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Christopher Stewart, MD.
Learn about robotic surgery from Banner Urologist Posted: July 31, 2011
Dr. Christopher Stewart will talk about robotic surgery from 6-7 p.m. Aug. 23 at Banner Thunderbird Medical Center, 5555 W. Thunderbird Road, Glendale.
Stewart will discuss the use of sophisticated robotic surgery for certain male urologic procedures. Stewart is a urologist and is one of a few high-volume robotic surgeons in Phoenix performing advanced urologic procedures in a specialized operating suite at the hospital, according to Banner officials.
Stewart will discuss medical conditions such as prostate cancer, kidney cancer, chronic obstruction of the kidney and bladder cancer where minimally invasive surgery can be done using the da Vinci surgical robotic system. Robotic surgery provides faster recoveries and less scarring.
To register, call 623-230-2273 or Click on Image
Yakima Regional marks its 120th anniversary July 29, 2011
YAKIMA, Wash. -- Yakima Regional Medical and Cardiac Care Center has celebrated many firsts in its 120-year history.
In 1891, when the hospital was St. Elizabeth, surgeons performed their first operation on a kitchen table.
It was the first hospital in Central Washington to perform open heart surgeries in 1978, and it opened the region's first comprehensive rehab program five years later. To celebrate its role in the Yakima Valley, Regional is inviting the community to a free event at the hospital Tuesday afternoon -- complete with food, games and displays of historical photos and medical equipment.
Before becoming what it is now, Regional was owned and operated by Sisters of Providence, a faith-based, nonprofit group. The hospital operated out of a seven-room house and cared for 37 patients in its first year. In 1892, it moved to a larger dwelling before settling on its existing location in 1914.
In 2003, Sisters of Providence announced the sale of the hospital to Health Management Associates, a Naples, Fla.-based for-profit chain that also owns Toppenish Community Hospital. The name changed to Yakima Regional Medical and Cardiac Care Center, and a new direction was forged.
Earlier this year, Regional became the first Central Washington hospital to use the da Vinci Robotic Surgery system for prostatectomies and hysterectomies, and later this summer, it will open a $6 million state-of-the-art cardiac unit......Complete story
Robotic Gynecologic Surgery Delivers Better Outcomes, Decreases Post-op Pain July 27, 2011; Source: beckersasc.com
Robotic gynecologic surgery can deliver distinct advantages over traditional methods of minimally invasive surgery, according to a report written by Albert T. Domingo, MS, MD, in MD News.
According to Dr. Domingo, an ob/gyn who has performed more than 250 robotic gynecologic surgeries at Mercy Medical Center in Canton, Ohio, the use of robots in the operating room is increasing for gynecologic surgery. The use of robotics can improve care, speed up recovery and provide a better quality of life for patients while significantly decreasing post-operative pain and risk of complications.
Dr. Domingo said robots have an advantage in myomectomies, hysterectomies and other procedures because they have a 3D view, compared to the traditional 2D laparoscopic view. This 3D view gives a panoramic image of the pelvis as well as "remarkable visual acuity," he said.
Dr. Domingo said the use of robotics in gynecologic surgery also improves the elimination of fibroids and adhesions. He said surgeons must be careful to take time preparing patients and the operating room for robotic surgery. According to the report, approximately 30-45 minutes is required for anesthesia, extremity protection, immobilization and insertion of ports before docking the robot and commencing surgery.
Telemedicine Technology is Ready but Deployments Need a Boost to Meet Exploding Demand for Healthcare Access Around the World, Say IEEE Experts July 27, 2011
IEEE Working to Foster Collaboration between Technologists and Clinicians to Ensure Real-World Success of Telemedicine Applications
Telemedicine is technologically ready to meet the growing demand for access to health services in developing nations and remote areas around the world, say experts from IEEE, the world's largest professional technical association. However, widespread use of telemedicine will require greater collaboration between technologists and clinicians to ensure it delivers on its promises in the real world – millions more people reached, with measurably better outcomes for those patients.
