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DATE PUBLISHED 2018 - 2022.

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THE TEAM:
ANDREW (Activator): Andrew will help make things happen by turning thoughts into action. He would help motivate people towards a change project idea by activating on thoughts, feelings, or decisions. He will be the fire-starter and energy source.

CARTER (Communication):  Carter will help in communicating and influencing others towards any change project.  Carter as an influencer will find it easy to put thoughts into words as he projects and presents the change project theme to others.

CINDY (Connectedness): Cindy will utilize her relationship and connectedness with all stakeholders to win their support for any change project. Cindy will help project faith and belief in the team's vision and goal.

CARLEE (Consistency): Carlee will project consistency in executing the team's theme, and keep all team members focused on the consistency of an idea/mission and the expected goal. Establish clear-cut rules and patterns for everyone to follow and ascribe to. Similarly, Carlee will help with problem-solving and policy-making.

MATTHEW (Maximizer): Matthew will help motivate and stimulate the team and others towards achieving the stated goals. Will help keep others in line and stay positive.

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REFERENCES
Christiansen, S. (June 24, 2020). Robotic surgery:
Everything you need to know.
https://www.verywellhealth.com/robotic-surgery-
4843262.

Ekci, B., & Agturk, G. (2020). Surgeon and the Machine -
Robots in Surgery. Journal of Surgical Sciences, 7(3), 74–
78.

Lane, T. (2018). A short history of robotic surgery. Annals of
the Royal College of Surgeons of England, 100 (6_sup),
5-7.  https://doi.org/10.1308/rcsann.supp1.5.

Mangalath, A.S., Kumar, L., Sawant, A.B., Kesavan, R.,
Ravindran, G., Sunil, R. (2021).  Comparison of analgesic
requirements in robot-assisted versus conventional
laparoscopic abdominal surgeries. Journal of
Anaesthesiology Clinical Pharmacology. Jan-Mar2021,
Vol. 37 (1), 79-84. https://doi. 10.4103/joacp.JOACP_354
_18.J.

UC Health (2022). Robotic surgery program.
https:// www.uchealth.com/services/robotic-surgery/
patient-information/benefits.

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My top 5 strengths are :
a) Responsibility
b) Relator
c) Learner
d) Ideation
e) Achiever

Responsibility gives me a sense of ownership, ensuring that things are done right and accordingly. It makes me accountable to myself and my team. Relator reflects my great interpersonal skill which enables me to relate with everyone irrespective of their background. The Learner's strength is borne out of my desire and commitment to lifelong learning. I am always learning to improve myself so that I can stay competitive and relevant in my career. Ideation makes it possible for me to visualize things, innovations, and ideas, and I work hard to bring such to fruition. Lastly, my strength as an Achiever is due to the fact that I often follow my dreams, and work hard to bring my ideas to reality. My top 5 strengths will be utilized to attain the goal of the team.

THE TEAM:
ANDREW (Activator): Andrew will help make things happen by turning thoughts into action. He would help motivate people towards a change project idea by activating on thoughts, feelings, or decisions. He will be the fire-starter and energy source.

CARTER (Communication):  Carter will help in communicating and influencing others towards any change project.  Carter as an influencer will find it easy to put thoughts into words as he projects and presents the change project theme to others.

CINDY (Connectedness): Cindy will utilize her relationship and connectedness with all stakeholders to win their support for any change project. Cindy will help project faith and belief in the team's vision and goal.

CARLEE (Consistency): Carlee will project consistency in executing the team's theme, and keep all team members focused on the consistency of an idea/mission and the expected goal. Establish clear-cut rules and patterns for everyone to follow and ascribe to. Similarly, Carlee will help with problem-solving and policy-making.

MATTHEW (Maximizer): Matthew will help motivate and stimulate the team and others towards achieving the stated goals. Will help keep others in line and stay positive.

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In my opinion, as many people will ascribe, the robotic surgery developed with innovative technology is characterized by high precision and a lower level of invasiveness is a great innovation in healthcare.  It reduces the pain that is often experienced during surgery.  It helps in minimizing the incidents of fatigue in the surgeons and reduces the risk of complications in surgery. From the patient's perspective, Robotic surgery creates minimal scar when compared to conventional surgery. Also, the pain and blood loss is minimal.
Clear interface, streamlined clinical application, adaptable workflow, and fast registration process aims to improve procedural efficiency.
Robotic surgery allows surgeons to perform complex surgical tasks through tiny incisions using robotic technology. Surgical robots are self-powered, computer-controlled devices that can be programmed to aid in the positioning and manipulation of surgical instruments.
Also, Less pain is felt before and after surgery with fewer incisions and greater accuracy. During recovery, the patient is also less reliant on painkillers, which reduces the risk of addiction.
Furthermore, It will also take the body less time to heal than conventional surgery because robotic surgery is minimally invasive. Most individuals are able to restart regular tasks after a few weeks of robotic-aided surgery, including work.

In addition, Lifelong continued education is encouraged and enhanced as surgeons and their team members have to learn new techniques and methods as technology changes over time.

However, the main problem with this technology is the high cost of the equipment and its maintenance, thus obtaining a high price in treatments or operations.  Also, the difficulty that appears in the programming of the systems and equipment, requires information that is geometrically difficult to express in a linguistic way. Like all technological equipment, machines and robotic systems will be considered obsolete because they will be replaced by another more recent technology. Majorly, the loss of human contact is of great concern in my opinion. Oftentimes, the compassion, empathy,  and bonding that human contact creates cannot be discounted for technological advancement. The human touch provides assurance and hope.

