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Robotic Surgery - Putting an End to Fear of Surgery

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Robotic Surgery - Putting an End to Fear of Surgery

15th Nov 2024
Photo seen from Left to Right: Dr. Prithvi Mohandas, Managing Director, MIOT International, Thiru. Ma. Subramanian – Honourable Minister for Health, Medical Education, and Family Welfare of Tamil Nadu.
MIOT is dedicated to integrating the latest advancements in medical science to provide the best care for patients and enhance outcomes. Understanding the need for cutting-edge technology in today’s world, we have launched the MIOT Institute of Robotic Surgery, inaugurated by the Honourable Minister for Health, Medical Education, and Family Welfare of Tamil Nadu, Thiru. Ma.Subramanian. The “Da Vinci Xi Robotic Surgical System” is introduced at the right time of its development to enhance MIOT’s medical technology and improve patient outcomes.
Robotic surgery is an advanced form of minimally invasive or laparoscopic (small incision) surgery in which surgeons perform the surgery using a computer-controlled robot, with the surgeon having complete control of the robotic system. This technology allows complex surgeries that require high precision to be performed safely without damaging surrounding tissues or organs. Robotic technology enhances precision, minimises surgical complications, and improves patient outcomes. This technology ensures a high level of safety for patients undergoing over 140 different types of surgeries.

The enhanced safety of patients is further increased by the Robotics-Assisted Intraoperative Ultrasound System. The transducer of this advanced ultrasound system, positioned inside the body, provides high-resolution images with great anatomical details during surgery. These real-time images are captured from all angles with full robotic articulation. It provides greater accuracy and precision to ensure the identification of the entire tumour surface for complete tumour resection.

Concerning Factors of Surgery

No More Fear of Surgery: People often delay surgery due to concerns about safety, recovery, and regaining quality of life. This may worsen their condition and eventually lead to critical health issues. These fears can now be alleviated. MIOT’s robotic surgery technology enables surgeons to perform precise procedures with enhanced safety, gentle dissection, reduced blood loss, and faster recovery times. This technology minimises risks and ultimately leads to better patient outcomes.

Leave Your Anxiety About Risks / Complications:Some people may worry about the potential risks associated with surgery. However, with its advanced technology robotic surgery significantly minimises complication rates, especially in high-risk procedures and ensures patient safety.

The advancements include:

  • Robotic mechanical wrists bend and rotate, mimicking the movements of the human wrist, allowing surgeons to operate in narrow spaces in the body that would otherwise only be accessible through open (long incision) surgery. The surgeon’s hand movements are scaled and translated into ultra-precise movements.
  • The 3D HD camera, positioned on any of the four arms, can be placed within a few inches of the organ, enhancing flexibility for visualisation and enabling more precise dissection.
  • The 10 times enlarged view enables MIOT’s experts to perform highly precise and accurate dissections. The above combination of vision and precision is beyond human capabilities.
  • Firefly technology offers a remarkable advantage which cannot be seen with the naked eye. It involves injecting a dye into the patient, which helps distinguish abnormal tissue from normal tissue. This also enables surgeons to visually assess blood flow within the tissues.
  • Robotics-assisted intraoperative ultrasound system helps surgeons locate and visualise anatomical abnormalities during surgery. The enhanced range of motion allows surgeons to access difficult-to-reach areas, such as the pelvis (lower abdomen) where the prostate or rectum is located. It helps in accurately identifying tumour location, depth and borders for distinguishing between tumour and normal organ.
Free Yourself from Financial Worries: With 25 years of integrity in healthcare, MIOT understands the unique needs of patients and is dedicated to providing them with the best treatment. Advanced care doesn’t have to come with a high price. By adopting world-class innovations, MIOT offers cutting-edge robotic technology at an affordable cost of just INR 30,000, in addition to the cost of laparoscopic surgery. By minimising complications and shortening hospital stays, this technology reduces overall healthcare expenses, making it accessible to all patients.
Diminishing Scars and Pain: The large, long-lasting scar from open surgery is eliminated with minimally invasive robotic surgery. This technology involves smaller incisions and gentle dissection, resulting in less tissue trauma and reduced pain. It is equipped with a remote centre control that prevents side-to-side force on the tissue, further minimising pain and scarring. This often leads to reduced postoperative discomfort compared to open surgery/laparoscopy and allows for a quicker return to normal activities.
Minimising Blood Loss: The substantial blood loss associated with open surgery and laparoscopy is significantly reduced in robotic surgery. This advanced technology helps prevent unnecessary dissection of small blood vessels, thereby minimising blood loss effectively.
Regaining Quality of Life: People may worry about the impact of surgery on their family members, such as the burden of caregiving. Shorter hospital stays and faster recovery times enable patients to return to their daily lives and loved ones more quickly, reducing stress for both patients and their families.
Shorter Recovery Times: People may feel anxious about the longer recovery time and the emotional drain post-surgery. However, in robotic surgery, the smaller incisions, reduced blood loss, pain, risk of complications, and decreased rate of infection lead to shorter hospital stays and faster recovery times than traditional surgical methods.