"From faster wireless networks to mobile imaging applications to biosensors, the technologies for delivering telemedicine services are certainly there," said Dr. Yongmin Kim, IEEE Fellow and professor of bioengineering and electrical engineering at the University of Washington. "But advancing telemedicine through technology innovation alone is not enough. We now need to make it easier for the healthcare providers to embrace and apply these technologies in diverse medical environments."...read more
Cork University Maternity Hospital Performs First Robot Aided Delivery in Europe July 26, 2011
Robotic surgery performed at the Cork University Maternity Hospital helped in the delivery of a female child to Irish parents. The couple had lost their unborn baby last year due to the health condition of the mother. This was the first robot aided delivery to be performed in Europe.
Dr. Barry O’Reily, discovered that his patient Anne had a weak cervix and was at a higher risk of miscarriage. Dr. O'Reily explained that going by conventional methods to address the problem, doctors would perform a cervical stitch on the patient, which would require almost three months of recovery time. But in case of robotic surgery the patient is discharged within 24 hours and the recovery time is just a week.
O'Reily had explained details of the robotic procedure to the couple, who were convinced that the procedure would help them deliver a healthy baby unlike what happened last time. After performing robotic surgery on Anne, she later conceived and delivered a full term healthy baby......complete article
Today's Health: New procedure for testicular cancer Posted: July 26, 2011
A young man in southwest Arkansas receives a diagnosis that would change his life, and undergoes a procedure his doctors had only performed once before.
"I started having really bad back pains after I started school in the Fall, and it went to the point that I started to get a fever," says Colton Waters. On October 20, Waters went to the emergency room with a rising fever. After hours of testing - his doctors in Texarkana had bad news - testicular cancer. They referred him to specialists at UAMS.
"And then after I finished chemo, I came back to Dr. Campbell and he discussed the surgery options and everything." Doctors advised him he might want to try a fairly new robotic surgery to remove the tumor - robotic retro-penile disection. It's less invasive, with a shorter recovery. But it's new. Doctor Mohamed Kamel would be the surgeon - Waters - his second patient to undergo the procedure.
"We are able to achieve the same outcome of open surgery but without the mobility of the surgery. I mean the long incision and the 10 to 15 days hospital stay," says Kamel. On May 12, Waters was in the OR. The recovery process - he says, was surprisingly quick. "I spent about four days in the hospital, and then I went home. I felt like if I was gonna have to be bed-ridden for a while, but I was back on my feet in a couple of weeks." Just about two months later, "We classify him now as cancer free."....read more
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From ORlive: Premiere Posted: July 26, 2011
Treating Esophageal and Lung Cancer: Advancements in Care When: July 27, 2011 12:00 PM
The physicians of NewYork-Presbyterian Cancer Centers are world leaders in the fight against thoracic cancer, and are committed to improving early detection, treatment, prognosis, and quality of life for patients with thoracic cancer.
In an effort to raise awareness and promote education, NewYork-Presbyterian presents a special multi-part program "Treating Esophageal and Lung Cancer: Advancements in Care".
The five week series begins Wednesday, July 27 and continues through Wednesday, August 24, with a different video premiering each Wednesday at noon Eastern.
"Treating Esophageal and Lung Cancer: Advancements in Care"
• 7/27 "Esophageal Cancer" at 12 PM EDT
• 7/27 "Tumor Board: A Panel of Experts Discuss Cancer Treatments" at 12 PM EDT
• 8/3 "Lung Cancer: Stage 1" at 12 PM EDT
• 8/10 "Lung Cancer: Stage 2" at 12 PM EDT
• 8/17 "Lung Cancer: Stage 3" at 12 PM EDT
• 8/24 "Lung Cancer: Stage 4" at 12 PM EDT
Demonstration: Renaissance, a computer-aided robotic arm, is introduced at Metro Health to guide spinal implant surgery. Courtesy Photo
Robotic arm aids in spinal surgery precision, speeds recovery July 25, 2011
WYOMING — When patients undergo spinal surgery at Metro Health, their operation might be performed with the aid of a robotic arm about the size of a pop can. The device, called Renaissance, is used to pinpoint the spot where a screw is placed in a patient’s spine.
