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Updated: Jul 27, 2026

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A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
[Minimal invasive pediatric surgery: development and progress by innovative technology]
R T Carbon1, S Baar, J Waldschmidt
1Abteilung für Kinderchirurgie, Chirurgische Klinik und Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
Klinische Padiatrie
|June 22, 2001
Summary
The AMISA-TachoComb-System (ATCS) effectively seals large defects in minimally invasive pediatric surgery (MIPS), reducing recovery times for conditions like pneumothorax and splenic trauma.
Area of Science:
- Pediatric Surgery
- Surgical Technology
- Biomaterials
Context:
- Minimally invasive pediatric surgery (MIPS) traditionally excels but faces challenges in managing large-area tissue defects.
- Fleece-bound collagen- and fibrinogen-based sealing systems offer potential solutions for expanding MIPS applications.
Purpose:
- To evaluate the efficacy and safety of the AMISA-TachoComb-System (ATCS) for tissue sealing in pediatric minimally invasive procedures.
- To assess the impact of ATCS on patient outcomes, including reoperation rates and drainage duration.
Summary:
- The ATCS, a novel instrument for MIPS, was utilized in 105 thoracoscopic and 53 laparoscopic procedures between 1993-2000 for recurring pneumothorax, traumatic chylothorax, and splenic trauma.
- Results demonstrated reduced drainage times and reoperation rates for pneumothorax and chylothorax, alongside successful organ conservation in splenic trauma cases.
Impact:
- The ATCS proves to be an innovative tool for MIPS, enabling efficient closure of large-area defects.
- This technology offers socio-economic benefits, potentially improving patient recovery and healthcare resource utilization (e.g., DRGs).

