A 10 -month and eight kilos baby intervened at the University Hospital 12 October due to a urine circulation problem that caused recurrent infections has become the minor person operated in Spain through robotic surgery.
The child has recovered rapidly without complications occurring, as highlighted by the regional government.
The baby presented A vesicoureteral reflux High degree, a serious problem that affects urine since, instead of being expelled, it makes the reverse route from the bladder to the ureters and, in some cases, the kidneys. Despite having received prior surgical treatment by endoscopy, the foreseeable result was not obtained and, for this reason, pediatric urologists decided to practice A ureter reimplantation using robotic surgerya technique that combines precision and effectiveness in the results.
“The surgery that has been practiced is surgery at the ureter union level with the bladder. The ureter is the duct that communicates the kidney with the bladder and at that point is where the problem that this patient had was repaired. He is a patient who had Repeat urinary infections And it has been tried to correct this problem through endoscopic surgery but as this therapeutic option has failed we have opted for the robotic approach, “explained Daniel Cabezali, children’s urologist.
The use of this technique, carried out by the Child Urology section of the Pediatric Surgery Service of October 12, has achieved Correct this malformation definitivelysignificantly reduce the risk of renal damage, reduce repetition urinary infections and improve their quality of life.
Robotic surgery
As highlighted by the child urologist, robotic surgery is minimally invasive surgery in which a series of incisions are performed to access the interior of the patient’s abdomen and provides a series of advantages with respect to conventional laparoscopic surgery. So, His arms eliminate human tremorfavoring more specific movements, and the high definition chamber and in 3D generates a broader vision of the surgical field, fundamental in complex anatomies such as pediatric. In addition, the rigorous precision in tissue manipulation, minimizes the risk of bleeding and accelerates the recovery of the patient.
“On the one hand there is greater precision since all rotation movements move from tweezers in which the surgeon is on a console outside the surgical field inside the abdomen. This allows us to perform certain Very precise movements mainly in reconstructive surgeries which is what pediatric surgery does since most part are malformations and require a reconstruction of tissues that are not well formed, “he said.
In addition, on the other hand, it brings to the professional “a better vision” since it is in three dimensions, “providing a greater depth of field to the surgeon and also improving the precision in their movements.” “All this will make the surgical times shorten in certain phases of surgery and the results improve the intraoperative and posoperative complications,” he said.
New treatment possibilities
This milestone opens new possibilities for the treatment of young children with very low weights, marking a before and after in the management of these pathologies. “Having operated patients of such a young age opens the door to start Operate increasingly small patients Because formerly these types of surgeries were done in adults, later they began to be done in pediatric but older patients and every time we are decreasing the age at which the advantages of robotic surgery can be provided to this type of patients, “explained Doctor Cabezali.
The public University Hospital 12 de Octubre has carried out to date more than 500 high complexity interventions and minimally invasive with this technology to solve a wide range of health problems of different specialties.
As stressed, this advanced technology “provides value to the work of professionals, gaining in efficiency, reducing clinical variability and allowing them to provide better attention.”
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