Dr. John Keller started using the Renaissance surgical system by Mazor Robotics in May, so none of his patients treated with the computer-guided aid has reached a 12-week checkup, yet. But early evidence on hospital stays seems to show, at least in some cases, people are recovering more quickly when their back surgeries are conducted with the device.
The tool may be, to play on its name, a renaissance in spine operations or, as Keller calls it, a “game changer.” “It helps guide spinal implants precisely with minimal tissue retraction,” said Keller, a member of Great Lakes Neurosurgical Associates in Grand Rapids. “This is a very accurate way of placing those implants....read more
Prostate cancer found in younger men July 25, 2011
DALLAS (KXAS/NBC) - A new study finds prostate cancer is becoming more aggressive, and treatments are following suit.
When Kelly Kellye, 45, found out he had prostate cancer even his doctors were surprised. "I was the youngest patient that they had to be diagnosed with prostate cancer," Kellye said.
Doctors are now seeing more and more men with prostate cancer in their 40s, partly because more men are being tested at an earlier age. "The cancers in the younger men tend to be more aggressive," Dr. Alexis Gordon said. So now the treatment is getting more aggressive.
In the past, doctors told some patients it was OK to simply watch and wait, putting off surgery or radiation. A new study in the New England Journal of Medicine is changing that thinking. Researchers found surgery reduced the risk of death by 39 percent in men of all ages, but in younger men it was even more dramatic. Surgery cut the risk of death by 51 percent in men under age 65.
"The younger guys really shouldn't wait, it's something that could eventually kill them," Gordon said. Kelly was diagnosed two years ago before that new study came out. Doctors gave him the option of waiting, but he opted for surgery right away.
Two years later he has no regrets. He's healthy and cancer free.
Some men decide to put off prostate cancer surgery for fear of side effects, including erectile dysfunction, but doctors say the current procedure is less invasive and robotic surgery options may reduce side effects....read more
Texas Tech Students Practice Surgery Without Patients July 23, 2011
EL PASO, TX -- The Da Vinci Surgery Simulator at Las Palmas Medical Center allows residents to preform complicated robotic surgery through virtual reality.
Vaneesha Vallabh is a third-year resident physician at Texas Tech. She was delighted when she heard that Las Palmas would be allowing residents to use the simulator. "I was super excited about the robot. You couldn't get me in here fast enough. It's a technology that's definitely growing, that everyone needs to know how to use in the future," Vallabh beamed.
Texas Tech residents have been working with the simulator since last month. The simulator's lifelike nature is getting them prepared for real-life patients.
"It's very realistic when you practice on the simulation," said Vallabh, "The tactile sense that you have is exactly like what it would be on a real person."
Las Palmas purchased a new robot system in September and the Da Vinci simulator in March. The combined cost adds up to $2.2 million. For residents and practicing surgeons, the equipment is priceless....read more
Dr. Deane Penn of Alpine is flanked by visiting Israeli Drs. Jacob Borenstein, left, and Adi Lazar
Israeli doctors learn robotics, with the help of local M.D.s July 22, 2011
Thanks to a program supported by the Jewish Federation of Northern New Jersey’s Partnership2Gether, Israeli doctors will learn how to use the mostly American-made devices with the intention of introducing robotic surgery into Israeli hospitals.
“They’ve sent us doctors to teach us about emergency reponse and we’ve sent them doctors to teach them about bloodless surgery,” said Dr. Deane Penn, describing earlier aspects of the P2K program. This month the program brought two Israeli surgeons to northern New Jersey for the latest initiative, to improve medical practice and technology in Israel by teaching Israeli doctors robotic surgery.
Penn and his wife, Susan, hosted a reception and talk in their Alpine home on July 13, where the two sponsored doctors shared their perspectives with members of the community. Penn, a retired gastroenterologist, works as a medical stock analyst, advising hedge funds on medical technology investment strategies. He also runs The Center for Medical Weight Loss in Englewood with his partner, plastic surgeon Dr. Herbert Feinberg....read more
Transforming Head and Neck Surgery with Transoral Robotic Surgery (TORS) July 21, 2011
At Jefferson, robotic-assisted surgery provides surgeon David M. Cognetti, MD, with a better view and more instruments to access tough-to-reach-and-see spaces using a minimally invasive approach performed through the mouth.
