Robotic assisted microsurgery in hypothenar hammer syndrome: a case report.
We report the case of a patient with bilateral hypothenar hammer syndrome. The therapeutic decision was to resect a thrombosed segment of the distal ulnar artery then reconstruct it using a forearm venous graft. The original aspect of this case concerns the microsurgical technique employed: All vascular sutures were made by separate nylon 10/0 stitches using a da Vinci S surgical robot. No particular problems were observed postoperatively and, except for some cold-related pain, the patient no longer experienced any symptoms at 6 months post-surgery. This clinical case shows that robots may be employed for some specific tele-microsurgical procedures.
Facca
Sybille
S
Hand Surgery Department, Strasbourg University Hospitals, Strasbourg, France.
Liverneaux
Philippe
P
D000328:Adult; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000295:instrumentation* / Q000379:methods; D012371:Robotics; D017535:Ulnar Artery / Q000473:pathology / Q000601:surgery*; D017769:Ulnar Nerve Compression Syndromes / Q000473:pathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000295:instrumentation* / Q000379:methods