<- Home <- Arhive <- Vol. 7, Issue 4, December 2011



GINECOeu7(4)210-213(2011)
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The future of gynaecological surgery - telesugery with haptic sensation

M. Stark, S. Gidaro, E. R. Morales


Abstract: The 19th century will be remembered as the era of open surgery. The history of gynaecological surgery started in 1807 in Kentucky, Missoury, when Ephraim McDowell performed the first successful cystectomy using a longitudinal abdominal incision. Throughout the 19th century, longitudinal incisions were routinely used in all gynaecological operations. In 1897, however, Johannes Pfannenstiel introduced the transverse incision, which showed to have benefits over the longitudinal one, such as less wound dehiscence(1). At the beginning of the 20th century, experimental endoscopy was introduced by Georg Kelling in Germany(2). Due to the development of light sources, insufflators, and endotracheal intubation, more and more gynaecological operations, such as the laparoscopyassisted vaginal hysterectomy, were done endoscopically(3). At the beginning of the 21st century, telesurgical systems are emerging for gynaecological procedures, both for benign and malignant indications. It seems that in the course of this century this new technology will replace many of the conventional endoscopic techniques.
Keywords: telesurgery, haptic sensation, cystectomy, endotracheal intubation

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