The Surgical Management Of Gynaecological Disorders

Ben-Or, S., Nifong, W., & Chitwood, W. (2013). Robotic Surgical Training. The Cancer Journal, 19(2), 120-123.

In today’s time of demand and supply of healthcare needs, organizations must discover or improve services that can meet the needs of patients’ whole at the same time generating revenue as well as achieving high standards for quality of care. One way organizations have done this is by investing in robotic systems to carry out a range of surgeries. In the following presentation I will discuss the topics of: Investing in the MAKO RIO Robotic System, The Utilization of the RIO Robotic System, Stakeholders

Al). This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring (Scott.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

A hysterectomy can be a life-saving procedure for women who are having serious reproductive health issues. Dr. John Macey, MD performs this procedure and many others as part of his practice. If you live in Kentucky, Alabama, or the mid-central Tennessee area near Nashville, Dr. Macey encourages you to call his office for all of your OB/GYN needs. After a thorough examination, he’ll discuss any possible health issues  you may have and offer effective treatment options to help overcome them.

The laparoscope and other surgical instruments will be put through the incisions. Your surgeon will use the laparoscope and a robotic arm to help control the surgical instruments.

Diagnosis of a gynecological cancer can be very scary and disruptive for women and their families. Performing cancer surgeries through a minimally invasive approach helps in making cancer treatment as gentle and as least disruptive as possible .It also enables these patients to get back to their lives and routine activities more quickly without a significant interruption in their quality of life. Today, women affected by most gynecologic malignancies can benefit from minimally invasive surgical advances. Rather than operating through a large abdominal incision, 3 to 5 small incisions can be used for laparoscopy or robotic surgery. The main advantages of this scarless or minimally invasive technique

Robotic-assisted hysterectomy has gained widespread acceptance in many centers since U.S. Food and Drug Administration approval in 2005. Several reports on the early experiences with robotics for endometrial cancer surgery suggest potential advantages over traditional laparoscopic surgery, including improved surgeon ergonomics, high-definition three dimensional visions, and wristed instrumentation that improves surgical precision.10The overall postoperative morbidity and complications inherent in both techniques are nearly the same

The 21st century can rightfully be considered as the era of technology when the new inventions and discoveries will most likely affect all the segments of human life. At this point, some of the breakthrough inventions of our times have been in the medical field. Robotic surgery has become an almost common practice in the advanced medical world and new uses for robotic assisted surgery are everyday set in place. However, such developments also attract different interests and implications.

Hysterectomy, the surgical removal of the uterus, is the most common surgical procedure performed by gynecologists today. It is the also the second most common major surgery performed in the United States. This procedure can be used to treat several gynecological diseases and/or disorders from a prolapsed uterus to uterine cancer. The history of hysterectomy dates back as far as the 5th century B.C. during the time of the Hippocrates when the attempt to remove the uterus was made vaginally for patients suffering from a prolapsed uterus or uterine inversion (Operative Gynecology, 727). A German surgeon by the name of Langenbeck attempted the first reported abdominal hysterectomy for cervical cancer in 1825. The procedure lasted seven minutes

Robotic surgery has become a form competing throughout hospitals worldwide. Many hospitals want to outdo competing hospitals, this leads to inaccurate perceptions of the robotic process for patients. Ultimately, patients who are not candidates for this process tend to have it done regardless. In turn, “Massachusetts health officials sent an advisory to the state's hospitals urging caution: "As with any new technology, care should be taken that protocols are in place to ensure appropriate patient selection and the full explanation of risks and benefits for all surgical options” (Pinkerton). In other words, robotic process like any other process is meant for those who fit criteria. Those who don't fit criteria are susceptible to risk. In essence, although robotic surgery has its substantial benefits, hospitals and patients should be aware of the stipulations it holds to ensure the safety of

The Mayo Clinic Staff describes the uses of robotic surgeries by saying, “perform many types of complex procedures with more precision, flexibility and control than is possible with conventional techniques” (“Robotic Surgery”). Gives Doctors more precise control over operations so they would make less mistakes. It also allows them to better help the patients and can cut down on time for tricky procedures. The staff shows the diversity of the machine with “clinical robotic surgical system includes a camera arm and mechanical arms with surgical instruments attached to them” (“Robotic Surgery”). The multiple surgical instruments lets the robotic arms perform many more useful procedures. The multitools also cut down on the amount of other equipment that hospitals need, therefore cutting cost. The Clinic also shows its usefulness to surgeons “The console gives the surgeon a high-definition, magnified, 3-D view of the surgical site” (“Robotic Surgery”). A major problem during surgery is visibility of what is going on inside the body. The high definition field helps the surgeon to see what is going on and allows them to act accordingly. Robotic surgery is the next step to being able to perform more complex procedures

The Da Vinci Surgical System is a large purpose-built robot controlled by a surgeon that performs minimally invasive surgical procedures on patients. The system incorporates an ergonomically designed surgeon's console, a patient-side module with four interactive robotic arms, each with interchangeable surgical instruments and a 3-dimensional endoscopic vision system. Powered by high-tech supercomputers, the surgeon's hand movements are scaled, filtered and then converted into precise movements of the surgical attachments. The designers of the system are a team of doctors, engineers and biomedical engineers at a company called Intuitive Surgical.

During my urology rotation, I was amazed at the diversity of procedures, innovations, and tools that are involved. Urologists have taken a leading role in advancing surgical technology—an opportunity anyone technically inclined like myself would take into consideration. Captivated by my first encounter with robotic surgery, I had the opportunity to operate the “Da Vinci” using practice exercises. I immediately felt comfortable using the instrument, and was excited to develop greater skills in the future. Moreover, the juxtaposition of clinical and surgical practices is a unique aspect of urology. Continuity of care is something that I did not want to abandon in the field of my choosing. The

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).

The beginning use of surgical robots within medical setting benefits the surgeon as well as the patient; it gives the da Vinci Surgical System a bright future within today’s society.