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Abstract

Malignant neoplasms are currently a severe medical challenge and the second leading cause of death worldwide. The modern anesthesia applied may improve the patient outcome. This paper presents a review of anesthesia management related to patients with gynaecologic malignancies. It includes the influence of the type of anesthesia on cancer recurrence, application of regional anesthesia in gynaecologic oncologic surgery, and selected aspects of anesthesia for robotic surgery. We performed a literature search on MEDLINE, EMBASE, Google Scholar, the Cochrane Central Register of Controlled Trials, and Clinical Trials. The database search focused on the topics related to anesthesia in gynecological oncology. The authors also contributed through individual, independent literature searches.
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Authors and Affiliations

Paweł Krawczyk
1
Tomasz Lonc
1
Rafał Świstek
1
Paweł Tyszecki
2
Janusz Andres
1

  1. Department of Anesthesiology and Intensive Care Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Anesthesiology and Intensive Care Medicine 5th Military Hospital with Polyclinic Kraków, Poland
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Abstract

Whatever the type of surgery related to inner organs, traditional or robotic, the contact with them during surgery is a key moment for pursuing the intervention. Contacts by means of surgery instruments namely scalpels, staples, clamps, graspers, etc. are decisive moments. False, and erroneous touching and manoeuvring of organs operated on can cause irreversible damage as regard morphological aspects (outer impact) and physiological aspects (inner impact). The topic is a great challenge in the effort to measure and characterize damages. In general, electrical instruments for surgery employ the following technologies: ultrasound, radiofrequency (monopolar, and bipolar), and laser. They all result in thermal damages difficult to evaluate. The article proposes a method for a pre-screening of organ features during robotic surgery sessions by pointing out mechanical and thermal stresses. A dedicated modelling has been developed based on experimental activities during surgery session. The idea is to model tissue behaviour from real images to help surgeons to be aware of handling during surgery. This is the first step for generalization by considering the type of organ. The measurement acquisitions have been performed by means of an advanced external camera located over the surgery quadrant. The modelling and testing have been carried out on kidneys. The modelling, carried out through Comsol Multiphysics, is based on the bioheat approach. A further comparative technique has been implemented. It is based on computer vision for robotics. The findings of human tissue behavior exhibit reliable results.
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Authors and Affiliations

Aimé Lay-Ekuakille
1
Moise Avoci Ugwiri
2
Consolatina Liguori
2
Satya P. Singh
3
Md Zia Uhr Rahman
4
Domenico Veneziano
5

  1. University of Salento, Department of Innovation Engineering, Via Monteroni sn, 73100 Lecce, Italy
  2. University of Salerno, Department of Industrial Engineering, Via Giovanni Paolo II n.132, 84084 Fisciano, Italy
  3. Nanyang Technological University, School of Computer Science and Engineering, 50 Nangyang Ave, Singapore 639798
  4. K L University, Department of Electronics & Communication Engineering, Green Fields, Vaddeswaram, Guntur-522502, India
  5. Asl Reggio Calabria, Hospital “Bianchi-Melacrino-Morelli”, Via Giuseppe Melacrino n.21, 89124 Reggio Calabria, Italy

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