Robotic Gynaecological Surgery in NHS England and Staff Experiences in Robotic Theatres

The rapid adoption of robotic surgery worldwide has been attributed to its perceived surgical and patient benefits. Little attention however has been given to the effect of introduction of a new technology, surgeon-team separation, or the large-sized equipment on staff experiences and theatre dynamics.The first aim of this thesis was to review the uptake and outcomes of robotic gynaecological surgery in England (2006-2018) based on Hospital Episodes Statistics. 527,217 elective gynaecological procedures were performed, 4384 (0.83%) of which were performed robotically. There was a gradual rise in the uptake of robotic surgery overall, but marked geographical variation across England. Clinical outcomes were comparable to those reported in other countries.My second aim was to explore staff experiences in robotic theatres using semi-structured interviews and participant observations. Robotic procedures were observed at two tertiary hospitals and laparoscopic/ open procedures were added for comparison. Observation field notes were taken contemporaneously and the interviews were audio recorded and transcribed verbatim. Qualitative analysis was conducted via grounded theory approach using NVIVO12. Twenty-nine participants were recruited to the study and 134 hours of observation were completed across urology, gynaecology and colorectal surgery.Data analysis identified major concepts pertaining to the robotic team, theatre environment and staff emotions. Higher conceptual analysis proposed a “Robotic Proficiency Theory”, where major elements pertaining to quality patient care included collaborative supportive leadership, the robotic team, robotic processes and optimal robotic performance. While this theory may also apply to other surgical settings, its elements are particularly important within the robotic setting due to the introduction of new technology, surgeon-team separation and large-sized equipment.Clinically, the proposed model sets a framework to guide introduction or assessment of a robotic surgical programme. From a research perspective, this model will need to be tested within other settings utilising the newer robotic platforms.</div

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Images Of Research 2019 Winners: Yang Chen – ‘Spiral Up and Down’ - Judges’ Prize Winner Dina El-Hamamsy – ‘Where is my patient Patient?’ - Joint Judges’ Prize Runners-up Tom Matheson – ‘Ginormous Genome’ (1) - Joint Judges’ Prize Runners-up Styliano Spathariotis – ‘Girl with a Metallic Earring’ - Katherine May People’s Choice Winner Soheb Mandhai – ‘The Cosmic Dance of Two Neutron Stars’ - People’s Choice Runner-up Brandon Fathy – ‘Speed, Space, and Time’ - Leicester Institute of Advanced Studies Interdisciplinary Prize Images Of Research 2018 submissions: Abbey Ellis – ‘Carving Out an Understanding’ (1) Abbey Ellis – ‘The Art of the Reproduction’ (2) Ahmed Elimam - Untitled Artur Soczawa-Stronczyk – ‘Do the locomotion with me’ Aseel Alfuhied – ‘Cosmic storm in the heart of darkness’ (1) Aseel Alfuhied – ‘Heart to Heart’ (2) Aseel Alfuhied – ‘Pop Heart’ (3) Beatriz Sanchez-Cano – ‘The Sun, our neural connection’ Cesare Cuzzola – ‘Buddha Day 2019’ Charlotte Barratt – ‘Sound’ (1) Charlotte Barratt – ‘Girl Praying’ (2) Chris Allen – ‘Perceptions and Realities: Building Community Resilience Against Extremism’ (1) Chris Allen – ‘Perceptions and Realities: Building Community Resilience Against Extremism’ (2) David Unwin – ‘Death flight’ Diane Urquhart – ‘Laying ghosts to rest’ Eloisa Rodrigues – ‘Tropical self-portrait’ Fernando Schlindwein – ‘Chaos in the heart’ (1) Fernando Schlindwein – ‘Porcupine’ (2) Graham Frobisher – ‘The 7th Decade Manager’ Hanna McQuail – ‘That colossal wreck, boundless and bare’ Hatice Kayman – ‘Immigrants have opportunities to do their festivals in London’ Hedwig Krawczyk – ‘Underwater Time Machines’ Hipolito Treffinger – ‘Layers’ Jacqueline Taylor – ‘Miriam Haughton at the British Academy’ Jan Vandeburie – ‘Dress to Impress’ Jennifer Beamer – ‘Human-Animal Relationships in Weaving’ John Goodwin – ‘Slow Sociology in South Wigston’ Kinga Kolodziej – ‘In a blink of an eye…’ (1) Kinga Kolodziej – ‘In a blink of an eye…’ (2) Kristina Wright – ‘Janus-Faced Seoul’ Kseniia Bondarenko – ‘Your brain drives me crazy’ (1) Kseniia Bondarenko – ‘Your brain drives me crazy’ (2) Liam Crawford – ‘The heartfelt love story between one nanoparticle and another’ Lisa Huddlestone – ‘Seeing the wood and the trees’ (1) Lisa Huddlestone – ‘Seeing the wood and the trees’ (2) Margarita Avgerinopoulou – ‘A dash of magic’ (1) Margarita Avgerinopoulou – ‘Fantasy at the making’ (2) Martha Papadopoulou – ‘The power of a drop’ (1) Martha Papadopoulou – ‘Every drop counts’! (2) Mayamin Altae - Untitled (or the Tennyson quote) Michael Curtis – ‘The arrival of the shoreline detective’ (1) Michael Curtis – ‘The arrival of the shoreline detective’ (2) Neelam Dave – ‘The damage bacteria can do’ Neil Harris – ‘Colour amongst the chaos’ Nitu Gupta – ‘Far Beyond Insecurities’ Nora Ngii Musyoka – ‘She’s Just the Other Half of Me’ Nukul Charlin – ‘Why are Ladyboy Tolerated in Thai Society?’ Pariyakorn Petkaew – ‘Be silent…Be thinking’ Rachel Belben – ‘Ardeadactylus longicollum’ (1) Rachel Belben – ‘Psittacosaurus’ (2) Roberto Sommariva - Untitled Saima Ahmad – ‘The Command Centre’ (1) Saima Ahmad – ‘Vial do you see it?’ (2) Saima Ahmad – ‘Beyond the Canopy’ (3) Samuel J Perry – ‘Metallic snowflakes’ (1) Samuel J Perry – ‘Metallic snowflakes’ (2) Stephanie Bowry – ‘Storm Clouds over Vaux-le-Vicomte’ Tom Matheson – ‘Ginormous Genome’ (2) Yewande Okuleye – ‘Commemoration, Remembrance and Bodies of Evidence’ Yewande Okuleye, Robert Garner – ‘From pain to pleasure: We no longer just eat our greens, it’s imperative to photograph share and like on Instagram.’ (1) Yewande Okuleye, Robert Garner – ‘A green plaque for animal ethics?’ (2) Yewande Okuleye, Robert Garner – ‘A green plaque for animal ethics?’ (3)</p