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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | MELO, P. M. Porto de | - |
dc.contributor.author | GARCIA, J. C. | - |
dc.contributor.author | MONTERO, E. F. de Souza | - |
dc.contributor.author | ATIK, T. | - |
dc.contributor.author | ROBERT, E. -G. | - |
dc.contributor.author | FACCA, S. | - |
dc.contributor.author | LIVERNEAUX, P. -A. | - |
dc.date.accessioned | 2014-01-28T22:16:03Z | - |
dc.date.available | 2014-01-28T22:16:03Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | CHIRURGIE DE LA MAIN, v.32, n.4, p.206-209, 2013 | - |
dc.identifier.issn | 1297-3203 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/3854 | - |
dc.description.abstract | Surgery to transfer the axillary nerve and the nerve of the long head of the triceps presents two obstacles: 1) the access portals are not standardized and 2) the nerves are for their larger part approached through large incisions. The goal of this study was to explore the feasibility of an endoscopic microsurgical approach. The posterior aspect of a cadaver shoulder was approached through three communicating mini-incisions. The Da Vinci robot camera was installed on a central trocart, and the instrument arms on the adjacent trocarts. A gas insufflation distended the soft tissues up to the lateral axillary space. The branches of the axillary nerve and the nerve to the long head of the triceps brachii muscle were identified. The dissection of the axillary nerve trunk and its branches was easy. The posterior humeral circumflex veins and artery were dissected as well without any difficulty. Finding the nerve to the long head of the triceps brachii was found to be more challenging because of its deeper location. Robots properties allow performing conventional microsurgery elimination of the physiologic tremor and multiplication of the movements. They also facilitate the endoscopic approach of the peripheral nerves, as seen in our results on the terminal branches of the axillary nerve and the nerve to the long head of the triceps brachii. | - |
dc.description.abstract | Les transferts chirurgicaux du nerf axillaire et du nerf du chef long du triceps brachial présentent deux obstacles: 1)les voies d’abord ne sont pas standardisées et 2)les nerfs sont, pour leur plus grande partie, abordés à travers de larges incisions. Le but de cette étude était d’explorer la faisabilité d’une voie d’abord endoscopique microchirurgicale. La face postérieure d’une épaule de cadavre a été abordée par l’intermédiaire de trois mini-incisions communiquant les unes avec les autres. La caméra du robot Da Vinci a été installée sur le trocart central et les bras instrumentaux sur les trocarts adjacents.Une insufflation de gaz a distendu les parties molles jusqu’à l’espace axillaire latéral. Les branches du nerf axillaire et le nerf du chef long du triceps brachial ont été identifiés. La dissection du tronc du nerf axillaire et de ses branches fut aisée. L’artère et les veines circonflexes humérales postérieures furent disséquées également sans difficulté. La découverte du nerf du chef long du triceps brachial fut plus difficile en raison de sa localisation plus profonde. Les propriétés des robots permettent la réalisation d’une microchirurgie conventionnelle :élimination du tremblement physiologique et démultiplication des mouvements. Ils facilitent de la même façon l’abord endoscopique des nerfs périphériques, comme dans notre étude celle des branches terminales du nerf axillaire et du nerf du chef long du triceps brachial. | - |
dc.language.iso | eng | - |
dc.publisher | ELSEVIER | - |
dc.relation.ispartof | Chirurgie de La Main | - |
dc.rights | restrictedAccess | - |
dc.subject | Endoscopic microsurgery | - |
dc.subject | Robot | - |
dc.subject | Da Vinci | - |
dc.subject | Chirurgie endoscopique | - |
dc.subject.other | plexus | - |
dc.subject.other | repair | - |
dc.subject.other | muscle | - |
dc.subject.other | paralysis | - |
dc.subject.other | transfers | - |
dc.subject.other | injuries | - |
dc.subject.other | adhesion | - |
dc.subject.other | outcomes | - |
dc.title | Feasibility of an endoscopic approach to the axillary nerve and the nerve to the long head of the triceps brachii with the help of the Da Vinci Robot | - |
dc.type | article | - |
dc.rights.holder | Copyright ELSEVIER | - |
dc.identifier.doi | 10.1016/j.main.2013.05.003 | - |
dc.identifier.pmid | 23867724 | - |
dc.subject.wos | Surgery | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | MELO, P. M. Porto de:Ctr Adv Studies Orthoped & Neurosurg, Sao Paulo, Brazil; Brazilian Army, Sao Paulo Mil Area Hosp, Neurosurg Dept, Sao Paulo, Brazil | - |
hcfmusp.author.external | GARCIA, J. C.:Ctr Adv Studies Orthoped & Neurosurg, Sao Paulo, Brazil | - |
hcfmusp.author.external | ATIK, T.:Cent Jersey Hand Surg PA, Eatontown, NJ USA | - |
hcfmusp.author.external | ROBERT, E. -G.:Strasbourg Univ Hosp, Dept Hand Surg, F-67403 Illkirch Graffenstaden, France | - |
hcfmusp.author.external | FACCA, S.:Strasbourg Univ Hosp, Dept Hand Surg, F-67403 Illkirch Graffenstaden, France | - |
hcfmusp.author.external | LIVERNEAUX, P. -A.:Strasbourg Univ Hosp, Dept Hand Surg, F-67403 Illkirch Graffenstaden, France; Univ Paris 05, Ecole Europeenne Chirurg, F-75006 Paris, France | - |
hcfmusp.description.beginpage | 206 | - |
hcfmusp.description.endpage | 209 | - |
hcfmusp.description.issue | 4 | - |
hcfmusp.description.volume | 32 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000326207000003 | - |
hcfmusp.origem.id | 2-s2.0-84883456019 | - |
hcfmusp.publisher.city | BRIDGEWATER | - |
hcfmusp.publisher.country | USA | - |
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dc.description.index | MEDLINE | - |
hcfmusp.citation.scopus | 23 | - |
hcfmusp.scopus.lastupdate | 2024-03-08 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCG Artigos e Materiais de Revistas Científicas - LIM/62 |
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