Dawn Hilarczyk was nearly 3,000 miles from home in San Francisco on business when her neck began to swell and she developed numbness on that side of her face. Unsure what was happening and fearing a possible stroke, she rushed to a nearby emergency room.
For several years, Dawn had experienced a dull, chronic aching in her neck. Then, the 32-year-old businesswoman lost feeling in the entire left side of her face – “an excruciating numbness,” she recalled. After returning home to Nazareth, Pa., the wife and mother of three young boys began what she describes as a two-month ordeal visiting “tons of doctors” in an attempt to have the cause of her problem diagnosed and treated.
In January 2010, Dawn was referred to Thomas Jefferson University Hospitals and David M. Cognetti, MD, co-director of the Jefferson Center for Head and Neck Surgery. CT scans and MRIs revealed a tumor of the parapharyngeal space – an area tucked deep behind the jawbone and adjacent to the back of the throat – a spot that is challenging for surgeons to see and reach using ordinary means. A biopsy came back with some positive news: the tumor was benign.
Still, Dawn required surgery to have the tumor removed. But a traditional “open” surgery would be massively invasive. It would necessitate a large incision in Dawn’s neck. Moreover, Dr. Cognetti may have needed to move her jawbone out of the way to gain access to the tumor so as not to damage important surrounding structures, particularly the carotid artery, which ran behind the tumor and supplies blood to the brain.
Dr. Cognetti offered the young woman an alternative: robotic-assisted surgery performed from inside her mouth. The minimally invasive surgery – known as transoral robotic surgery or TORS – would enable the surgeon to access the tumor using flexible instruments and cameras from inside her mouth, an impossible task with a traditional open surgery....read more
Registration now open for Transcatheter Cardiovascular Therapeutics 2011 Posted: July 20, 2011
Registration is now open for TCT 2011 (Transcatheter Cardiovascular Therapeutics), the annual scientific symposium of the Cardiovascular Research Foundation, which will return to San Francisco, California, November 7-11, 2011.
TCT 2011 will once again provide "TCT in 3," a focused three day experience designed specifically for the busy interventional practitioner, which features a concentrated curriculum from Wednesday, November 9 through Friday, November 11. Highlights include live cases, late breaking trials and practice management sessions.
The conference will also feature specific tracks for Cardiac Surgeons and Nurses and Technologists. TCT for Surgeons will provide valuable data and training on advancements in surgical techniques, such as lesser-invasive approaches, robotics, novel valves and repair procedures, use of intraoperative imaging, novel devices, and optimal pharmacotherapy, in order to improve outcomes for patients undergoing cardiac surgery....read more
Medrobotics Inc. founder Howie Choset
Team provides business savvy to man's idea for surgical robotics July 19, 2011
Howie Choset always wanted to start a company.
Choset, 42, a Carnegie Mellon University associate professor of robotics, said he had a good idea for a medical device and, by 2003, figured out how to make it work. What he didn't realize was how much help he would need to create a successful company. "This is something that I just couldn't have done myself," Choset said. "It had to be this ensemble of people to go from concept to reality."
The company Choset co-founded, Medrobotics Inc., is poised to bring a minimally invasive surgical robot to market. Company officials say it could become a game-changer because it is flexible but can become rigid to manipulate tools, unlike other robotic surgery devices on the market.
"I saw this as unlocking this whole leap in minimally invasive surgery," said James Jordan, chief investment officer of the Pittsburgh Life Sciences Greenhouse, which runs programs to help entrepreneurs and researchers start companies. Jordan, a member of the Medrobotics board of directors, guided Choset and co-founders Marco Zenati and Alon Wolf during the company's early years, starting in 2005.
Until this month, they called their company Cardiorobotics, but officials changed the name to reflect a new marketing strategy, Jordan said. Once focused on a robot that could perform heart surgery, Medrobotics will target throat surgery applications, he said.
