DaVinci Advanced Gyn Robotic Surgery
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Surgeon Training
The da Vinci Surgical System should be used only by surgeons who have developed adequate robotic skills to perform the tasks associated with each procedure and who have received specific training in the use of the da Vinci Surgical System. Training provided by Intuitive Surgical is limited to product education on the da Vinci Surgical System and does not replace the necessary medical training and experience required to perform surgery.
Intuitive Surgical makes no claims as to the competency, training or licensing of the physicians listed or identified on this site. We encourage patients to investigate your surgeon’s training and experience by searching the American Medical Association's (AMA) "Directory of Physicians in the U.S." and the American Board of Medical Specialties (ABMS) "Official Directory of Board Certified Medical Specialists".
While every reasonable effort is made to validate that surgeon listings are accurate at the time of entry, this directory may become out-of-date over time. To ensure that the information provided is accurate, patients should call the provider. Patients should also ask whether the provider accepts their insurance and should contact their insurance providers to determine whether coverage is available before pursuing treatment.
Neither Intuitive Surgical, who sponsors this site, nor any of its partners or licensees shall be liable for any losses, damages, or unrecovered charges as a result of using this directory or receiving care from a provider listed in this web site.
While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.
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"It's mind-boggling to me that I had a total hysterectomy and in less than 24 hours I was headed home. I don't even feel like I've had surgery. As a nurse, I'm thinking every woman should receive this type of care."
- Sylvia Tippett, Orthopedic Nurse, North Carolina
- Hysterectomy to resolve utinere cancer.
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"There was no pain from the procedure and it was one week ago today and I can't even tell I had the procedure..."
– Karina O., Full time mother & wife,
Orange, California
– Hysterectomy to resolve a uterine condition
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Q. What is Minimally Invasive Surgery (MIS)?
A. MIS is surgery typically performed through small incisions, or operating ports, rather than large incisions, resulting in potentially shorter recovery times, fewer complications, reduced hospitalization costs and reduced trauma to the patient. While MIS has become standard-of-care for particular surgical procedures, it has not been widely adopted for more complex or delicate procedures – for example, prostatectomy and mitral valve repair.
Intuitive Surgical believes that surgeons have been slow to adopt MIS for complex procedures because they generally find that fine-tissue manipulation – such as dissecting and suturing – is more difficult than in open surgery. Intuitive Surgical's technology, however, enables the use of MIS techniques for complex procedures.
Q. Why do we need a new way to do minimally invasive surgery?
A. Despite the widespread use of minimally invasive or laparoscopic surgery in today's hospitals, adoption of laparoscopic techniques, for the most part, has been limited to a few routine procedures. This is due mostly to the limited capabilities of traditional laparoscopic technology, including standard video and rigid instruments, which surgeons must rely on to operate through small incisions.
In traditional open surgery, the physician makes a long incision and then widens it to access the anatomy. In traditional minimally invasive surgery – which is widely used for routine procedures -- the surgeon operates using rigid, hand-operated instruments, which are passed through small incisions and views the anatomy on a standard video monitor. Neither this laparoscopic instrumentation nor the video monitor can provide the surgeon with the excellent visualization needed to perform complex surgery like valve repair or nerve-sparing prostatectomy.
Q. What are the benefits of da Vinci Surgery compared with traditional methods of surgery?
A. Some of the major benefits experienced by surgeons using the da Vinci Surgical System over traditional approaches have been greater surgical precision, increased range of motion, improved dexterity, enhanced visualization and improved access. Benefits experienced by patients may include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusions, less scarring, faster recovery and a quicker return to normal daily activities. None of these benefits can be guaranteed, as surgery is necessarily both patient- and procedure-specific.
Q. Why can't surgeons perform complex procedures such as cardiac surgery through 1-2 cm ports today?
A. Complex procedures like cardiac surgery require an excellent view of the operative field and the ability to maneuver instruments within tight spaces with precision and control. Surgeons historically have used invasive approaches like "open sternotomy" for heart surgery, which means splitting the breastbone and pulling back the ribs and typically results in a foot-long incision. This provides visibility and allows room for the surgeon to get his or her hands and instruments very close to the operative site, but results in significant pain, blood loss and a long recovery for patients. More recently, smaller incisions have been used to perform a variety of cardiac procedures. However, many cardiac surgeons feel the reduced access may limit visualization and may impede access to the operative field.
