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
Hauptverfasser: Karim, Omer, Rao, Amrith, Marsdin, Emma, Kavia, Rajesh, Parnham, Arie, Motiwala, Hanif, Laniado, Marc
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container_end_page 180
container_issue 1
container_start_page 179
container_title BJU international
container_volume 111
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
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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. 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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. 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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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