אסותא | חדשנות בתחום הכירורגיה

Use of navigation and robotic systems in knee arthroplasty Yohanan Chorev, MD 1,2 1 Knee Unit, Laniado Hospital, Netanya, Israel 2 Knee Arthroplasty, Assuta Medical Centers, Tel Aviv, Israel

The development of a navigation system for knee arthroplasty was a technological advancement in this field. Navigated knee arthroplasty does not require, pre-operative imaging or lengthy preparation and planning prior to surgery. The surgeon plans the

procedure in the operating roomaccording to the anatomical structure of the patient’s knee. The systemcontrols the procedure’s quality in real time and maintains high accuracy of up to 0.5 mm, achieving good ligament balance and improving surgical results and patient

satisfaction. Robotic systems used in knee arthroplasty are based on the navigation system, and the robot is used to execute the surgical plan. Keywords: Knee arthroplasty, navigation systems, robotic systems, surgical planning

Minimally invasive endoscopic sleeve gastroplasty using an innovative suturing system for treatment of morbid obesity Dean Keren, MD 1,2 1 Asia Bariatric, Asia Medical Group, Assuta Medical Centers, Tel Aviv, Israel 2 The Bariatric Division, Bnai Zion Medical Center, Haifa, Israel

Bariatric surgery is a safe and effectivemethod for treatingmorbid obesity; however, its high cost, risks and unavailabilitymake it available to only 1-2 percent of its potential population. Bariatric endoscopic treatments address patients that may be reluctant to undergoing surgery or those who do not meet the criteria for surgical or laparoscopic procedures. Endoscopic Sleeve Gastroplasty (ESG) uses an oral approach and is performed using

the OverStitch Endoscopic Suturing System mounted on a gastroscope. The procedure has been shown to be effective for up to five years of follow-up, during which significant weight loss was observed. During this period, the patient should implement healthy lifestyle habits in order to continuemaintainingweight loss. Although weight loss after ESG has been shown to be lower than that observed after laparoscopic Sleeve Gastroplasty, it is

reversible and involves fewer risks and length of hospital stay. The endoscopic suturing system is also used for revisions of previous bariatric surgeries (sleeve gastroplasty and gastricbypass) inpatientsexperiencingweight gain after bariatric surgery or for treatment of dumping syndrome after gastric bypass. Keywords: Obesity, endoscopic sleeve gastroplasty, endoscopic suturing system, bariatric surgery, bariatric revisions

Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecologic surgeries Motti Goldenberg, MD Aya Mohr-Sasson, MD Gynecological unit, Assuta Medical Centers,Tel Aviv, Israel

Theuseofnaturalorificetransluminalendoscopy (NOTES) is an innovative and evolving field of minimally invasive surgery. Vaginal NOTES (vNOTES) is a method in which conventional endoscopic equipment is transferred through a single opening in the posterior fornix of the vagina to the pelvic cavity. Due to the

convenience of access, thefirst surgeriesusing vNOTESmethodwerehysterectomies for benign indications. However, since the method was introduced to gynecological surgeons around the world, it has evolved and is now used for various gynecological surgery indications. The advantages of the method include a low

complication rate, rapid recovery and optimal aesthetic results. Keywords: Endoscopy, gynecological laparoscopy, use of a natural orifice, hysterectomy, tumor resection, gynecological pathologies.

AMR ASSUTAMEDICAL REPORT VOL 8 ISSUE 1 56