ISPP 2015

Career Opportunities in Pharmacy
Gynecological Procedures: Da Vinci Surgical System – St. Mark’s Hospital


(guitar playing) – The da Vinci Surgical
System is a tool that us, as laparoscopic surgeons can
use in the operating room. So, basically, it is a machine, which is controlled completely
by myself, the surgeon. It enables a surgeon to perform very delicate, intricate,
specific, and complex maneuvers through tiny incisions
in a patient’s abdomen, as opposed to traditional
laparoscopic surgery, which also is beneficial to the patient, but you’re limited by the
tools, the instruments, that we use in a patient’s abdomen with traditional laparoscopy. So, basically, I look at the da Vinci as a way for me to use my hands
inside a patient’s abdomen without making that big incision. The da Vinci is used for
any gynecological operation that would be considered complex. Meaning a patient that just needs a mere laparoscopic evaluation
of the pelvis without any actual dissection or
manipulation, it’s overkill. So, basically, it’s for
any surgical procedure that would require cutting,
tying, suturing, ablating, removing, excising, and
reconstructing in the pelvis. The benefits of the da Vinci
over traditional laparoscopy are that I, as a surgeon, am
operating the camera myself. So instead of having an assistant
or my hand being utilized, having to hold the camera
or maneuver the camera, I’m actually driving the camera
with my feet and my hands. And the fact that I can
operate multiple arms of the laparoscopic
instruments personally, myself, without asking my assistant to do so, that’s another positive
reason to use the da Vinci. Benefits to the patient
with a robotic-assisted laparoscopic surgery versus a traditional laparoscopic surgery are due to the fact that with traditional laparoscopy, the operative ports that we
place our instruments through are constantly being
torqued and maneuvered because we need to maneuver
around tumors and fibroids. So the patient ends up
having a little bit more pain and a little bit more bruising,
in my personal experience, because traditional ports
have to be maneuvered by the physician at the bedside. So, a patient with a laparoscopic port, with the robot, the robot
is docked to that port. And so the physician does not
need to use the same force because the robot has so
much more maneuverability and angles of intent of the arms that the patient ends
up feeling a lot better. So I find that my patients
have a lot less pain, a lot less bruising, and they
return to work a lot sooner. The other reason that
patients will have a benefit by having robotic-assisted surgery is because when we make
laparoscopic incisions, there’s always a chance of injury, whether it be for
bleeding, visceral injury, or a complication. Due to the fact that the
robotic-assisted instruments are so precise and so well controlled, there’s a much less likelihood
of having a conversion from a laparoscopic procedure
to an open procedure. I firmly believe that
the days of laparotomy, or open incisions, are over. And I think every woman
who is healthy enough to undergo a laparoscopic procedure, should be offered it because
they feel so much better, and there really is no reason. So if a patient’s physician
has not yet trained for laparoscopy or for robotics and they can’t perform the procedure, they should be asked to be
referred to someone that can. – [Narrator] For more information about this physician or to
schedule an appointment, please call our referral line or visit NotBiggerJustBetterHealth.com.

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