What is the Difference Between Laparoscopic and Robotic Surgery?

Laparoscopy

Robotic Surgery

Less-Magnified 2D View

The surgeon manually controls the instruments and views the surgical site using a 2D camera.

10 Times Magnified 3D View

The surgery is performed with robotic tools and is aided by a binocular lens and a 3D HD camera.

No fatigue Filter

Due to the long surgery time, the surgeon may experience fatigue.

Fatigue is Filtered Out

By sitting comfortably while performing surgery, the surgeons fatigue is filtered out.

More Pain

The instruments are rotated during the procedure, which applies pressure on the incision point, resulting in more pain.

Minimal Pain

It is designed in a way that allows the robotic tools to rotate around the fixed point at the incision site. The remote centre technology prevents the side-to-side force applied during surgery, thereby minimising the damage to the body and reducing pain and scarring.

Difficult to Access Complex Locations

The laparoscopic ultrasound cannot reach difficult angles.

Access Complex Locations

The surgeons can locate and visualise anatomical abnormalities during surgery with great precision. The transducer fully articulates to reach complex angles.

Less Depth Perception

Unable to accurately assess the tumour’s depth.

Better Depth Perception

The 3D HD camera and advanced ultrasound system enable surgeons to better understand the depth perception of the tumour.

More Blood Loss

The risk of dissecting unintended blood vessels is higher with a less magnified view, resulting in greater blood loss.

Less Blood Loss

The gentle and accurate dissection prevents dissecting the unintended small blood vessels, resulting in less blood loss.

Chances of Failure Rate are More

With lower image resolution and reduced precision, the chances of failure are higher compared to robotic surgery.

Enhances Patient Outcomes

Accurate dissection, complete tumour resection, minimal pain, and decreased risk of infection enhance better patient outcomes.

How Does Robotic Surgery Score Over Laparoscopic Surgeries?

Robotic surgery is ideal for complex procedures that involve difficult-to-reach areas or carry a risk of damage to surrounding tissues. It is particularly suited for surgeries that are complicated or life-threatening, where precision and safety are crucial.

In general, robotic surgery makes all keyhole procedures safer and more precise, reducing overall costs for patients by minimising complications and enabling faster recovery compared to laparoscopy. Complex procedures that were not suited to traditional laparoscopy and would have to be performed in an open manner, can now be performed robotically and minimally invasively.

How is Robotic Surgery Performed?

The robotic surgical system consists of a surgeon console, patient cart, and vision cart. The surgeon console is equipped with hand controls and foot pedals, where the surgeon sits, controls and operates the robotic arms. The patient cart holds the robotic arms, which are positioned on the operating table according to the type of surgery. The surgical assistant stands next to the patient to change the endowrist instruments in the robotic arms as needed. The vision cart includes a monitor that displays the surgical site inside the patient’s body.


Patient cart
The surgeon sits in the console and views the surgical area through the binocular lens, which provides a 10 times magnified view of what the human eye sees. Using hand controls, endowrist instruments are operated. The surgeon’s hand movements are precisely replicated by the endowrist instruments inside the patient’s body. Using a magnified 3D view and integrated infrared imaging technology, the surgeon can differentiate normal and cancerous tissue and live and dead tissue. This enables the surgeon to dissect the tissue accurately without damaging the surrounding tissues or organs. It also ensures that cancer tumours are completely removed.


Endowrist instruments replicate the surgeon’s hand movements

Types of Surgeries Performed Using Robotic Surgery

  • All major cancer surgeries in the chest and abdomen cavity
  • All types of Oesophagus, Stomach, and Colorectal surgeries
  • Nephrology (Kidney)
  • Bariatric surgery
  • Hepatopancreatico biliary
  • Lung surgeries
  • Urology (Urinary Bladder)
  • Gynaecology (Hysterectomy)
  • Head and Neck (Thyroid, Neck dissection, and Deep oral cavity tumour)
  • Cardiac surgeries
  • General surgery (Cholecystectomy and Hernia repair)
  • Paediatric surgeries

MIOT’s Expertise in Robotic Surgery

Supported by a team of 250 dedicated full-time doctors, we work collaboratively to provide the best treatment for the patients. Now, with the addition of robotic surgery, we have further advanced our capabilities to enhance patient outcomes. Robotic surgery requires specialised training and experience. At MIOT, our surgeons are not only trained in this advanced technique but also have several years of experience with robotic systems. With their expertise, MIOT’s surgeons perform complex surgeries with exceptional precision, minimising risks, improving surgical outcomes, and contributing to faster recovery times. Overall, with MIOT’s Robotic Surgery, the patients experience:

  • Safer surgery with high precision
  • Low healthcare costs
  • No complications
  • Faster recovery times
  • Better patient outcomes
  • Minimal pain
  • Reduced Blood loss
  • No scar
  • Shorter hospital stays
  • A quicker return to quality of life