Choset serves as acting chief technology officer for Medrobotics but is not active in the company's day-to-day operations. Zenati, who was affiliated with the University of Pittsburgh's School of Medicine when he began working with Choset, became a medical professor at Harvard. And Wolf, a postdoctoral researcher with Choset at CMU, now is a professor at Technion-Israel Institute of Technology in Haifa, Israel.....read more
First Ever Robotic Surgery for Throat Cancer at UAMS July 18, 2011
Little Rock - If you know anyone in Arkansas that has had throat surgery, you might be familiar with why the traditional procedure is considered "morbid." But the good news is that a much less invasive procedure is now available for certain patients at UAMS.
Robotic surgery is nothing new but it is very new in the ear, nose, and throat department. "I had a knot in my neck, it didn't hurt," said patient Pat Longinotti. At the urging of his daughter, who is a nurse, Longinotti got his neck checked out and sure enough it was a cancerous tumor.
UAMS's Doctor Emre Vural laid out the options for Longinotti.
"Traditionally the lip and jaw splitting procedure involves a cut in the middle of the lip cutting down in the neck going down towards the ear and then it also involves a cut in the lower jaw, swing the mandible to the side and passing through the floor of the mouth just to access to the cancerous region," said Dr. Vural.
Or Doctor Vural could do the Transoral Robotic Surgery. It would be the first of its kind in the state.
"I said, let's do the new way. If it's less invasive, easier recovery," said Longinotti. "And that's what we did." The entire procedure took just 26 minutes and Longinotti said the recovery was quick and he was back to work in about a week. He's now undergoing radiation as a precaution but is optimistic....read more
Science comes alive for TGen summer interns July 18, 2011
Daniel Hannon calls his diagnosis of brain cancer nearly four years ago a wake-up call for him to get serious about college and stop wasting his life.
A 2-inch tumor invaded the middle of his brain, causing double vision, hearing problems loss of balance and loss of coordination. He underwent contrast-dye MRIs, surgery to drain fluid surrounding his brain, 37 rounds of radiation to shrink the tumor and robotic stereotactic radio-surgeries to remove what remained.
Today, he is working in a genetics lab in downtown Phoenix studying how lung cancer spreads to the human brain.
Hannon is among 45 students working as summer interns at the Translational Genomics Research Institute.
“What scared me the most was that I had been wasting my life and hadn’t worked hard,” said Hannon, 25, of his diagnosis. “Before, I was a pretty poor student and got C’s and D’s in school.” Afterward, he got serious about school, earning a bachelor’s of science degree in biology at Grand Canyon University. He’s applying to medical school.
This is the fifth year of TGen’s eight-week summer internship program, funded by the Helios Education Foundation. The foundation gave $6.5 million to TGen for the program over five years.
Every year, more than 500 students apply for 45 full-time, paid internship spots. The Helios Scholars Program is a two-month biomedical program open to Arizona high-school, undergraduate, graduate and medical students. Interns develop basic research skills through firsthand experience as they pursue careers in science or medical-related fields....for complete article click here
Dr. Jeffrey Lehman with patient Gina Harman
Drs. Lehman, Ho Perform Head and Neck Cancer Robotic Surgery July 14, 2011
A cancer diagnosis in the head or neck traditionally involves a long road to recovery, but head and neck cancer can now be treated using a minimally invasive robotic surgery approach.
Dr. Jeffrey Lehman and Dr. Henry Ho with the Florida Hospital Cancer Institute (FHCI), a pioneer in robotic surgery for multiple specialties, are the only physicians in Central Florida performing the minimally invasive robotic technique for head and neck cancers.
With traditional treatment methods, 27-year-old Gina Harman’s only option for treating a tumor in her throat may have required a large incision in the lip and jawbone followed by chemotherapy and radiation.
But advancements in the applications of robotic surgery at Florida Hospital provided Harman with a minimally invasive option requiring no incisions, no broken jaw and no chemotherapy or radiation after removal of the tumor.
Dr. Henry Ho
“After everything I went through from trying to get the tumor diagnosed correctly to endless amounts of pain day in and day out, it was more than relieving to have had such a speedy recovery with minimal pain,” said Harman about her surgery.