Q: Where is the da Vinci Surgical System being used now?
A. Currently, The da Vinci Surgical System is being used in hundreds of locations worldwide, in major centers in the United States, Austria, Belgium, Canada, Denmark, France, Germany, Italy, India, Japan, the Netherlands, Romania, Saudi Arabia, Singapore, Sweden, Switzerland, United Kingdom, Australia and Turkey.
Q. Has the da Vinci Surgical System been cleared by the FDA?
A. The U.S. Food and Drug Administration (FDA) has cleared the da Vinci Surgical System for a wide range of procedures. Please see the FDA Clearance page for specific clearances and representative uses.
Q: Is da Vinci Surgery covered by insurance?
A. da Vinci Surgery is categorized as robot-assisted minimally invasive surgery, so any insurance that covers minimally invasive surgery generally covers da Vinci Surgery. This is true for widely held insurance plans like Medicare. It is important to note that your coverage will depend on your plan and benefits package. For specifics regarding reimbursement for da Vinci Surgery, or if you have been denied coverage, please call the Reimbursement Hotline at 1-888-868-4647 ext. 3128. From outside the United States, please call 33-1-39-04-26-90.
Q. Will the da Vinci Surgical System make the surgeon unnecessary?
A. On the contrary, the da Vinci System enables surgeons to be more precise, advancing their technique and enhancing their capability in performing complex minimally invasive surgery. The System replicates the surgeon's movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way or perform any type of surgical maneuver without the surgeon's input.
Q. Is a surgeon using the da Vinci Surgical System operating in "virtual reality"?
A. Although seated at a console a few feet away from the patient, the surgeon views an actual image of the surgical field while operating in real-time, through tiny incisions, using miniaturized, wristed instruments. At no time does the surgeon see a virtual image or program/command the system to perform any maneuver on its own/outside of the surgeon's direct, real-time control.
Q. Is this telesurgery? Can you operate over long distances?
A. The da Vinci Surgical System can theoretically be used to operate over long distances. This capability, however, is not the primary focus of the company and thus is not available with the current da Vinci Surgical System.
Q. While using the da Vinci Surgical System, can the surgeon feel anything inside the patient's chest or abdomen?
A. The system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback provides a substitute for tactile sensation and is augmented by the enhanced vision provided by the high-resolution 3D view.
Q: What procedures have been performed using the da Vinci Surgical System? What additional procedures are possible?
A. The da Vinci System is a robotic surgical platform designed to enable complex procedures of all types to be performed through 1-2 cm incisions or operating “ports.” To date, tens of thousands of procedures including general, urologic, gynecologic, thoracoscopic, and thoracoscopically-assisted cardiotomy procedures have been performed using the da Vinci Surgical System.
Q. Why is it called the da Vinci ® Surgical System?
A. The product is called "da Vinci" in part because Leonardo da Vinci invented the first robot. He also used unparalleled anatomical accuracy and three-dimensional details to bring his masterpieces to life. The da Vinci Surgical System similarly provides physicians with such enhanced detail and precision that the System can simulate an open surgical environment while allowing operation through tiny incisions.
While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.
Only da Vinci overcomes the limitations of both traditional open surgery and conventional minimally invasive surgery.
The da Vinci System is a sophisticated robotic platform designed to expand the surgeon’s capabilities – and for the first time – offer a minimally invasive option for major surgery.
 The da Vinci® S™ Surgical System
With da Vinci, small incisions are used to introduce miniaturized wristed instruments and a high-definition 3D camera. Seated comfortably at the da Vinci console, your surgeon views a magnified, high-resolution 3D image of the surgical site.
At the same time, state-of-the-art robotic and computer technologies scale, filter and seamlessly translate your surgeon's hand movements into precise micro-movements of the da Vinci instruments.
