusion
A useful, ergonomic method of oversewing the DVC during RALP.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/j.1464-410X.2012.11716.x</identifier><identifier>PMID: 23323700</identifier><identifier>CODEN: BJINFO</identifier><language>eng</language><publisher>Oxford: Wiley-Blackwell</publisher><subject>assistant ; Biological and medical sciences ; Equipment Failure ; Ergonomics ; fourth arm ; Gynecology. Andrology. Obstetrics ; Humans ; Laparoscopy - instrumentation ; Laparoscopy - methods ; Male ; Male genital diseases ; Medical sciences ; Nephrology. Urinary tract diseases ; prostate cancer ; Prostatectomy - instrumentation ; Prostatectomy - methods ; robotic prostatectomy ; Robotics - instrumentation ; Robotics - methods ; Suture Techniques ; Sutures ; Tumors ; Tumors of the urinary system ; Urinary Catheterization ; Urinary tract. Prostate gland</subject><ispartof>BJU international, 2013-01, Vol.111 (1), p.179-180</ispartof><rights>2012 The Authors BJU International © 2012 BJU International</rights><rights>2014 INIST-CNRS</rights><rights>2012 The Authors BJU International © 2012 BJU International.</rights><rights>BJUI © 2013 BJU International</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4286-c60e905c60e478a09be7393643ab604619a8536442037fc771170973a0e8c3d23</citedby><cites>FETCH-LOGICAL-c4286-c60e905c60e478a09be7393643ab604619a8536442037fc771170973a0e8c3d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-410X.2012.11716.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-410X.2012.11716.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,27923,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26790523$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23323700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karim, Omer</creatorcontrib><creatorcontrib>Rao, Amrith</creatorcontrib><creatorcontrib>Marsdin, Emma</creatorcontrib><creatorcontrib>Kavia, Rajesh</creatorcontrib><creatorcontrib>Parnham, Arie</creatorcontrib><creatorcontrib>Motiwala, Hanif</creatorcontrib><creatorcontrib>Laniado, Marc</creatorcontrib><title>Ergonomic use of the fourth arm to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP)</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>Objective
To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP).
Patients and Methods
Balloon of a Foley catheter inflated in the bulbar urethra.
Fourth arm cranial traction via suture in the tip of the catheter.
DVC oversewn under direct vision.
Results
Oversew of DVC with minimal patient‐side surgical assistance.
About a 50% reduction in apical positive margin rate.
Conclusion
A useful, ergonomic method of oversewing the DVC during RALP.</description><subject>assistant</subject><subject>Biological and medical sciences</subject><subject>Equipment Failure</subject><subject>Ergonomics</subject><subject>fourth arm</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Laparoscopy - instrumentation</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>prostate cancer</subject><subject>Prostatectomy - instrumentation</subject><subject>Prostatectomy - methods</subject><subject>robotic prostatectomy</subject><subject>Robotics - instrumentation</subject><subject>Robotics - methods</subject><subject>Suture Techniques</subject><subject>Sutures</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary Catheterization</subject><subject>Urinary tract. Prostate