“Knowing what my surgery could’ve entailed is incredible compared to how easy this procedure was for me to recover from.”
Harman’s pain started sporadically without an obvious cause. She was initially told by numerous doctors that the tumor was an inflamed muscle or an effect from her most recent wisdom teeth surgery.
After finding Dr. Lehman, she was immediately diagnosed with having a minor salivary gland tumor, a malignant but low-grade tumor that is unlikely to spread.
Minor salivary gland tumors can form sporadically at any age, even in someone as young as Harman, and they do not respond well to chemotherapy or radiation....read more
Magnetecs Hosted Cardio-Innovations Dinner In Madrid During Europace Conference July 13, 2011
Madrid Minister of Health Addressed approximately 100 Guests at the Magnetecs Dinner Event
INGLEWOOD, Calif. -- Magnetecs Corporation, a designer and manufacturer of robotic catheterization control systems for minimally invasive surgical procedures, reported that the company held its first annual Cardio-Innovations Dinner in Madrid, Spain. The event brought together leading electrophysiologists and other cardiologists as well as industry leaders, hospital administrators and political leaders from the Spanish government to learn about the new frontiers for treatment using robotic guidance technologies such as the Magnetecs’ Catheter Guidance Control Imaging (CGCI) System.
Held at the historic Palace Hotel located in the heart of Madrid, the dinner on June 27, 2011 coincided with the 2011 EHRA Europace Congress, which represents over 68,000 medical professionals who specialize in the study of arrhythmia and other heart disorders. This year’s congress drew over 5,000 attendees from around the world to engage in an array of scientific and educational programs to further cardiology science and patient treatment.
The dinner was hosted by Magnetecs CEO and Founder, Josh Shachar, who gave the night’s keynote address on the future of Robotic Surgery....read more
Inova Heart and Vascular Institute: Do-it-yourself Robotic Surgery! Posted: July 12, 2011
Inova Fairfax Hospital is advancing technologically with the daVinci Surgical Robot. This precise mechanism can help patients in need of various types of surgery, including heart surgery as well as minimally invasive urological and gynecological surgery.
Professor Louis Phee
Researchers at the Nanyang Technological University (NTU) have developed an endoscopic robot for performing surgeries on patients affected with gastric tumours without the need for hospitalisation. July 7, 2011
This procedure is the world’s first flexible endoscopy robotic surgery done on the stomach and was performed on three patients in India between 1st and 3rd July. A flexible endoscope with small robotic arms, with a total diameter of 16 mm, was inserted through the patient’s mouth into the stomach. The surgeon was able to constantly monitor its path, with the help of the joystick and control buttons he removes the cancerous tumours. After removal of the tumours the patients were able to go home.
Associate Professor Louis Phee and Professor HoKhek Yu Lawrence were instrumental in developing the flexible robotic surgical method. Louis Phee is the Head of the Division of Mechatronics and Design and the School of Mechanical and Aerospace at the Nanyang University. Yu Lawrence is a Senior Consultant at the Department of Gastroenterology and Hepatology at the National University Hospital. It took them six years to develop the system, which they have named as MASTER (Master And Slave Transluminal Endoscopic Robot.
MASTER was completely developed at NTU. Using this new approach to surgery, the need for incision is totally eliminated and the procedure is called Endoscopic Submucosal Dissection (ESD), in India. It is even possible to perform surgery on other organs such as liver, kidney etc by routing through the stomach. After completing the procedure, the robot mends the hole in the stomach and exits through the patient’s mouth. The procedure is highly precise and the doctors are able to navigate easily through the digestive tract. The robotic arm is capable of assessing the hardness of the tissues and the doctors therefore are able to vary the pressure accordingly.
The Asian Institute of Gastroenterology (AIG) was the first to experiment the procedure. The surgeons with AIG who performed the experimental surgeries had been in Singapore last year to get training on the prototype. The next step is to spread the method to Hong Kong and Germany, performing trials in Singapore would take time as patients with this ailment are rare in Singapore.
da Vinci Robotic Surgical System now available at Good Sam July 7, 2011
SUFFERN - Good Samaritan Hospital has acquired a $2 million da Vinci Robotic Surgical System, which doctors say is making operations more precise and less invasive, with speedier recoveries for patients that include less pain, bleeding and scarring.
