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Ergonomic use of the fourth arm to oversew the dorsal vascular complex ( DVC ) during robot‐assisted laparoscopic prostatectomy ( RALP )
Author(s) -
Karim Omer,
Rao Amrith,
Marsdin Emma,
Kavia Rajesh,
Parnham Arie,
Motiwala Hanif,
Laniado Marc
Publication year - 2013
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2012.11716.x
Subject(s) - dorsum , medicine , robotic arm , urology , computer science , anatomy , artificial intelligence
Objective To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex ( DVC ) during robot‐assisted laparoscopic prostatectomy ( RALP ).Patients and Methods Balloon of a Foley catheter inflated in the bulbar urethra. Fourth arm cranial traction via suture in the tip of the catheter. DVC oversewn under direct vision.Results Oversew of DVC with minimal patient‐side surgical assistance. About a 50% reduction in apical positive margin rate.Conclusion A useful, ergonomic method of oversewing the DVC during RALP .