Feasibility of Image Inversion for Ventral Hernia Repair Using the Versius System.

Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A
Published Date:

Abstract

The aim of our technical report is to demonstrate the image inversion technique in the new Versius Robotic System. We report a step-by-step surgical maneuver for robotic surgeons when performing robotic ventral hernia repair (VHR) with the Versius Robotic System. The image inversion artifice consists in rotating 180° with the scope using the surgeon's master control in a specific rotation command in the right-hand joystick. The assisting surgeon can do a manual inversion of the camera without the console being aware that the scope is inverted. In this scenario, the 30° Up configuration should be used while informing the console that the scope is looking down. The surgeon can reassign instruments to each joystick. This results in the right joystick controlling the left instrument and left control controlling the right instrument. Since the image is inverted, the movements will look natural on the surgeon console. The use of the image inversion technique with the Versius Robotic System is effective in aiding surgeons to perform the hernia defect closure during robotic VHRs.

Authors

  • Diego Laurentino Lima
    Department of Surgery, Montefiore Medical Center, New York, New York, USA.
  • Renato Danesi Pinto
    Department of Surgery, Hospital Unimed Litoral, Balneario Camboriu, Santa Catarina, Brazil.
  • Pedro Trauczynski
    Department of Surgery, Hospital Santa Isabel, Blumenau, Brazil.
  • Jack Liu
    Department of Surgery, Montefiore Medical Center, New York, New York, USA.
  • Leandro Totti Cavazzola
    Department of Surgery, Universidade Federal do Rio Grande Do Sul, Porto Alegre, Brasil.