Table of contents:
- Benefits of Robotic Spine Surgery
- Indications for Robotic Spine Surgery
- Contraindications for Robotic Spine Surgery
- Robotic Spine Surgery Warning
- Before Robotic Spine Surgery
- Robotic Spine Surgery Procedure
- After Robotic Spine Surgery
- Complications of Robotic Spine Surgery
Robotic spine surgery is spinal surgery using a robotic arm and laparoscopy. This procedure is performed, among other things, to treat a herniated disc or to install an implant in the spine
Robotic spine surgery, otherwise known as robotic-assisted spine surgery, is similar to spine surgery using a laparoscopic technique. The difference is in the robotic technique, the surgeon controls the robotic arm via a computer.
At first, robotic spine surgery was only performed to assist conventional or laparoscopic surgery. However, in recent years, robotic techniques have been investigated to treat more serious spinal disorders, such as tumors, spinal fractures, or scoliosis.
Currently, several hospitals in Indonesia have provided facilities for robotic spine surgery procedures or robotic spine surgery.
Benefits of Robotic Spine Surgery
The following are some of the benefits of robotic spine surgery:
- Smaller surgical incision
- Fast healing process
- Less surgical wound bleeding
- Reduction of postoperative pain
- Less risk of complications
- Higher level of accuracy
Indications for Robotic Spine Surgery
Until now, the purpose of performing spinal robotic surgery is still limited to the following conditions:
- Disc herniation
- Pedicle screw and spinal implants
- Fusion or fusion of two vertebrae
Contraindications for Robotic Spine Surgery
There are several conditions that are contraindicated or not allowed to undergo spinal robotic surgery, namely:
- Allergy to drugs
- Spine infection
- Haven't undergone therapy other than surgery to the maximum
- Obesity and morbid obesity
- malignant tumor on spine
- Spine osteoporosis
- Spine conditions that require a larger surgical field of view
Please note, robotic spine surgery is still not widely done. In addition to the above conditions, it is still being investigated what other conditions are not recommended to undergo this procedure.
Robotic Spine Surgery Warning
Patients who are about to undergo robotic spine surgery are advised to tell their doctor about any medications or supplements they are taking, especially drugs that can interfere with blood clotting, such as clopidogrel, aspirin, or warfarin. Patients also need to tell their doctor about any medical history, such as heart disease, diabetes, or lung disease.
Before Robotic Spine Surgery
Before undergoing robotic spine surgery, patients are advised to do the following for several months:
- Quit smoking, to prevent the risk of complications during and after surgery
- Exercise regularly with light or moderate intensity, to build muscle so that it speeds up healing
- Consuming complete and balanced nutritious food
- Sleep and rest well
- Stop taking blood thinners 10 days before surgery
The doctor will also perform an MRI of the spine a few days before the operation, followed by a complete blood count and blood clotting function tests.
Patients will also be asked to fast for 8 hours before surgery. If necessary, the patient will be advised to take laxatives to cleanse the intestines before surgery.
Robotic Spine Surgery Procedure
After entering the operating room, the patient will be asked to change into a surgical gown, then lie face down on the operating table. Next, the doctor will give you general anesthesia. If necessary, the patient will also be given a breathing apparatus during the operation.
After the anesthetic works and the patient is asleep, the doctor will make several small incisions in the area to be operated on.Several flexible tubes equipped with cameras and lights will be inserted through the incision, with the help of a robotic arm controlled by the surgeon via a computer.
During the robotic spine surgery, the doctor will monitor the operating area directly. The goal is to keep the robot arm from making mistakes.
After the operation is complete, the surgical wound will be sutured and covered with a bandage. The doctor will also give you pain medication.
After Robotic Spine Surgery
After the operation is completed, the patient will be taken to the recovery room before returning to the inpatient room. Usually, patients need to be hospitalized 3-5 days after surgery, but there are also patients who are allowed to go home the next day. This depends on the severity of the disease, the degree of difficulty of the operation, the patient's age and medical history.
The length of recovery time after surgery also depends on the patient's condition. To help speed up recovery and practice spinal movement, doctors may recommend physiotherapy.
Other things that patients need to do to speed up the recovery process are:
- Not lifting heavy weights
- Take painkillers according to doctor's advice
Immediately contact your doctor if you experience the following complaints after undergoing robotic spine surgery:
- The surgical wound has pus and smells
- High fever
- Pain getting worse
- Tingling or numbness in the limbs
Complications of Robotic Spine Surgery
Complications of spinal robotic surgery are similar to the risks of spinal surgery in general, including:
- Allergic reaction to anesthetic
- Postoperative pneumonia
- Infection in surgical wound
- Network damage around the operating area
- pulmonary embolism
- Deep vein thrombosis