Robotic Myomectomy
| Discussion in 'All Categories' started by Silvester Stallon - Sep 27th, 2011 2:28 am. | |
Silvester Stallon
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Hi my wife is suffering from big fibroid. Someone has told me robotic myomectomy is very good. Can you guide me about that. It is advantageous to perform surgery in the least invasive way possible while still getting optimal results. Although I think usually surgeon prefer to do surgery through a laparoscope rather than through a larger incision, I have felt limited by the lack of wrist-like movements of the instruments. I felt that deeper myomas (that couldn |
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re: Robotic Myomectomy
by Dr Sadhana -
Sep 27th, 2011
4:08 pm
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Dr Sadhana
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Dear Robotic surgery allow a unique platform to perform surgery beyond the limit of human hand. The hand movements in the surgeon are duplicated in the patient by the robot. Most importantly, the instruments duplicate the wrist movements of the surgeon, allowing the instruments to change angles to allow precise suturing. During Myomectomy An incision is being made with the da Vinci robot through the myometrium (muscle of the uterus) down to the fibroid. The fibroid is grasped and dissected away from the surrounding myometrium much better than human hand. Please keep in mind that The da Vinci does not always eliminate the need for abdominal myomectomy. When there are very large myomas and/or many myomas an abdominal myomectomy may be preferable. World Laparoscopy Hospital has the facility of all types of myoma and you can get this surgery done at our hospital. With regards Sadhana |
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re: Robotic Myomectomy
by Dr M.K. Gupta -
Sep 27th, 2011
4:18 pm
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Dr M.K. Gupta
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Dear Silvester Stallon We frequently get email from all over World asking how big is big and how many are too many for robotic surgery. For considering Laparoscopic as well as Robotic Surgery all of this is relative. The size of the uterus, the size of the woman with any presence of co-morbidity, and the desire to retain fertility are only a few of the factors that should be taken care by all the laparoscopic surgeon and enter into the decision making process. We without examine the patient can not make meaningful recommendations without actually seeing and examining the patient! In our practice we frequently find that the records are quite different than what we find during surgical evaluation, and that my recommendations after seeing someone are totally different. So we request you to bring your patient to our hospital. With regards M.K. Gupta |
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re: Robotic Myomectomy
by Dr M.K. Gupta -
Sep 28th, 2011
10:18 pm
#3
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Dr M.K. Gupta
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Dear Stallon Robotic assisted surgery has shown tremendous advantages in the field of laparoscopy and has rapidly been incorporated in a number of laparoscopic procedures across various fields of surgery. However, we believe that the advantages provided by robotics in elimination of tremor, scaling of motion and enhanced magnification really have the potential to have an even greater impact in the field of microsurgery. There is also more uniformity in the tools utilized by microsurgeons across various fields, which can provide greater utilization of a common robotic assisted microsurgical platform. To date, several hundred robotic assisted microsurgical procedures have been successfully completed at many institutions across the world. Our goal is to provide a unified forum for the further development and training of these procedures and expand their use. |