New techniques

Today and tomorrow in surgery

Medical technologies are developing by leaps and bounds, and what one could only dream of yesterday is now being applied in practice.

We asked P.I. Rasner about what is available to patients today and what may become available in the future.

30-40 years ago, no one even imagined that robots would be used in medicine, but gradually they penetrate into various areas, and especially surgery.

Robotic surgery dates back to 1999, when the first robot assistant of its kind was released. Today it is one of the most interesting areas in medicine, which is developing very actively. The fact is that the capabilities of robotic surgery often significantly exceed the capabilities of open surgery. With its help, the most complex operations are carried out with minimal damage to the surrounding tissues, after which there are practically no scars and scars. Due to this, the pain after the operation is less pronounced, and the rehabilitation period is faster.

Robots are remotely controlled machines - the system exactly follows the movements of an experienced surgeon. However, the robot itself cannot perform operations, it is an instrument in the hands of a doctor. The surgeon controls it from behind the console on which the joysticks are located. The robot does not make decisions and does not make any movements without the intervention of a surgeon. Several people are involved in the operation: the surgeon, who sits at the console, the surgeon's assistant, who connects to hold, pull or place something in the assistant port, for example, a needle, if necessary.

Thanks to the high accuracy of robots and good visualization, it is possible to carry out organ-preserving surgeries, because it is important for the patient not only to recover, but also to preserve the functions of the organ. This has become a reality due to the preservation of small vessels and nerve fibers. The robot can be programmed for a minimum movement scale. It is absolutely certain that in the future the robot will be able to perform operations even at the cell level.

Perhaps someday, thanks to advances in technology, surgery as such will hardly be in demand. Now scientists are paying much attention to genetic engineering, targeted technologies and other areas that minimize the need for surgical intervention in the human body.

Service record

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Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist