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daVinci Robotic Surgery

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The daVinci Surgical System is designed to provide surgeons with enhanced capabilities, including high-definition 3D vision and a magnified view.

Currently our physicians at the Center for Women’s Health utilize robotic assistance for laparoscopic procedures treating several gynecologic conditions that may affect your health and quality of life. Some of these conditions include gynecologic cancer, abnormal or heavy bleeding caused by fibroids or adenomyosis, pelvic pain caused by endometriosis or scar tissue, and pelvic prolapse involving the uterus and bladder.

During your surgery, your doctor controls the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. Though it is often called a “robot,” da Vinci cannot act on its own. Instead, the surgery is performed entirely by your doctor.

The robotic system was originally developed by the Department of Defense for use as a robotic surgeon for the battlefield and is approved by the FDA. The system replicates the surgeon’s hand movements real-time in laparoscopic instruments. It cannot be programmed, nor does it make any independent decisions, but rather it does only what the surgeon inputs in real-time.

The daVinci Camera:
Standard laparoscopic viewing utilizes one single camera and limits surgeon’s vision to a 2-D view similar to watching your television. The da Vinci robotic camera consists of TWO high resolution fiber optic cameras. Like your eyes they produce a true 3-dimensional color picture available to the surgeon seated at the da Vinci console. Magnification up to 10-12x can be achieved with these cameras. The special camera also allows the surgeon to peek around corners during the procedure, assisting in a full evaluation of the operative field.

The daVinci Surgical Instruments:
Although visually similar to standard laparoscopic instruments, the robotic instruments have the additional advantage of being articulated, very much like the human wrist. This allows the instruments to not only open and close but also to fully turn and twist. Unlike your hand, these instruments are much smaller and many of the jaws of the tools are similar or shorter in length than your fingernail. This allows very small and precise incisions.

The robot also allows the surgeon to ‘scale’ their hand movements. A large hand movement at the console can be translated into a micro-precise dissection or exposure. The robot can also filter out even subtle hand tremors, enhancing precision. Another of the many benefits of this system is that it significantly reduces surgeon fatigue associated with traditional laparoscopic surgery by allowing the surgeon to remain in a natural, comfortable position while operating.

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