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Image by Leah Millis, The Denver Post
Robotic surgery with a human touch August 31, 2010 by Jennifer Brown from The Denver Post
Surgeon Mandi Beman has her eyes pressed into a console that nurses call a "PlayStation on steroids," her red Crocs on pedals to cauterize tissue or position her camera and her hands manipulating handles that work like joysticks.
Her patient lies about 10 feet away, with the chopstick-size, clawed hands of a robot in her belly — under the control of Beman, who is slicing, burning, poking and stitching the woman's uterus to remove eight fibroids.
The Porter Adventist Hospital patient has just three tiny incisions in her lower abdomen, about the size of fingertips, where the arms of the da Vinci surgery robot were inserted to reach her uterus.
"They are like little baby hands in there," Beman said. "It's much easier to sew."
Lynn Halterman, a 43-year-old Englewood nurse, is having her second surgery to remove fibroids, two of which were the size of grapefruits this time — and painful. About 10 years ago, she had traditional open surgery that left a scar on her belly. Recovery took six weeks.
This time, Halterman left the hospital the next day and plans to return to work in two weeks. But her most important reason for choosing the robot: "less pain."...continue reading
After Robotic Surgery Comes Robotic Anesthesiology August 30, 2010
Robotic surgery is nothing new, but after the surgeon has been eliminated from the OR, you are still left with the gasman. In one of the first efforts to make teleanesthesia a reality (apart from several telemonitoring efforts), researchers from the University of Florida demonstrate the possibility of a robotically assisted simulated nerve block placement under ultrasound guidance in this month’s issue of Anesthesia & Analgesia.
They used the well known da Vinci surgical robot to perform the procedure. The ultrasound head still had to be manually positioned and the subject was only a phantom, but the procedure was successful. The high price and the need to still have a physician present in case of complications mean that you are not likely to see this happen in practice anytime soon, but it is an interesting technical advancement nevertheless. That leaves us speculating what will be the next procedure to be performed remotely, how about some robotic intubation?
India moves ahead with robotic revolution in surgery August 30, 2010
New Delhi, Aug 30 (IANS) A robot performing surgery sounds like a scene out of a Hollywood sci-fi flick. But fiction is fast turning into reality in Indian operation theatres where high-precision robotic surgeries – a less cumbersome procedure than conventional operations – are gaining acceptance.
Leaving behind the days of low technology methods, doctors are now ushering in a new era of medical treatment successfully. Robotic surgery in Delhi’s premier All India Institute of Medical Sciences (AIIMS) is one of the success stories.
“Robotic surgery is the next major revolution in the field of surgery since the discovery of anaesthesia,” Arvind Kumar, head of the department of surgery at AIIMS, told IANS.
So far more than 60 chest surgeries have been performed through robots in India. The robot is also used for urological surgeries like prostate.
“The minimally invasive methods have brought a paradigm shift in the way we operate by making equipments an extension of hands. This reduces the risk of infection and shortens the recovery period,” said the doctor who is an expert in minimally invasive general surgery, general thoracic, thoracoscopic and robotic surgery.
Earlier, the use of robotic surgery was confined to the field of cardiology. However, the doctors soon discovered that it was much more useful for other surgeries.
“With the robot for chest surgery, the doctors do not need to dissect the whole chest as is the norm in the traditional open chest surgery or to break the rib bones or the sternum bone for operation,” Kumar said....read more
Affordable cost and Deep brain stimulation surgery in India draws overwhelming foreign tourists August 28, 2010
Deep Brain Stimulation Surgery uses an implanted, battery-operated medical device called a neurostimulator—similar to a heart pacemaker and approximately the size of a stopwatch—to deliver electrical stimulation...
Deep Brain Stimulation Surgery uses an implanted, battery-operated medical device called a neurostimulator—similar to a heart pacemaker and approximately the size of a stopwatch—to deliver electrical stimulation to targeted areas in the brain that control movement, blocking the abnormal nerve signals that cause tremor and Parkinson’s disease symptoms.
The electrode is connected via a wire running beneath the skin to a stimulator and battery pack in the patient's chest. It is reversible—just turns off the current—and allows for precise calibrated symptom control. Before the procedure of Deep Brain Stimulation Surgery, a neurosurgeon uses magnetic resonance imaging (MRI) or computed tomography (CT) scanning to identify and locate the exact target within the brain where electrical nerve signals generate the PD symptoms.
