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Tesi etd-10112021-134058


Tipo di tesi
Tesi di specializzazione (5 anni)
Autore
PANATTONI, ANDREA
URN
etd-10112021-134058
Titolo
Robotic-assisted pelvic floor reconstructive surgery: development of an international consensus of expert users using Delphi method.
Dipartimento
MEDICINA CLINICA E SPERIMENTALE
Corso di studi
GINECOLOGIA ED OSTETRICIA
Relatori
relatore Prof. Simoncini, Tommaso
Parole chiave
  • laparoscopy.
  • pelvic floor
  • pelvic floor reconstruction
  • Delphi
  • Robotic surgery
  • Da Vinci Xi
  • minimally invasive surgery
  • gynecological surgery
Data inizio appello
02/11/2021
Consultabilità
Non consultabile
Data di rilascio
02/11/2091
Riassunto
Robotic surgery is widely used all over the world and gynecological surgery is about to be one of the most popular fields, and in particular reconstructive pelvic floor surgery is one of those that lends itself better to this type of approach in comparison to traditional surgeries. However, there are still uncertainties regarding the robotic surgical approach of pelvic floor disorders as first line for the treatment of this group of pathologies and this is due to several factors such as the high cost of robotic centers, safety, reproducibility and efficacy in the hands of surgeons with different levels of experience. The development of the new Da Vinci Xi robotic console has reduced some of the limitations of the previous Si console, as it has a better 3D high definition image resolution, it also guarantees easier and faster docking time and a wider range of movements guaranteed by its slimmer arms. To evaluate the role of robotic pelvic floor reconstruction surgery and improve patient safety, we identified a group of well-known robotic surgeons-gynecologists, urologists, colon-proctologists. This study aimed to evaluate the current status of robotic pelvic floor reconstructive surgery and propose an international, multidisciplinary project dedicated to the development of an expert users’ consensus on the role of robotic surgery for the treatment of pelvic floor defects within 2 rounds of discussion.
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