Ergonomic use of the fourth arm to oversew the dorsal vascular complex (DVC) during robot-assisted laparoscopic prostatectomy (RALP)
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Published on: May 19, 2022
Omer Karim1, Amrith Rao, Emma Marsdin
1Centre for Robotics and Minimally Invasive Surgery, Wexham Park Hospital, Slough, Berkshire, UK. omer.karim@mac.com
Objective:
To demonstrate an ergonomic fourth arm technique to oversew the dorsal vascular complex (DVC) during robot-assisted laparoscopic prostatectomy (RALP).
Patients And Methods:
Balloon of a Foley catheter inflated in the bulbar urethra. Fourth arm cranial traction via suture in the tip of the catheter. DVC oversewn under direct vision.
Results:
Oversew of DVC with minimal patient-side surgical assistance. About a 50% reduction in apical positive margin rate.
Conclusion:
A useful, ergonomic method of oversewing the DVC during RALP.