Deep Brain stimulation may be used in addition to therapy with levodopa or other drugs when drugs alone do not control symptoms adequately. This technique of Deep Brain Stimulation Surgery is the preferred surgical method of treating most cases of advanced Parkinson's disease. It does not destroy brain tissue and has fewer risks than older, more destructive surgical methods, such as pallidotomy and thalamotomy....continue reading
Drs. Tom Gregory and Miguel Trujillo at the Da Vinci Si Dual Surgical System
OHSU surgeons first in Oregon to perform dual console robotic surgery August 25, 2010
Tom Gregory, MD, Associate Professor, Department of Obstetrics and Gynecology, was the attending surgeon in Oregon’s first dual console robotic surgery in July. Using two Da Vinci Si Surgical System consoles, Dr. Gregory and his assistant surgeon, Miguel Trujillo, MD, a house officer in his department, performed a successful hysterectomy with sacrocolpopexy for a woman bothered by pelvic organ prolapse.
“For urogynecology, it’s been a quantum leap for patients,” said Dr. Gregory. “Patients were typically going home in three to four days after a major abdominal incision, and now they’re going home in 24 to 30 hours.”
The use of a dual console has positive implications for training residents and fellows. In traditional robotic surgery, one of the surgeons is seated at the console, while the other surgeon is at the bedside. Verbal communication takes place, but if a demonstration at the console is warranted, the surgeons may need to temporarily halt the procedure and change places.
Now, a patient-side cart with four robotic arms is connected to the two consoles – one arm is for the camera and three arms carry out the surgeon’s movements. Sitting side-by-side, the surgeons can switch control of the robotic arms with the touch of a button.
“Suddenly you’re working as a team. I can more seamlessly transition between doing the manipulations with my own hands and switching it to the other surgeon’s hands,” said Dr. Gregory. “If necessary, I can quickly and efficiently take back control and give the resident or fellow immediate feedback.”.....for complete story Click here
First Advanced Sensor Assisted Knee Surgery Performed at The Orthopedic Institute at Holy Cross Hospital August 24, 2010
FORT LAUDERDALE, Fla.--(BUSINESS WIRE)--The first advanced sensor assisted knee surgery in the world has been performed at Holy Cross Hospital in Fort Lauderdale, Fla. Through collaboration with OrthoSensor, Inc. in Fort Lauderdale, the new sensor technology is designed to improve patient recovery and overall implant function.
According to orthopedic surgeon Dr. Martin Roche, Chief of Orthopedic Robotics at Holy Cross Hospital and Surgical Director of The Orthopedic Institute at Holy Cross whose team performed the first sensor assisted knee surgery, the advanced sensors allow surgeons to obtain improved soft tissue balance and patient specific kinematics, which is good news for the 600,000 patients who undergo knee replacement surgery each year. “The most advanced intelligent knee surgery now incorporates computer assisted alignment, customized robotic implant positioning and optimized sensor assisted soft tissue balancing,” said Dr. Roche.
The use of embedded nanosensors during minimally invasive surgery coupled with robotic technology allows the surgeon to customize the surgery for each individual patient's knee condition. The surgery is performed with the MAKO Surgical robot which gives surgeons precise control via the robot to sculpt the knee and replace only what is needed. Dr. Roche was consulted on the initial development of the MAKO RIO and was instrumental in bringing that technology to market. First introduced in 2006, the MAKO robot has been used in more than 300 knee surgeries at Holy Cross Hospital.....continue reading
British doctors perform world’’s first robotic surgery August 23, 2010
A group of British medical experts at St Mary’’s Hospital in central London have carried out the world’’s first operation using a robot to repair a condition that kills 7,000 people a year.
The condition, called an abdominal aortic aneurysm, involves a key artery that pumps blood around the body from the heart weakening and swelling and can go undetected until the section bursts, which is often fatal.
The new technique will reduce the operating time, add extra precision and allow more complex cases to be attempted.
If extended across the whole country the robotic repair would mean an extra 10,000 to 20,000 patients could have their aneuryms treated, reports Telegraph....read more
CT reconstruction image of an abdominal aortic aneurysm
What is the Sonablate 500 and How Does it Treat Prostate Cancer? Posted August 23, 2010 From Indiana Hifu
The Sonablate 500 is a non-invasive High Intensity Focused Ultrasound (HIFU) delivery device that was developed by Focus Surgery, Inc. of Indianapolis, IN. the device can be used to treat both prostate cancer and BPH using HIFU technology.
