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Get ready to witness world’s most advanced robotic surgery: da Vinci® Surgical System now in India

March 28, 2018

You’ve just been diagnosed with a condition requiring surgery. Until very recently your options included traditional surgery with a large open incision or laparoscopy. However, thanks to a breakthrough surgical technology, there is a new category of minimally invasive surgery using the da Vinci® Surgical System that surgeons are now able to offer a minimally invasive option for complex surgical procedures.

The da Vinci Surgical System is a robotic surgical system made by the American company Intuitive Surgical. Approved by the Food and Drug Administration (FDA) for a wide range of procedures in 2000, Da Vinci Surgical Systems is being used in hundreds of locations worldwide. It is called “da Vinci” in part because Leonardo da Vinci invented the first robot.

It is the most advanced platform for minimally invasive surgery available today. It enables surgeons to perform delicate and complex surgeries through a few tiny incisions, instead of giving the patient a big cut. It is an advanced alternative to both traditional open surgery and conventional laparoscopy, putting a surgeon’s hands at the controls of a state-of-the-art robotic platform. The system cannot be programmed, nor can it make decisions on its own. Rather, it requires that every surgical maneuver be performed with direct input from your surgeon.

5 main parts of a robotic surgical system

  • Surgeon’s Console– Surgeon sits here and operates robots. This console also has the video output from where the robotic surgeon can view the inner part of patient’s body.
  • Image Processing Equipment– It’s a video output to see the ongoing surgery to anaesthesiologist, other doctors and nurse.
  • Patented Endowrist Instruments– They are the human wrist like instruments to provide superior motion control, precision and fluid ambidexterity.
  • Surgical Arm Cart– They are robotic hands acts like human arms
  • Hi-Resolution 3-D Endoscope– It has high definition 3-D camera at its end which is inserted into patient’s body through a separate incision.

 

Here’s what makes Da Vinci robotic surgery unique

  • It is the only commercially available technology that can provide the surgeon with the precision, dexterity and control of traditional open surgery, while only requiring 1-2 cm incisions
  • The systematic and automated approach to the Da Vinci technology has minimized the scope for mistakes, both by human and machine
  • The machine features a magnified high-definition 3D vision system, which gives the surgeon an impeccable view of what is happening inside the body
  • The interactive robotic arms attached to the machine are wristed and can bend at a greater angle, as compared to any human hand
  • It has ergonomically designed dual-console capability to facilitate both training and collaboration during the minimally invasive surgery
  • A broad range of instrument types are available to help your surgeon perform specialized surgical tasks with precision and control

 

Da Vinci surgical system enables minimal invasive surgeries for the following

  1. Heart Valve Disease
  2. Kidney cancer
  3. Prostate Cancer
  4. Achalasia (Swallowing disorder)
  5. Gall Bladder disorders
  6. Fibroid Tumour
  7. Endometriosis
  8. Ulcerative Colitis

 

Preparing for Da Vinci Surgery

  • An MRI or CT scan may be performed to locate and evaluate the exact site of invasion; the reports of the scan will be fed into the Da Vinci machine for greater precision.

 

During the Da Vinci surgery

  • The patient will be made to lie down on the operation table and a small incision will be made by a robotic arm, which functions on the directions of the surgeon.
  • Sitting at the console, the surgeon will direct the robotic arms to complete the surgery with short and accurate hand movements.
  • As your surgeon manipulates the controls, da Vinci responds to your surgeon’s input in real time, translating his or her hand, wrist and finger movements into precise movements of miniaturized instruments at the patient-side cart
  • To access the target anatomy, your surgeon introduces the precisely controlled EndoWrist instruments into the body through a series of dime-sized incisions.
  • The complete surgery happens only with an incision of 1 to 2cm.

 

After the Da Vinci surgery

  • The main advantage of the Da Vinci surgery system is that it lets the patient get back to its normal everyday routine in less time as compared to other methods of surgery.

 

Benefits ofDa Vinci Surgical System

For patients:

Because robotic-assisted surgery is performed through very small incisions, patients may experience:

  • Significantly less pain
  • Decreased blood loss
  • Minimal scarring
  • Shorter recovery times
  • Shorter hospital stays
  • Reduced risk of infection.
  • Reduced risk of complications
  • Increased range of motion
  • A faster return to normal daily activities

For surgeons:

  • 10 times magnification
  • Computerised 3D visualization giving better depth perception
  • Increased precision because of automation
  • Endo-wrist improve range of movement
  • Ergonomics-surgeon operating comfortably sitting in the console with armrest
  • Improved access
  • Improved dexterity

 

da Vinci Xi Surgical System

da Vinci Xi is the latest frontier in minimally invasive surgeries optimized for complex, multi-quadrant surgery and simpler, singular-quadrant surgery.

Fortis Hospital Bannerghatta Road is the only hospital in the state of Karnataka which has da Vinci Xi surgical system.

Following treatments are offered at Fortis Hospital Bannerghatta Road using da Vinci surgical system

  • Prostate Cancer & Treatment – da Vinci Prostatectomy – Radical Prostatectomy
  • Uterine Conditions & Treatment – da Vinci Hysterectomy
  • Uterine Fibroids Treatment – Myomectomy
  • Minimally Invasive General Surgeries
  • Obesity & Treatment Options – da Vinci Gastric Bypass Surgery
  • Mitral Valve Prolapse & Treatment – Mitral Valve Repair

 

Indeed, robotic surgery has revolutionized the world of surgery with its amazing benefits and is increasingly being used for more and more procedures. Days are not far off when surgical robots will soon become ubiquitous in most Indian hospitals increasing access to millions of patients countrywide.


Posted in Heart Care