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A-1125 The Benefit of Small Incisions - Q&A
Philippe Liverneaux, France
Thursday, June 14, 2018 · 10:08 a.m. · 12m 04s
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i just really don't know
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yeah
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for this very interested in your presentation uh um our summer
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question remember rumour boxer orders are minimally invasive techniques
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yes sir i was sure that you should
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oh
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oh
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i i
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yes but this is this is a bad example a cop out and that is a very small incision in all i i also
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don't choose understood before carpal tunnel because you can realise with that
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fifteen met incisions all it's a bad example lepers could be
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you know if you compare the numbers could be is a very good example and they are bursting of the intent upon others
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when you have to detach the muscles and some you know all compared to these that you detach
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nothing and for this damages factors when you little respect to when it or and you would
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you a decrease the ah the additions around the uh the
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fact the tendons with the small incisions so all
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i respect your your opinion but i disagree you know
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capote and that is is is the worse example you little that you
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can use to to say don't go to minimally invasive surgery
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yes sir
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well
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oh
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oh
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yep
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yes i didn't but i we we can do it all
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oh
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well i ah i
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oh
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well i
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oh
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oh
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yeah
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believe what you want you know if you want to see you all come back in twenty years i i asked him
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oh no no it was water it was water just it's just
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so okay i i please come to stress brilliant visit me i will show you many many different or
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um procedures for many many invested to please come to stress
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ball a lot of people didn't believe me about the
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the small incision for the start with just fighters and i convince only the guy who came to stress
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ball the other one believe okay come back in twenty years and you will see the difference
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yep i
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ah
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okay so okay i'm a liar thank you oh okay i'm a liar
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yeah yes sir
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you think really we've been far too slow in developing programs german tradition
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i remember when we use your knowledge instrument to people tonal yeah
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showing bits should huge pile dosing members invented for right
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yeah normal trash it's not true but why
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don't we we make hams specific instrumentation
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uh the problem is um the money the program is to convince the um the companies
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so all we convince the company to develop some guide for the start with just factors
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um i i we write i'd i'd convinced i didn't convince anybody
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for to use the robotic because i only use the
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the instruments that the the upper school peaks and you will just use
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so all it's it's very difficult to convince the company to invest because as some guys they don't uh
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we don't believe in it and they they feel that if the invest too much money they
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will not get return on investment but for the stairway just factors i studied that
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and maybe k. eight eight years ago and er it years ago
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there are people like uh that's a russian colleagues
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who were laughing at me and we're fair
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i receive you know i try to do my job i'm not there a query no
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why i do so i don't you but what i'm so i've received
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euro i tried to make reserves and try to improve things
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that i whine so much check with c. v. t. soul age years ago a lot of people were very aggressive with me
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somebody's writing and now all the companies it try to develop guides for minimally invasive surgery
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so i was right at that time maybe i'm wrong for for what things i
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don't know if you two will tell us but what i wanted to do the
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basics i wanted to to say to to show to other people is that
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we have to develop to a me not invasive surgery for everything you know
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uh but it's difficult i can't drop everything you you you
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can develop for bones or you for that um the
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look at the if the it's it's i knew the the
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the washing of the tendon she's we we've done about
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fifteen cases uh for six months ago we on the process to publish the paper fish
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so uh but this is amazing how it works of course not for stage
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three and of course it doesn't work for all the cases i mean we made
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a a story you you made their study in the in the lair
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uh with a with a lot of surgeons with a lot of captors and we demonstrated
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that on captors this technique works on eighteen sixty six percent of the cases
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it doesn't work in all cases i i you know have enough time for you or these
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but sometimes i'm in because they're the the the the
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cat feature is not exactly the right place
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proxy money all the study which is much more difficult you know in in in thirty three percent of
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the cases we this technique doesn't work okay so i'll
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convert but in sixty six percent it works
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so it's better to use no incision than an incision so why don't we
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try this you you don't use it was sort of actually you are
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sure that you want inside then you in inject some other
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uh some free we it works okay you know did you see these result of our colleagues amazing result
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three days after she went with you are with the with bruce
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inside the inside the the tendencies i didn't operate with
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this uh it was one of my fellow will point your soul okay you can check you can come so i'll
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if it were seen in in a six patient to ten why should mean not try it doesn't work well
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well i don't know why people are so i've wasted about uh
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new thing like these yeah i'm not i receive with what have you know the same hound ah what is what out one is
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uh i did you uh it's funny security is you know you
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sometimes i'm thinking i see crazy things about what out
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but this album and see set you know in in in five years why don't would be finished
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i pretty sure beats but okay it's new and it's it's
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exactly the opposite behaviour of people i don't understand why
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another question
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uh_huh
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the cute little presentation does not bits should question we would lose to commute mm
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uh_huh since she did you push those models when we can put some
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did seems adult mm you actually begin to explain
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what reactions that makes my day better
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thank you very much thank you for this question are you one question
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for mister lever no um do you have a new robot
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yeah so you don't probably dealer room dior warm where the vision is not so good
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yes um that the the one we i show the first was the
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but as the s. then we use the s. i. m. now we use the x. i
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bet it's only the dingy and uh with a a considerable amount of money we
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we made a international or society the name always around sets and we try to promote
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uh the development of a robotic mike was
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that we unfortunately we didn't find company
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who wants to invest that on um on the rubber devoted to micro surgery
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there is some guys from netherlands uh oh tom uh
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double cut of the that about the robot devoted to micro
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surgery it's a robot that you can't use for
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on those could be you just have to track the instruments on the console about and it's uh
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it's very useful because these uh uh cancel the uh the trainer
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so this is one step in awful lot to the next our version of a new well about saudi are
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people i'm not the only one there are some crazy people would try to think to to uh to
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you know to make these uh to make my cross that we all we you
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know uh my crusted with the not able wait for more than sixty years
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the instruments of the same okayed are made of titanium their
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their microscope other thing okay they are a digital
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but it's exactly the same principle or not i think people like michael said we only the techniques
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you know all the the the flats that we cannot get a lot of techniques have been developed but the technology set
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is or was the thing and this you know can you imagine i think two hundred years
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uh away from today the the the microscope would be the
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same andy said the instrument saying of course not
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there is a beginning of costs that this beginning is difficult in
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la trying to do it with stuff when tom another yeah