The Sonablate 500 uses one transducer to perform two functions during treatment. The single transducer not only delivers the treatment, but it also provides real-time images of the prostate. The images are divided into three top to bottom treatment zones and two side to side treatment zones. This creates six individual treatment zones, which the device's software allows the physician to completely customize as he plans and performs the HIFU treatment. The goal is to ablate the entire gland by precisely targeting the tissue in each of these six areas.
While there are other HIFU delivery devices on the market, the Sonablate 500 is the only one that does not regularly require the patient to undergo a TURP procedure before effective treatment can take place. The Indiana University School of Medicine in Indianapolis pioneered the science behind the technology in the 1970s. Since that time it has been studied and developed further in research centers worldwide.
This video demonstrates how HIFU with the Sonablate 500 works to destroy prostate cancer. →
Plans Balk While Patients Clamor for Robotic Surgery Posted: August 22, 2010
Patients are more and more demanding that urologists use robotic surgery for prostatectomies, but insurers are hesitant to provide coverage, claiming that there is insufficient evidence that the technology improves outcomes.
UnitedHealthcare, for example, in its medical policy manual, says, “When compared to conventional procedures, the use of robotic surgical systems provides no additional health benefits to patients.”
Further, it says that there is “insufficient evidence to conclude that robotic-assisted surgical procedures provide comparable outcomes to conventional open or minimally invasive surgical procedures.”
The patient demand might be great, but the definitive evidence that one method is better than the other is lacking.
“There hasn’t been a prospective comparative trial comparing the robotic approach to the open approach,” says J. Brantley Thrasher, MD, chairman of the department of urology at the University of Kansas and a spokesman for the American Urological Association.
Prostatectomies are performed using an open approach (characterized by either a perineal or retropubic incision), or a laparoscopic approach.
The robot is used during laparoscopic surgery. Using a robot can aid a surgeon’s manual dexterity. It also provides greater magnification of the area undergoing surgery....continue reading
Treatment For Throat Cancer: Inspiration For Michael Douglas August 22, 2010 By AndrewSchorr
There’s news that Hollywood star Michael Douglas, 65, is undergoing treatment for throat cancer. Reporters say his doctors say he is expected to make a full recovery. But, believe me — when someone is diagnosed with any kind of head and neck cancer, as this is, it’s not an easy go.
My first encounter with it was with my friend Bob Moore, a former sales rep for a major pharmaceutical company. He was a positive, yet realistic guy. The disease and the toxic treatment a few years ago eventually took its toll and he passed on.
My dear friend Mike Piller, famous as writer and co-executive producer of the Star Trek television series, had a similar diagnosis. He did his research and traveled to the best centers. Surgery and radiation took away part of his jaw and his ability to taste and swallow. Of course his speech was affected. He was a trooper, but he never recovered.
In both cases the doctors did what they could to cut out or zap the cancerous tissue tucked away around a lot of critical structures.
I am happy to tell you there’s an upbeat part of this story now. I heard it told recently by Lydia Miner from Alaska.(See video below). The lump in her throat turned out to be cancer. Her local doctors told her about the aggressive, disfiguring treatment and, if she was lucky, the long recovery. She did her research, got multiple second opinions and connected with a Seattle surgeon who had just be trained on the new FDA-approved use of a robot to perform head and neck surgery in a much less invasive way. In Lydia’s case, instead of a 9 to 12 hour surgery, her robotic surgery took 44 minutes. She has made a full recovery and is back to work with, in her case, no need for chemo or radiation.
It’s hard to know just yet whether Michael Douglas can benefit from the same approach. I certainly hope so. Lydia knows how fortunate she is....read more
Robot approved for head and neck surgeries
For Lydia Miner, it started with a lump in her throat. "Like a vitamin or a big pill that gotten stuck and it sort of came and went," said Miner.
It turned out to be tongue cancer. Her search for a solution led her to Dr. Eduardo Mendez at the University of Washington and the Davinci Robot.
New Technology and Health Care Costs − The Case of Robot-Assisted Surgery August 19, 2010
Robotic technology has been adopted rapidly over the past 4 years in both the United States and Europe. The number of robot-assisted procedures that are performed worldwide has nearly tripled since 2007, from 80,000 to 205,000. Between 2007 and 2009, the number of da Vinci systems, the leading robotic technology, that were installed in U.S. hospitals grew by approximately 75%, from almost 800 to around 1400, and the number that were installed in other countries doubled, from 200 to nearly 400, according to Intuitive Surgical, da Vinci's manufacturer.
