Thesis etd-10112021-134058 |
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Thesis type
Tesi di specializzazione (5 anni)
Author
PANATTONI, ANDREA
URN
etd-10112021-134058
Thesis title
Robotic-assisted pelvic floor reconstructive surgery: development of an international consensus of expert users using Delphi method.
Department
MEDICINA CLINICA E SPERIMENTALE
Course of study
GINECOLOGIA ED OSTETRICIA
Supervisors
relatore Prof. Simoncini, Tommaso
Keywords
- Da Vinci Xi
- Delphi
- gynecological surgery
- laparoscopy.
- minimally invasive surgery
- pelvic floor
- pelvic floor reconstruction
- Robotic surgery
Graduation session start date
02/11/2021
Availability
Withheld
Release date
02/11/2091
Summary
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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