Prostate Restored
Prostate Restored
Photo: MART PRODUCTION
Less pain, fewer opiates Using a high-definition surgical console, surgeons performing robotic procedures can zoom in to see blood vessels and better manage issues that can arise, such as bleeding. As a result, most patients who undergo robotic-assisted surgery report less post-operative pain, Fulda said.
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Read More »When Nyda Wright underwent surgery for a hernia, her surgeon made the repairs – which included removing adhesions, closing the defect and inserting a new mesh covering to strengthen her abdominal wall – working about 15 feet away from where she lay on the operating table. Seated at a surgical console in a corner of the operating room at ChristianaCare’s Wilmington Hospital, Peter Santoro, M.D., FACS, viewed magnified, 3D images of Wright’s abdomen taken from a camera inside her body. As he looked at the high-definition images, Santoro manipulated the console’s controllers like a video game pro while his feet occasionally tapped the pedals. As the surgeon worked, the mechanical arms at Wright’s bedside mimicked the motion of the surgeon’s wrists, making precise cuts and stitches inside her abdominal cavity. A day later, Wright was recuperating in her Carney’s Point, N.J., home, on her way to feeling good enough to resume taking care of her cats and assisting older family members. “Using the robot seems a lot less strenuous on your body than being opened up,” Wright said at her follow-up appointment three weeks later. “For me, robotic is the way to go.” The precision and flexibility provided by the robotic arms make it easier to work in delicate or hard-to-reach areas of the body. Robotic surgery is a type of minimally invasive surgery performed by surgeons with specialized skills and credentials. More than 20 ChristianaCare surgeons are credentialed to use one of the health system’s four state-of-the-art surgical robots, which can provide more precision and control than conventional open-surgery techniques. Nationally, robotic surgeries account for about 15% of all surgeries. Robotic surgery is now used in areas including heart surgery, gastrointestinal surgery, general surgery, gynecology, thoracic surgery and urology, with additional specialties expected to adopt the technology in the future.
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Read More »The less-invasive approach of robotic surgery can help alleviate those fears because of the reduced need for hospitalization and quicker return to activities of daily living, said Emily Saks, M.D., MSCE, FACOG, a gynecologist who specializes in female pelvic medicine and reconstructive surgery. She treats patients with pelvic floor disorders, including women with urinary incontinence and those experiencing pelvic organ prolapse – which occurs when the bladder, uterus or other pelvic organs slips from its normal position into the vagina. “Most patients are going home the same day of their surgery, whether it’s a hysterectomy and or pelvic floor repair. It was never that way in the past when it was easily a two-night stay. People are up and move around better, they’re walking quicker, which is good for recovery in general,” Saks said. “The idea is to get them back to what they love. Robotic surgery helps make that happen.” As the surgeon works at the console, mechanical arms at the patient’s bedside mimic the motion of the surgeon’s wrists, making precise cuts and stitches. The flexibility provided by the robotic arms can help with fertility-sparing treatments, such as removing fibroids from a patient’s uterus, said Gretchen Makai, M.D., a gynecologist and director of the Division of Minimally Invasive Gynecologic Surgery. “The robot allows us to get into some deeper, narrower spaces to remove fibroids and then perform a complex uterine repair. We often close incisions on the uterus in three or four layers to make sure that muscle heals well for a possible future pregnancy,” Makai said.
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