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NEW DELHI: The All-India Institute of Medical Sciences has successfully performed robotic thymectomy for myasthenia gravis on seven patients since Saturday. Muscular weakness“Myasthenia gravis is a disease characterised by progressive muscular weakness which can sometimes be life-threatening. Thymectomy is removal of the thymus gland early in the course of the disease which provides cure or significant improvement in symptoms for a majority of patients. “The gland is situated behind the breast bone – just in front of the heart – and has traditionally required cutting open of the breast bone for its removal, a major incision to remove a small gland,” said Prof. Arvind Kumar of the Department of Surgery at the Institute, who successfully performed the surgeries. Experts presentAccording to AIIMS, Prof. Jens C. Rueckert, Professor and Head of Department of General, Thoracic and Endocrine Surgery at Charite Medical University in Germany, was present during the operations and provided expert advice and guidance. “Now with the robotic assistance, operations can be safely and effectively performed by three one-cm incisions on the left side of the chest. “This results in minimal postoperative pain, no requirement for ICU stay, a hospital stay only for 2-3 days and patients can return to work within a week or 10 days,” he added. Versatile instrumentsAIIMS Chief Public Relations Officer Y.K. Gupta said: “Robotic surgery with greatly enhanced three-dimensional vision and extremely versatile instruments with seven degrees of movement [which have a wrist like joint and can exactly replicate the function of a hand] allows complex chest surgery, even in the vicinity of vital structures, to be performed safely with small incisions.”
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