This week, we went through discussion on BPH benign prostatic hyperplasia. It happen to most man over 60 years old, but only some people present with symptoms. ... We also discuss the Prostatic Ca (carcinoma), urinary stones, obstructive uropathy. Also I did some wardwork and follow other subgroups bedside tutorial. We had seen thyroid Ca, colosigmoid Ca, ileal conduit urinary diversion, cholecystitis.....
At urological OT (operative theater) , I have seen new procedures, TURP (Transurethra resection of prostate) and robotic surgery for pyeloplexy.
Robotic surgery is the interesting one. It's great opportunity to witness the only surgical robot in Malaysia. It's called Master-slave robotic surgery (Da Vinci Telerobotic surgical system). Fancy name. We are not allowed to take picture in OT. The pictures here is taken from http://www.teleroboticsurgeons.com/davinci.htm
A: That's the panel and seat, surgeon control the slave/robot (Structure C). It's real simulation.
This thing filters out the tremor that normally people have it. It also can scale the panel movement with the robotic movement. This benefits microsurgery, where we need fine, precise and delicate movements.
Can see how cool this panel compare with PS2 joysticks. ^^ It simulates fingers and wrist joint movement.
B: Video electronic tower. These are normal stuff that should be available in most surgery. I don't know much about them, but i know there is one pump machine that connected to a tube to maintain intra-abdominal pressure, so that bleeding can minimize if the blood vessels are broken. The camera produce both 3D and normal 2D output, giving good visualization of the organ structures. We had worn polarized glasses to watch the 3D projection, like in cinema. =.=" With 3D camera, the surgeon will have less doubt over the dept and this smooths the cutting with reduce accident.
C: Three robotic arm. One will hold the camera, the other two is left and right hands with instruments. Each instrument cost MYR 10k plus. And each instrument is only allowed to be used for 10 times.
The central one is the 3D camera (can see two focus there). Both right and left hands can be various type of instruments. ^^
The special characteristics of the da Vinci system are:
1. 3D camera rather than 2D vision of traditional key hole surgery
2. 10 times magnified vision
3. Wrist like micro-instruments with 540 degree motion allowing the
surgeon to translate his hand movements without making a large open
incision <------- It can do intra-abdominal suturing. Cool! 4. Tremor filtration
Actually I didn't study this thing. Details have to look up.
Today, Sat, I go swimming with friends at Pudu in the evening. What i saw on the way was that a kembara ran into a police car (kancil =.="). Wish I have pictured the scene. Hmm.. Swimming on almost every weekend is part of my routine activities.
Jogging at Titiwangsa lake. Hmm... I will see this as soon to be my routine activities. But it is tiring u know. See how later.
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