A wide range of procedures are now performed by means of robot-assisted surgery. Some of these procedures were already being performed laparoscopically before robots were introduced; the introduction of robotic technology affects expenditures associated with such procedures primarily by increasing the cost per procedure. For procedures that were more often performed as open surgeries, the introduction of robots may affect both the cost and the volume of surgeries performed.
Robotic surgical systems have high fixed costs, with prices ranging from $1 million to $2.5 million for each unit. Surgeons must perform 150 to 250 procedures to become adept in their use. The systems also require costly maintenance and demand the use of additional consumables (single-use robotic appliances). The use of robotic systems may also require more operating time than alternatives. In the case of procedures that had previously been performed as open surgery, however, some of the new costs will be offset by reductions in postoperative hospital costs and by productivity gains if patients recover more rapidly and can return to work and other activities sooner.
Estimates of the net per-procedure cost of robot assistance vary with assumptions about the frequency with which a robot will be used. We examined all the cost studies of robot-assisted procedures published since 2005 and found that, on average, across the full range of 20 types of surgery for which studies exist, the additional variable cost of using a robot-assisted procedure was about $1,600, or about 6% of the cost of the procedure in 2007....continue reading
Breakthrough daVinci Endoscopic Thyroid Surgery Eliminates Neck Scars Posted: August 15, 2010
Robot-assisted endoscopic thyroid surgery using the daVinci® Robotic Surgical System can safely and effectively offer those needing thyroid surgery relief without a neck incision. Dr. Ron Kuppersmith and Dr. Andrew deJong are among the first physicians in North America to offer this procedure and are now performing it at the College Station Medical Center in Texas. www.daVinciThyroid.com
Doctors perform surgery using a robotic system.
When Your Surgeon is a Robot Artificial intelligence may soon control robots performing routine medical procedures August 10, 2010
Doctors routinely use robotic devices to assist them during surgery. But what if there were no longer doctors sitting at the controls of these machines? It could happen. Researchers are exploring the use of robots with artificial intelligence to perform routine medical procedures.
Robots perform biopsies
Needle biopsies are often used to diagnose various types of cancer preventing unnecessary surgery if the tissue is deemed benign.
During this procedure, the doctor inserts a hollow needle into the tissue, obtaining a sample of the suspect cells.
But researchers at Duke University say that computer imaging technology combined with robotic artificial intelligence, or AI, may soon free doctors from having to perform this routine procedure....continue reading
Laser tech lowers prostate surgery's side effects August 6, 2010 Surgeons at NewYork-Presbyterian Hospital/Columbia University Medical Center have come up with a new laser technology that may reduce prostate surgery’s sexual side effects.
One of the challenges of the surgery is removing the cancer-affected gland without side effects. The procedure is estimated to cause long-term sexual dysfunction in half of men.
However, the latest study suggests that the new laser technology used with robotic prostate cancer surgery may reduce the risk of damaging the crucial nerves necessary for erections and urinary continence. The pilot study is the first to evaluate the CO2 laser for prostate cancer.
"The precision of movement available through robotic surgery is already helping reduce the risk of sexual side effects, and the early evidence is that CO2 lasers will help us be even more accurate -- especially when preserving the sensitive nerve areas necessary for sexual function and urinary continence," said Dr. Ketan Badani, director of robotic urologic surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center and assistant professor of urology at Columbia University College of Physicians and Surgeons.
CO2 lasers are widely used to treat cancer in the head and neck. A new, flexible, fiber-based delivery system is now making the treatment approach possible with robotic prostate cancer surgery.
In the procedure, Dr. Badani uses the robotic instrumentation to remove the patient’s prostate. This process is aided by the laser, which is used to dissect the plane between the nerves and the prostate, freeing the nerves and preserving them.
"Traditionally, we cut, clip or cauterize the tissue around the prostate nerves....continue reading
Robotic surgery ends apnea patient's sleeplessness Aug. 5, 2010
Johna Jupe got the gift of sleep and clear breathing when the doctor successfully removed the tonsils in what is believed to be the region's first robotic surgery on the lingual tonsils.
The success was significant because Jupe suffered for decades with potentially life-threatening sleep apnea.