Officials said Da Vinci robotic surgery is an advanced extension of laparoscopic surgery, allowing doctors to perform the same traditional procedures, but with smaller incisions. The da Vinci Surgical System takes laparoscopic surgery to the next level by exponentially decreasing blood loss during surgery, greatly reducing infection rates and pain, and speeding recovery times. Surgical complication rates have also been shown to greatly decrease with the use of this system.
Officials added since the introduction of the da Vinci System more than five years ago, it has been used successfully in tens of thousands of procedures. Its safety and efficacy have been documented in hundreds of clinical publications. The literature supporting da Vinci’s use is extensive, covering all surgical specialties where the System is used.
The system will be used to assist surgeons in a wide variety of surgical specialties, including urological, gastrointestinal, colorectal, gynecological and general surgery.
OCEANSIDE: Tri-City moves to offer robotic surgery July 1, 2011
Robotic surgery is coming to Tri-City Medical Center.
The public hospital's board of directors approved spending $2.7 million on Thursday to purchase a da Vinci robotic surgical machine, a move that executives said would allow Tri-City to improve the quality of the medical procedures it offers and shorten recovery times.
Alex Yu, Tri-City's chief financial officer, said many doctors, especially those fresh out of medical school, want access to robotic surgical instruments. Because the da Vinci uses tiny incisions, Yu said patients tend to heal faster after surgery and can have fewer complications. "Not only will we have a reduced (patient) length of stay (in the hospital), but we will also have a reduced infection rate, as well," Yu said.
Dr. Brano Cizmar, an Escondido gynecologist, said he has performed 60 to 70 hysterectomies with the da Vinci over the past 18 months. He said the delicacy and maneuverability of the robotic arms have eliminated the need to open a patient's abdomen in order to remove her uterus. "Patients usually willingly stop taking narcotic pain medication sooner than they would before," Cizmar said.
Yu said the hospital has three physicians on staff who are trained and ready to begin operating with robotic assistance and will train the rest of its surgeons to use the machine soon.
Larry Anderson, Tri-City's chief executive officer, said the machine is the first made by Intuitive Surgical Inc. that is modular, meaning that individual arms and other components can be upgraded without having to purchase a new machine.
"We expect to be doing surgeries within a month," Anderson said.
Dr. Patricio Gargollo's minimally invasive surgical technique, HIdES, received the Best New Technique Award at the International Robotic Urology Symposium in 2010.
UT Southwestern pediatric urologist develops procedure to eliminate scarring in kidney surgeries July 1, 2011
Surgery and all its implications can be scary, especially so for pediatric patients and their parents who dread sometimes disfiguring scars. Now a UT Southwestern Medical Center urologist has developed a new “hidden” minimally invasive procedure that makes scarring virtually invisible yet is just as effective as more common surgical methods.
“Currently used incisions, even with minimally invasive surgery, leave the child with up to three scars that are visible any time the abdomen is exposed. The new technique of hidden incision endoscopic surgery (HIdES) eliminates visible scarring,” said Dr. Patricio Gargollo, assistant professor of urology at UT Southwestern and author of a study in a recent issue of the Journal of Urology.
He reports using the procedure for a dozen kidney surgery cases between April and July 2010 with no complications, but believes it has broader applications. “I envision that this could be used for any upper abdominal procedure that needs to be done laparoscopically, and I currently perform all upper abdominal and some pelvic surgery with this technique,” said Dr. Gargollo, who is also director of pediatric urology minimally invasive and robotic surgery at Children’s Medical Center of Dallas.
HIdES was given the Best New Technique Award at the International Robotic Urology Symposium in 2010. Minimally invasive techniques such as laparoscopy are often used in kidney surgeries. They leave much less scarring than open surgery, which requires a large incision across the patient’s abdomen. But laparoscopic surgery, in which a tiny camera inserted through a small incision acts as the surgeon’s “eyes,” still leaves noticeable scars, Dr. Gargollo said.