Reference
Christiansen, S. (June 24, 2020). Robotic

surgery: Everything you need to know.
https://www.verywellhealth.com/robotic
-surgery-4843262.

UC Health (2022). Robotic surgery
program.
https://wwwuchealth.com/services/
robotic-surgery/patient-information/
benefits.

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Surgery performed with the help of a robot has been regarded as the next revolution in healthcare: such procedures can be carried out through an incision the width of a finger, causing less scarring and often allowing people to return to their homes more quickly.  The rapid rise of robot-aided surgery ignores the fact that high-tech gadgets don’t always improve treatment outcomes but do increase costs

Ecki and Agturk (2020) argued that A surgical robot requires a large amount of capital. Other cost-increasing reasons include the use of a certain number of arms, their locking up and unavailability. Ecki & Agturk (2020) stated further that high cost is also important in terms of accessibility and use. However, it has been stated that these cost rates may decrease with appropriate selection of the material to be used. Nevertheless, the cost rate is very high compared to laparoscopic surgery. Perhaps, the most important disadvantage is the lack of sense of touch by the surgeon. In addition, the time taken to prepare robotic structures before starting surgical procedures is longer than the conventional or laparoscopic surgery.  In addition, because of the limited mobility of these machines, work areas are required in a single zone.  Medical robots are large machines, and they need larger operating rooms.  Also, the presence of multiple connecting cables and components are potentially dangerous points in the use of this medical device. Another disadvantage is the need to change the arms such as scalpels, forceps, graspers, dissectors, cautery, scissors, retractors, and suction irrigators, which are specially designed for different tasks during surgery.

Reference:
Ekci, B., & Agturk, G. (2020). Surgeon and the Machine - Robots in Surgery. Journal of Surgical Sciences, 7(3), 74–78.

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Mangalath et al.,(2021) noted that  Robot‑assisted surgery is advantageous in the precision of tissue handling and shorter postoperative recovery. Also, Mangalath et al., (2021) noted that  Analgesic requirements were significantly less in robot‑assisted laparoscopic surgery in the first 24 h. Furthermore, they stated that the time to ambulation and length of ICU stay was shorter in the robot‑assisted surgery patients in comparison to the laparoscopic patients. Also, they noted that  Robotic surgery offers additional advantages of  three‑dimensional vision, superior freedom in movement, reduced impact of physiological tremor, better ergonomics, and reduced fulcrum effect.

Reference
Mangalath, A.S., Kumar, L., Sawant, A.B., Kesavan, R., Ravindran, G., Sunil, R. (2021).  Comparison of analgesic requirements in robot-assisted versus conventional laparoscopic abdominal surgeries. Journal of Anaesthesiology Clinical Pharmacology. Jan-Mar2021, Vol. 37 (1), 79-84. https://doi. 10.4103/joacp.JOACP_354_18.J.

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KNOWLEDGE IS POWER

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Lane (2018) noted that the extent to which robotic surgery has been embraced by the surgical fraternity has been unparalleled. It has been driven in part by rapid developments in technology and in part by the ease with which adaptations have been made to existing laparoscopic procedures and techniques. Robotic procedures are rapidly becoming the new standard of care. As with a number of other technological advances in medicine and surgery, these developments have seldom been introduced as a result of randomized prospective studies. Lane traced the history of robotic surgery to the Karel Capek's play  Rossum’s Universal Robots where Capek defined the term ‘robot’ for the first time as being derived from the Czech word robota, which describes forced labor or activity, the term has rapidly become corrupted to reflect a machine-orientated repetitive task with little – if any – artificial intelligence. In the play the robots that once undertook mundane tasks for their human masters later attempt to throw off their subservient roles and take control of their own destinies. Although the current use of robots – machines that can undertake ultra-precise, repetitive and pre-programmed procedures – is commonplace in the manufacturing industry, they have only relatively recently been adopted by the medical sector to enhance the delivery of care.  Lane (2018) enumerated further that authors often differ in their definition of the first robotic procedure of the modern era. For most, the honors are awarded to Kwoh et al, who used the PUMA 560 robotic system to undertake neurosurgical biopsies with greater accuracy – in effect, stereotactic brain surgery. The same system was subsequently used by Davies et al to undertake a transurethral resection of the prostate (TURP) – a precursor of what would ultimately be termed the PROBOT. It was designed specifically to undertake a TURP and was developed by Integrated Surgical Supplies Ltd. In essence, the PROBOT represented a framework to direct a rotating blade to complete the process of prostatic resection. Although the PROBOT failed to gain wider clinical appeal, a similar concept was simultaneously being explored elsewhere. In this respect, parallel developments were being undertaken to develop the ROBODOC system (the first of the active robotic systems to achieve a formal FDA approval) and a machine designed to improve the precision of hip replacement surgery. It was adopted almost immediately in Europe (and subsequently in the US), with the first procedures being undertaken in 1992. A further system (PAKY) employed a similar percutaneous approach to access the kidney for stone surgery.

Reference:
Lane, T. (2018). A short history of robotic surgery. Annals of
the Royal College of Surgeons of England, 100 (6_sup),
5-7.  https://doi.org/10.1308/rcsann.supp1.5

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https://www.newscientist.com/article/mg24232342-300-robotic-surgery-is-turning-out-to-be-an-expensive-fad/