She had tried other treatments that failed and surgery that made her tonsils grow back even larger. She said even a continuous positive airway pressure, or CPAP machine, designed to blow air with enough pressure to keep her airway open, didn't solve her apnea.
Instead, it left her breathing much like a dog with its head stuck out the window of a car going 70 mph.
"You wonder how they breathe. That's what it felt like," she said.
Jupe, a Norman cake decorator, became so desperate to breathe and swallow more easily that she visited specialist Dr. Nilesh Vasan with the intention of getting a tracheotomy.
She thought the only way she could get her breath was by having an incision in the front of her neck, then getting a tube inserted to allow her to breathe without using her nose or mouth.
But the OU Medical Center surgeon had other ideas.
Vasan said the lingual tonsils are at the back of the tongue, then down at the base of the throat. Surgeons have to navigate that tiny anatomical turn with relatively large fingers, using rigid instruments through traditional surgery. Robotic surgery has been used about a decade but the Food and Drug Administration just recently approved treating obstructive sleep apnea with the latest medical robots such as the da Vinci-Si recently purchased by the OU Medical Center...continue reading
A new heart pump is changing lives for patients in Central Texas.
Methodist surgeons train on the first FDA-approved total artificial heart for transplant patients August 4, 2010
A 13-member surgical team from the Methodist DeBakey Heart & Vascular Center completed the first phase of training to implant a new total artificial heart designed to completely replace the heart’s function while the patient waits for a heart transplant. Methodist will be the first hospital in Texas to offer this total heart replacement.
The SynCardia total artificial heart is the only FDA-approved total artificial heart and has the highest bridge-to-transplant rate of any approved heart assist device in the world.
"Methodist offers 10 different cardiac support devices for our patients, but there is only one FDA-approved total artificial heart," said Dr. Matthias Loebe, transplant surgeon with the Methodist Transplant Center in Houston. "It is the only device that allows us to replace both sides of the heart, providing time for patients who have no other option besides transplant."
A left ventricular assist device (LVAD), the most common mechanical heart pump, helps one side of the heart pump more effectively. However, when both pumping chambers of the heart, the left and right ventricles, can no longer pump enough blood to sustain the body, vital organs like the kidneys, liver and brain are starved of blood. If adequate blood flow is not restored in time, tissue may die and vital organs can suffer permanent damage....continue reading
State-of-the-art robot to perform gynaecological procedures at The London Clinic
The London Clinic
Posted: August 3, 2010
The London Clinic has become one of the first independent UK hospitals to perform robotic-assisted surgery for gynaecological procedures. Building upon its already well-established and renowned reputation for performing complex, robotic surgery for prostate cancer, the hospital is now set to lead the way in the field of gynaecology using its state-of-the-art daVinci S HD Surgical System®.
The advanced system will enable surgeons to perform minimally invasive procedures for common gynaecological conditions such as fibroids, abnormal bleeding, endometriosis, pelvic floor prolapse and fallopian tube surgery. In contrast to the more traditional forms of open surgery, robotic-assisted surgery can offer greater overall treatment and recovery benefits for patients, including:
- Less blood loss/need for blood transfusions
- Faster recovery with a shorter hospital stay
- Significantly less post-operative pain
- Fewer incisions and therefore less scarring
Mr Barton-Smith, who is currently the only robotic gynaecological trainer in the UK, comments: “The benefits of this technology for patients are unparalleled. Instead of undergoing major open surgery, women can now expect minimally invasive procedures with previously unattainable accuracy and precision for common, benign, gynaecological procedures. This is a major leap forward in both reducing surgical complications, and giving us greater treatment options than ever before.”
There are numerous minimally-invasive procedures that can be performed using the robot, and the most common are:
- Hysterectomy – the surgical removal of the uterus, which can be affected by a variety
of gynaecological conditions
- Myomectomy – involves the surgical removal of fibroids from the uterus. This
procedure preserves the uterus and may be recommended for women who need to
preserve their fertility
- Sacrocolpopexy – is a procedure to correct vaginal prolapse, as a result of childbirth,
the ageing process and after hysterectomy. Mesh is used to hold the vagina in the
correct anatomical position
- Endometriosis – excision of endometriosis is the best surgical approach to the disease
and, as the abnormal spots often lie on important sensitive structures in the pelvis,
the robot is ideally suited as the surgeon’s view and precision is unsurpassed
- Fallopian tube surgery – IVF has resulted in this surgery becoming less common.
