![]() ![]() ![]() “The Role of the Robot in Treating Urinary Tract Endometriosis.” Current Opinion in Obstetrics and Gynecology 25.4 (2013): 308-11. “Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study.” Surgical Endoscopy 28.8 (2014):2474-2479. Collinet P, Leguevaque P, Neme RM, Cela V, Barton-Smith P, Hébert T, Hanssens S, Nishi H, Nisolle M.Low rate of switching to open surgery (through large incision)1,3,6,7. ![]() Low blood loss3, 5, 7, 8& low chance for transfusion3,5.Ability for surgeon to complete difficult dissections (separating of tissue)1,2,3.Quicker recovery and return to normal activitiesĭa Vinci Endometriosis Resection may offer the following potential benefits:.Orbuch sits and operates the robotic controls while looking into a stereoscopic monitor which provides her with a 3-D, high definition view of the surgical anatomy. Dr Orbuch often uses only three arms, so the number of incisions in robotic surgery is exactly the same as in traditional laparoscopy. ![]() These arms are controlled by a computer that replicates Dr. The patient cart is positioned over the patient during surgery and contains the robotic four arms, three which hold different instruments, and one that holds the 3-D camera. Orbuch to perform more precise, advanced techniques and enhances her capability to perform complex minimally invasive surgery. Orbuch to perform complex surgery with precision, dexterity and control. These technological advancements allow Dr. Orbuch to control the miniature surgical instruments with unprecedented accuracy with a wide range of motion. The robotic ‘wrists’ rotate a full 360 degrees that enable Dr. Orbuchs’ hand movements into precise small movements resulting in extreme dexterity. At the same time, state of the art robotic and computer technology converts Dr. Orbuch to view a magnified, high-resolution 3D image of the surgical site allowing for superior visual clarity of anatomy with up to 10x magnification. With da Vinci, small incisions are used to introduce miniaturized wristed instruments and a high-definition 3D camera. The da Vinci System is a sophisticated robotic platform designed to expand a surgeon’s capabilities. Minimally Invasive Surgery, which includes laparoscopic surgery, uses small incisions instead of large incisions to perform surgery thus reducing the damage to human tissue. Robotic Surgery is an advanced form of Minimally Invasive Surgery. This technique, along with other advanced laparoscopic techniques, was learned during her advanced laparoscopic fellowship with Dr. Orbuch excises endometriosis using Wolf blunt scissors, a technique initially performed by Harry Reich, M.D., a leader in advanced gynecological endoscopic surgery. Excision of endometriosis is the only therapy to objectively cure disease and thus improve quality of life. Over time, endometriosis can grow into nodules causing scaring to nearby organs. Additionally, endometriosis lesions can irritate nearby tissue causing adhesions, scarring, and pain. The endometriosis areas growing outside the uterus go through a similar cycle but because the buildup cannot leave the body, the implants get deeper and deeper. Normally during a monthly cycle, a woman’s’ endometrium, or uterine lining builds up then is shed as her monthly flow of menses. The definitive treatment of endometriosis is NOT hysterectomy or removal of both ovaries rather it is complete excision of endometrial lesions.Įxcisional surgery makes sense if one understands what endometriosis is. Drug therapy can suppress endometriosis, not eradicate endometriosis. In addition, surgical excision has been shown to improve fertility rates in women. Adequate surgical excision of endometrial implants provides the best symptomatic relief and long term results. Deep fibrotic endometriosis usually does not respond well to hormonal suppressive therapy. A doctor utilizing laser may vaporize the surface of the lesion, but still leaves active endometrial tissue below. With scissors, the endometrial implants are removed, but with cautery or a laser the lesion remains and continues to cause pain necessitating more surgery. Others approach endometriosis with cautery or a laser, two modalities shown to be far inferior to excision using scissors, the method performed by Dr. Unfortunately most gynecologists are not trained in advanced endometriosis cases. Ideally all endometriosis lesions should be excised. Excision of endometriosis is the gold standard treatment for endometriosis. Laparoscopic surgery is the definitive method to diagnose and treat endometriosis. Excision of Endometriosis | Dr Iris Kerin Orbuch | LA ![]()
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