In addition to its cosmetic benefits, the HIdES technique offers surgeons greater technical flexibility than laparoscopic surgery because it uses multiple surgical ports for robotic-assisted surgical equipment and a camera. These ports are hidden below the bikini line, making them invisible if the patient is wearing a bathing suit.
Patients old enough to answer a survey, including older teenagers, and parents of younger children showed greater satisfaction with the HIdES incision scars than those generated by laparoscopic and open surgery, the study reported.
Rocking out against cancer By Marjorie Gereb; June 30, 2011 Posted on AARS; July 1, 2011
ENGLEWOOD — "No Evidence of Disease" is what every cancer patient and doctor pray for after treatment. "No Evidence of Disease", or NED, is also the name of one of the most original rock bands in the world.
Comprised of six musically-talented gynecologic oncology surgeons scattered across the country, the group creates and performs original alternative rock and folk rock music to raise awareness about the cancers that afflict their patients. As physicians, they treat diseases that affect 80,000 thousand women each year, resulting in 30,000 deaths annually.
Dr. Nimesh P. Nagarsheth, an accomplished musician who plays drums, keyboard, percussion and guitar for NED, is an assistant professor at Mount Sinai Medical Center in New York City as well as associate director of robotic surgery at Englewood Hospital and Medical Center.
Dr. Nagarsheth is well-known for his work in minimally invasive surgery as well as transfusion-free surgery. As the author of the book "Music and Cancer: A Prescription for Healing," Dr. Nagarsheth is a leading authority in the healing powers of music and lectures regularly on the subject....continue reading
Mechanical heart saves teen's life Posted: July 1, 2011
HOUSTON (KTRK) -- Taking a human heart out and replacing it with an artificial heart is rare. Only 800 adults have had a total artificial heart, and it's even rarer for children. But Texas Children's Hospital has performed its first total artificial heart surgery on a Houston teenager. Three weeks later, he is doing well and getting used to his mechanical heart.
When you talk to Jordan Merecka, the first thing you notice is the pumping sound. "It never really bothered me. In fact it's almost comforting because you hear it and you know it's still pumping," he said. It's his artificial heart beating. He needed a heart transplant, but one wasn't available. So Texas Children's surgeons removed his old heart and replaced it with pumps attached to a 400-pound console.....read more
RGH Robotic Surgery Program Performs Milestone Procedure Posted: July 1, 2011
Rochester General Hospital reports that it has reached a milestone in its use of minimally invasive robotic surgery. The hospital robotics program performed its 4,000th case last week placing it among the top institutions in the country performing robotic urological, gynecological and colorectal procedures. It is also only one of four observation centers in the world where other doctors come to study the work they are doing here with the da Vinci Surgical System....read more
Major Scientific and Clinical Conference to Take Place August 2011 Posted: April 1, 2011 Updated: July 1, 2011
CHICAGO, March 28, 2011 /PRNewswire-USNewswire/- The American College of Wound Healing and Tissue Repair (ACWHTR) is a non-profit organization founded by faculty from the University of Illinois at Chicago (UIC) and the Angiogenesis Foundation (Cambridge, MA) in 2010.
Created to develop a formal, clinically-based, educational curriculum in wound healing for physicians, the goal of the ACWHTR is to bring the practice of wound healing into alignment with other medical specialties.
Leaders from 10 major University medical programs are now members of the ACWHTR educational committee. The first meeting of the ACWHTR will take place in Chicago on August 4 and 5, 2011 and will be co-hosted by the UIC Department of Surgery and the Angiogenesis Foundation.
This two-day, scientific and educational program will gather leading researchers, clinicians, and government officials in a unique, interactive setting. The inaugural meeting will be unlike traditional wound meetings in both content and venue. The UIC conference venue provides an academic setting, and includes live cases from both the operating room and wound clinics as part of its agenda. Friday afternoon tours of the UIC Robotic Surgery Laboratory and the St. James Center for Comprehensive Wound and Disease Management are also part of the agenda.
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