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Robotic-assisted surgery using a new da Vinci®
Surgical System is now being employed at Marin General Hospital. The
robotic platform is designed to enhance surgical ability for surgeons
while using a minimally invasive approach. Currently hospital surgeons
are using the system primarily for gynecologic procedures and prostate
surgery. Gynecologic procedures include hysterectomies for various
uterine conditions; myomectomies for uterine fibroids; and
sacrocolpopexies for pelvic organ prolapse. Plans call for expanded
use of the system in the future for general surgeries.
"This surgical system raises the standard of care for our patients,"
said David Galland, MD, a Larkspur gynecologist, one of the surgeons
who uses the da Vinci® system at Marin General Hospital. "This
translates into many patient benefits, including less pain, shorter
hospital stays, a shorter recovery and faster return to normal daily
activities."
About 300 da Vinci® systems are in use worldwide. In
the North Bay, MGH's system is the only one in Marin, Sonoma and Lake
Counties and is one of only a few high-definition systems in the
entire San Francisco Bay Area.
"We are keeping on the leading edge of medicine," said Dr. Galland.
"This technology allows us to conduct surgeries we have done through
large incisions through small minimally invasive incisions in a way
that offers many patients significant benefits over traditional
surgery. It's very exciting."
da Vinci® cannot operate without a surgeon's
expertise. The system is designed to scale, filter and seamlessly
translate the surgeon's movements into more precise movements through
its robotic instruments. Surgeons sit at a console in the operating
room and control four interactive robot arms that operate on the
patient using a high performance vision system. The surgical
instrument design features jointed wrists, which exceed the natural
range of motion of the human hand, thus enabling surgeons to operate
with greater dexterity and control.
During conventional laparoscopic surgery, surgeons stand using
hand-held, long-shafted instruments, which have no wrists. They must
look up and away from the instruments to a nearby two-dimensional
monitor to see the operating field and rely on a surgical assistant to
position the camera correctly. da Vinci® transforms
the surgical process.
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