IMPLEMENTATION OF GYN ROBOTIC SURGERY IN OUR PRACTICE
Middle East has launched its first comprehensive robotic surgery programme, Known as one of the most sophisticated laparoscopic surgical technologies available, the device – created by Intuitive – is part of the new programme aimed at enhancing the group’s “current comprehensive general surgery and laparoscopic surgery services”.
American Hospital was selected as the hub for this robotic programme as it is already considered a market leader in advanced laparoscopic surgery.
According to the manufacturer, the da Vinci Xi HD 4 works by combining conventional laparoscopic techniques with high precision robotic technology that uses four robotic arms controlled by the surgeon from a console. Through the console, the surgeon is also able to access a 3D high-definition view of the surgical area.
Robotic surgery is a state of the art surgical procedure in which the conventional laparoscopic technique is combined with high precision robotic technology. Articulated instruments allow the same movement capacity as the human wrist and the tremor filter eliminates any small uncontrollable movement in the surgeon's hands.
We would like to share our experience in implementation of Robotic Assisted surgery in gynecological practice of out hospital.
Commencement of our program coincided with very difficult period for all World. Regardless COVID pandemic, we started successfully our robo- surgical journey, and within 6 months we performed 150 Robotic assisted surgeries, 50 of them- gynecological.
Gynecologic surgery has been transformed in the last three decades in the western world, from mostly open abdominal surgeries with increased length of stay and morbidity to today with minimally invasive surgeries with short length of stay, decreased morbidity, faster return to normal activities and work. Long past the days of doing laparoscopic surgery with direct viewing through a scope, later poor quality imaging monitors to our current High definition 2D and 3D imaging. In the last decade the introduction of Robotics to our surgical armamentarium has steadily increase the likelihood that patients will have minimally invasive procedure instead of an open laparotomy.
Diana M, Marescaux J. Robotic surgery. Br J Surg (2015) 102(2):el5-28.10.1002/bjs.9711 [PubMed] [CrossRef] [Google Scholar]
Sfakianos GP, Frederick PJ, Kendrick JE, Straughn JM, Kilgore LC, Huh WK. Robotic surgery in gynecologic oncology fellowship programs in the USA: a survey of fellows and fellowship directors. Int J Med Robot (2010) 6(4):405-12.10.1002/rcs.349 [PubMed] [CrossRef] [Google Scholar]
Carbonnel M, Thu N'Guyen H, Abbou H, de la Joliniere JB, Ayoubi JM. Robotic laparoscopy in benign gynecologic surgery: a retrospective study comparing vaginal, laparoscopic and robotic hysterectomy procedures. Reprod Syst Sex Disord (2013) 2(2):1-4. [Google Scholar]
AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: robotic-assisted laparoscopic surgery in benign gynecology. J Minim Invasive Gynecol (2013) 20(l):2-9.10.1016/j.jmig.2012.12.007 [PubMed] [CrossRef] [Google Scholar]
Paraiso MF. Robotic-assisted laparoscopic surgery for hysterectomy and pelvic organ prolapse repair. Fertil Steril (2014) 102(4):933-8.10.1016/j.fertnstert.2014.08.010 [PubMed] [CrossRef] [Google Scholar]
Wright JD, Ananth CV, Lewin SN, Burke WM, Lu YS, Neugut AI, et al. Robotically assisted vs laparoscopic hysterectomy among women with benign gynecologic disease. JAMA (2013) 309(7):689-98.10.1001/jama.2013.186 [PubMed] [CrossRef] [Google Scholar]
Nawfal AK, Orady M, Eisenstein D, Wegienka G. Effect of body mass index on robotic-assisted total laparoscopic hysterectomy. J Minim Invasive Gynecol (2011) 18(3):328-32.10.1016/j.jmig.2011.01.009 [PubMed] [CrossRef] [Google Scholar]
Orady M, Nawfal AK, Wegienka G. Does size matter? The effect of uterine weight on robot-assisted laparoscopic hysterectomy outcomes. J Robot Surg (2011) 5:267-72.10.1007/s11701-011-0271-x [PubMed] [CrossRef] [Google Scholar]
Payne TN, Dauterive FR, Pitter MC, Giep HN, Giep BN, Grogg TW, et al. Robotically assisted hysterectomy in patients with large uteri: outcomes in five community practices. Obstet Gynecol (2010) 115(3):535-42.10.1097/AOG.0b013e3181cf45ad [PubMed] [CrossRef] [Google Scholar]
Orady M, Hrynewych A, Nawfal AK, Wegienka G. Comparison of robotic-assisted hysterectomy to other minimally invasive approaches. JSLS (2012) 16(4):542-8.10.4293/108680812X13462882736899 [PMC free article] [PubMed] [CrossRef] [Google Scholar
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