The System cannot be programmed, nor can it make decisions on its own. Rather, the da Vinci System requires that every surgical maneuver be performed with direct input from your surgeon.
To learn more about the da Vinci Surgical System, read about da Vinci Features.
While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.
Since the introduction of the da Vinci System more than five years ago, the da Vinci System 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.
To the left are links to bibliographies organized by specialty, providing clinical evidence that supports the use of the da Vinci System. Links to abstracts available on the National Library of Medicine’s website are provided for your reference.
For complete, full-text articles:
Within the listing on The National Library of Medicine website, you’ll find links to publishers’ sites, which sell electronic copies. Web-based document delivery services are also available (search for “document delivery services” or “document delivery supplier”) that may help with more complex requests.
Thanks to a breakthrough surgical technology, there is a new category of minimally invasive surgery for which you may be a candidate. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci® Surgical System, surgeons are now able to offer a minimally invasive option for complex surgical procedures.
Imagine major surgery performed through the smallest of incisions. Imagine having the benefits of a definitive treatment but with the potential for significantly less pain, a shorter hospital stay, faster return to normal daily activities – as well as the potential for better clinical outcomes.
With the da Vinci Surgical System, surgeons and hospitals are re-writing accepted standards for surgical care. da Vinci is changing the experience of surgery.
Learn more about the urologic, gynecologic, cardiothoracic and general surgery procedures performed today with the da Vinci Surgical System. With da Vinci, both patient and physician are realizing these unprecedented benefits.
It is important to know that surgery with da Vinci does not place a robot at the controls; your surgeon is controlling every aspect of the surgery with the assistance of the da Vinci robotic platform.
Learn more about the minimally invasive surgical applications that are today enabled by da Vinci in urology, gynecology, cardiothoracic and general surgery.
da Vinci is changing the experience of surgery…for the surgeon… the hospital…and most importantly… for the patient.
When facing surgery, regardless of the condition, your primary concern is determining which surgeon and hospital will give you the best chance for the best possible outcome. Secondly, you want a surgical experience that will be the least disruptive to your everyday life.
Enter da Vinci.
The da Vinci Surgical System combines computer and robotic technologies to create a new category of surgical treatment, robotic-assisted laparoscopic, thoracoscopic or endoscopic surgery. By providing surgeons with enhanced capabilities, the da Vinci Surgical System makes it possible to treat a broader range of conditions using a minimally invasive approach. This means that with da Vinci, you can have major surgery with only a few tiny incisions. In addition, your surgeon can operate with better visualization, precision, dexterity and control than possible using traditional surgical approaches.
Clinical studies suggest that the extended capabilities provided by the da Vinci System may help surgeons provide better clinical outcomes than conventional open and minimally invasive surgery allow – for example, better cancer control and a lower incidence of impotence and incontinence with da Vinci Prostatectomy.1
To date, da Vinci has been used in everything from minimally invasive heart surgery to minimally invasive cancer surgery, to treat conditions as diverse as prostate cancer, endometrial cancer, morbid obesity and mitral valve regurgitation.
In short, the da Vinci Surgical System combines robotics and surgical technology as never before, enabling your surgeon to provide the most effective and least invasive treatment option available for a wide range of complex conditions.
Features
da Vinci® EndoWrist® instrument
The da Vinci Surgical System 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.
da Vinci Surgical System consists of an ergonomically designed surgeon's console, a patient cart with four interactive robotic arms, a high-performance vision System and patented EndoWrist instruments.
da Vinci Surgeon Console and Patient Cart
At the da Vinci console, your surgeon operates while seated comfortably, viewing a highly magnified 3D image of the body’s interior. To operate, the surgeon uses master controls that work like forceps.
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.
da Vinci translates and refines your surgeon's hand movements.
da Vinci's patient cart holds up to three EndoWrist instruments and one 3D camera. To access the target anatomy, your surgeon introduces the precisly controlled EndoWrist instruments into the body through a series of dime-sized incisions. A broad range of instrument types are available to help your surgeon perform specialized surgical tasks with precision and control.
While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.
When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding.
Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.
Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci® Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci System* can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes. |