However for women who cannot afford IVF and have tubal damage this may be
New Surgical Robot Technology For Spinal Surgery Available August 2, 2010
SpineAssist® technology consists of a computerized workstation that allows surgeons to create a 3D image of the patient's spine in order to create a “blue print” for the back surgery. The surgeon uses a robotic arm to perform the surgery based on the blue print. This allows the surgeon to use smaller incisions and increases the surgeon's accuracy to reach the location planned in the blue print. Many of the robotic procedures are minimally invasive. They also reduce the amount of radiation that the patient is exposed to, decreases likelihood of infection, reduces post surgery pain and complications. This technology also increases recovery time.
The SpineAssist® technology can be used for treatment of scoliosis, vertebrae compression fractures, thoracic-lumbar fusion, and for biopsies. This new technology is only available in Texas through Texas Health Plano and the Texas Back Institute. The Texas Back Institute is the exclusive training center for physicians to learn the SpineAssist® technology. There are currently only three SpineAssist® robotics systems in the United States....continue reading
Robot may treat back pain
Robot may treat back pain August 3, 2010
TUCSON - A new robotic tool is changing the lives of people with back pain one surgery at a time.
The SpineAssist is the only surgical robot that operates on bone. There are only three of them in the country.
Dr. Isador Lieberman said, "The robot is a device that helps us be more efficient and accurate in the operating room."
It works in two ways. First, there's the software that helps plan the surgery. "Much like a pilot who's planning his flight path ahead of time," Lieberman explained. Then, there's the robot. Its job is to implement the plan the doctors have created ahead of the surgery.
"So, in the operating room, the robot is mounted onto the patient's spine, and then we direct the robot to move from point A to point B according to that pre-operative plan so we can place the screws and rods more efficiently and accurately." That, Lieberman says, leads to a better correction of the spine.
The SpineAssist technology has been used in more than 1,000 cases worldwide with no instances of nerve damage.
New technique in robot-assisted laparoscopic prostatectomy August 2, 2010
A new technique of surgical dissection maximises the preservation of nerves responsible for urinary incontinence in radical prostatectomy procedures.
Stress urinary incontinence is one of the most feared complications of radical prostatectomy. The weighted mean continence rate immediately after catheter removal following robot-assisted laparoscopic radical prostatectomy (RALP) is 25.7%. Evidently, early recovery of urinary continence remains a challenge to be overcome. The Surgery in Motion section of the September issue of European Urology describes the surgical steps of pubovesical complex (PVC)–sparing RALP and presents the preliminary results of the technique....read more
New Surgery Without Incisions Shows Promise for Prostate Cancer Treatment Posted: August 1, 2010
First of its kind surgery at Mayo Clinic
SCOTTSDALE, Ariz. — With a recent first of its kind surgery, physicians at Mayo Clinic in Arizona have developed a new surgical procedure for the treatment of prostate cancer using natural orifices - signaling the next step in the evolution of minimally invasive surgery.
Removing the prostate is a common treatment for patients with prostate cancer, which affects one in six men in the U.S. according to the American Cancer Society. Mitchell Humphreys, M.D., urologist at Mayo Clinic in Arizona, said that the latest advances in the surgical treatment of the disease involve using the body's own natural orifices as access points instead of making incisions through the skin. These types of procedures, Natural Orifice Transluminal Endoscopic Surgery, or NOTES, have advanced over the past several years and now, it is believed for the first time, a NOTES procedure has been perfected to remove the prostate.
"The reason this hasn't been done in prostate surgery before is because of the challenge of rejoining or suturing the bladder back to the urethra," Dr. Humphreys said. "To do this, we have developed specialized techniques and instruments that allow us to do all the work through the urethra, preventing the need for any incisions in the skin whatsoever."
The unique tools, developed in conjunction with Mayo Clinic in Arizona, are used in a procedure called Natural Orifice Transluminal Endoscopic Surgical Radical Prostatectomy or NOTES RP. The instruments are inserted through the penis and an innovative technique is used to remove the entire prostate. Surgeons then rejoin the internal tissues via specialized instruments designed to work through the urethra. Patients benefit from the procedure because there are no incisions, little risk of bleeding and are usually able to leave the hospital within 24 hours.
The first patient who had a NOTES RP has done well and has had no problems or complications throughout any part of the operation in late June....continue reading
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