gland</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUU1vEzEQtRAVbQN_AVlCSOkhwV-xdy9IJW2hKBIIUcTNcrzedqPd9WJ72-TWE2d-I7-E2SQtEid8mfHMG8_zewhhSqYUzpvVlAopJoKS71NGKIOqonK6foKOHhtPH3KSy0N0HOOKECjI2TN0yDhnXBFyhH6eh2vf-qayuI8O-xKnG4dL34d0g01ocPLY37oQ3d22U_gQTY1vTbR9bQK2vulqt8bjs2_zE1z0oWqvcfBLn37f_zIxVjG5AtemM8FH6zvY00GWTHI2-WaDx19OF59PnqOD0tTRvdjHEbq6OP86_zBZfHp_OT9dTKxgmZxYSVxOZkMQKjMkXzrFcy4FN0tJhKS5yWZwFYxwVVqlQBeSK26IyywvGB-h8e5dIPGjdzHpporW1bVpne-jpkxxyRQRAqCv_oGuQJUW2AFKMCoyCTKOULZDWfhVDK7UXagaEzaaEj14pVd6sEEPlujBK731Sq9h9OV-Qb9sXPE4-GAOAF7vAaC2qctgWlvFvzipQIsth7c73F1Vu81_E9DvPl5tU_4HsyqvlQ</recordid><startdate>201301</startdate><enddate>201301</enddate><creator>Karim, Omer</creator><creator>Rao, Amrith</creator><creator>Marsdin, Emma</creator><creator>Kavia, Rajesh</creator><creator>Parnham, Arie</creator><creator>Motiwala, Hanif</creator><creator>Laniado, Marc</creator><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201301</creationdate><title>Ergonomic use of the fourth arm to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP)</title><author>Karim, Omer ; Rao, Amrith ; Marsdin, Emma ; Kavia, Rajesh ; Parnham, Arie ; Motiwala, Hanif ; Laniado, Marc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4286-c60e905c60e478a09be7393643ab604619a8536442037fc771170973a0e8c3d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>assistant</topic><topic>Biological and medical sciences</topic><topic>Equipment Failure</topic><topic>Ergonomics</topic><topic>fourth arm</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Laparoscopy - instrumentation</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>prostate cancer</topic><topic>Prostatectomy - instrumentation</topic><topic>Prostatectomy - methods</topic><topic>robotic prostatectomy</topic><topic>Robotics - instrumentation</topic><topic>Robotics - methods</topic><topic>Suture Techniques</topic><topic>Sutures</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary Catheterization</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karim, Omer</creatorcontrib><creatorcontrib>Rao, Amrith</creatorcontrib><creatorcontrib>Marsdin, Emma</creatorcontrib><creatorcontrib>Kavia, Rajesh</creatorcontrib><creatorcontrib>Parnham, Arie</creatorcontrib><creatorcontrib>Motiwala, Hanif</creatorcontrib><creatorcontrib>Laniado, Marc</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karim, Omer</au><au>Rao, Amrith</au><au>Marsdin, Emma</au><au>Kavia, Rajesh</au><au>Parnham, Arie</au><au>Motiwala, Hanif</au><au>Laniado, Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ergonomic use of the fourth arm to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP)</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2013-01</date><risdate>2013</risdate><volume>111</volume><issue>1</issue><spage>179</spage><epage>180</epage><pages>179-180</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><coden>BJINFO</coden><abstract>Objective
To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP).
Patients and Methods
Balloon of a Foley catheter inflated in the bulbar urethra.
Fourth arm cranial traction via suture in the tip of the catheter.
DVC oversewn under direct vision.
Results
Oversew of DVC with minimal patient‐side surgical assistance.
About a 50% reduction in apical positive margin rate.
Conclusion
A useful, ergonomic method of oversewing the DVC during RALP.</abstract><cop>Oxford</cop><pub>Wiley-Blackwell</pub><pmid>23323700</pmid><doi>10.1111/j.1464-410X.2012.11716.x</doi><tpages>2</tpages></addata></record> |
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source | Wiley-Blackwell Journals; MEDLINE |
subjects | assistant Biological and medical sciences Equipment Failure Ergonomics fourth arm Gynecology. Andrology. Obstetrics Humans Laparoscopy - instrumentation Laparoscopy - methods Male Male genital diseases Medical sciences Nephrology. Urinary tract diseases prostate cancer Prostatectomy - instrumentation Prostatectomy - methods robotic prostatectomy Robotics - instrumentation Robotics - methods Suture Techniques Sutures Tumors Tumors of the urinary system Urinary Catheterization Urinary tract. Prostate gland |
title | Ergonomic use of the fourth arm to oversew the dorsal vascular complex (DVC) during robot‐assisted laparoscopic prostatectomy (RALP) |
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