RESUMO
Robotic innovations in breast surgery have ushered in a new era of precision, safety, and patient-centred care. This comprehensive review explores the multifaceted realm of robotic breast surgery, from preoperative planning to postoperative outcomes, learning curves for surgeons, and the implications for healthcare policies. We examine the ethical considerations, cost-effectiveness, and future directions, including integrating artificial intelligence and telesurgery. Key findings reveal that robotic systems provide improved surgical precision, reduced complications, and enhanced patient satisfaction. Ethical concerns encompass informed consent, resource allocation, and equitable access. The future of breast surgery lies in continued research and development, ensuring that robotics becomes a standard of care accessible to all patients. This technology is reshaping breast surgery and offering new possibilities for minimally invasive, patient-centred care, ultimately redefining the standards of care in this critical field of medicine.
RESUMO
The treatment of postoperative pain is a crucial component of postoperative patient care. To reduce discomfort, encourage early mobilisation, reduce complications, and improve overall recovery, effective pain management is crucial. To maximise pain relief and reduce the need for opioids and their accompanying adverse effects, a multimodal analgesic strategy, combining several drugs and procedures, is frequently used. Opioids continue to be a crucial part of postoperative pain treatment for moderate to severe pain; however, due to potential side effects and dependency concerns, their usage should be carefully controlled. Non-opioid analgesics, such as non-steroidal anti-inflammatory medications (NSAIDs) and paracetamol, are widely used as a component of a multimodal regimen and play an important role in pain management. Postoperative pain management ultimately aims to deliver efficient analgesia, enhance patient comfort, and foster a speedy recovery while minimising the dangers and adverse effects connected with pain medicines. To create a thorough and unique pain management strategy for each patient, close coordination between the surgical team, anesthesiologists, and pain management specialists is essential.
RESUMO
Hydrocele represents a commonly encountered pathological condition characterized by the development of scrotal swelling. In contrast, spermatic cord hydrocele is a relatively rare condition that arises from the abnormal closure of the processus vaginalis. This condition entails the accumulation of fluid within the spermatic cord, and although hydrocele itself is a frequently observed ailment affecting roughly 100 out of 100,000 men, encysted hydrocele of the spermatic cord is a seldom-seen variant. Furthermore, it is noteworthy that spermatic cord hydrocele tends to be more prevalent in the pediatric population compared to adults. In our clinical practice, a patient presented with swelling localized to the right hemi-scrotum and was initially diagnosed as suffering from a chronic right-sided hydrocele of the tunica vaginalis. However, during the surgical intervention, the true nature of the condition became evident, as it was determined to be an encysted hydrocele of the cord. This case report chronicles the diagnostic journey surrounding hydrocele, highlighting the distinction in surgical management between encysted hydrocele and vaginal hydrocele of the testis.
