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Robotic Surgery​

Robotic surgery is a computerised enhanced method of doing laparoscopic surgery.

Human wrist like instruments are used using 10 times magnified 3D vision.

The surgeon is in complete control of the robotic arms at all times and is not an automated system.

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Definition

We have a come a long since anesthesia and antisepsis were introduced in modern surgery. With safe anesthesia and appropriate antibiotics and sterile techniques to prevent surgical site infections, the sky was the limit in treating diseases surgically. The next step was to improve the quality of life of these ever-busy women with quick recovery and less pain who were undergoing gynecological surgeries. Introduction of keyhole surgery (laparoscopic surgery) aimed to achieve this goal. It did succeed, however is not universally offered to all women who needed gynecological surgery. The question is why laparoscopic hysterectomy or myomectomy has not become a standard operative modality as laparoscopic cholecystectomy has? This is so because these are more complex surgeries and not always possible with straight stick laparoscopic instruments.

There are 4 distinct differences that the robotic surgery has as compared to conventional laparoscopy.

 
  • Stereoscopic 3D 10 times magnified vision- which is focused and provided excellent vision of the area the surgeon is operating
  • Near control of Surgical field where the surgeon controls the camera movement giving her a steady vision of the operating field. Also she is able to use three instruments to operate giving her flexibility.
  • Intuitive movements are movements that makes the instruments move in the same direction as the hands during surgery as compared to counter intuitive movements in conventional laparoscopy
  • THE WRIST-is the Missing Link! No surgical instrument till date gives a human wrist like movements while doing surgery. Robotic instruments helps one perform surgery just like the movements of human hand during an open surgery but without a big scar providing utmost precision in surgery and quick recovery.

The advantages of da Vinci SI Robotic Surgical Intervention

  • Less Scarring- Due to precise movement, tissue trauma is less.
  • Minimal Blood Loss- With better dissection in the right planes and the ability to suture more quickly, there is significantly less blood loss.
  • Faster recovery- Patients are able to resume their normal activities within few days and often are fit to travel in a week. Unlike 6 weeks needed to recover after open surgery. Many patients go home on the same day as well.
  • Excellent suturing- Precise instrumentation with wrist like movements and 3D visualization enables the surgeon to suture the uterus appropriately.
  • Less post-operative pain- Experience faster healing with less pain.
  • Less conversion to open surgery during the procedure

Contrary to the myth regarding robotic surgery, it is the surgeon and her surgical skill that determines the outcome of the surgery and not the ROBOT as it cannot do anything on its own. We are one of the pioneer centers in Gynecological robotic surgery with the maximum number of Robot assisted Myomectomy & Endometriosis surgeries performed by a single surgeon in the whole country. We have many success stories of women conceiving and delivering after these robotic assisted surgeries as well as improving their quality of life at Apollo Hospital, Hyderabad India.

ABSOLUTE INDICATIONS

When does Robotic surgery score over conventional laparoscopic surgery in women?

  • MYOMECTOMY- large & Multiple (Fertility enhancing sugeries)
  • ENDOMETRIOSIS- Grade 3&4 for clearance to provide relief of pain or fertility enhancement
  • DEEP INFILTRATING ENDOMETRIOSIS
  • CANCER OF ENDOMETRIUM
  • SACROCOLPOPEXY
  • URINARY FISTULA REPAIR- Vesico vaginal or Ureterovaginal