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Robotic Surgery

The Stanford Research Institute along with defence department in the United States developed the Da Vinci System initially so that surgeons could perform tele-surgery on wounded soldiers sitting remotely from the battlefield. However, today robotic surgery is done by the surgeon sitting close to the patient (usually in the same operating room) on an ergonomically designed console, viewing the surgical field in a 3D vision and manipulating the wristed laparoscopic instruments.

  • The FDA had approved Da Vinci Surgical System in 2005 for gynecological surgery
  • The robotic system comprises of three components: A surgeon’s console, a patient-side cart with four robotic arms and a high-definition three-dimensional (3D) vision system.
  • Enhanced vision, perception and surgeon control
  • Precise instruments with greater range of movement than the human hand

The applications of robotics in modern gynecology include benign gynaecological procedure like hysterectomy, myomectomy, oophorectomy, and ovarian cystectomy, resection of endometriosis and have made more complex surgeries like advanced pelvic floor repair and sacrocolpopexy safer. It is also very useful in removal of mesh. Robotic surgery has been used in other disciplines worldwide and is improving the experience of surgery.

How it is better than traditional open or laparoscopy surgery?

A robotic endoscope, gives doctors greater control and vision during surgery. The robotic assisted surgery and computer software allows for very precise, microscopic movements. Some of the benefits of having a minimally invasive robotic surgery include:
  • Lower risk of infection
  • Quick recovery time
  • Smaller incisions
  • Less pain
  • Less scarring
  • Reduced blood loss
  • A shorter hospital stay
This is similar to any minimally invasive surgery. However, robotics does seem to have an edge in highly complicated procedures when extensive dissection close to vascular structure and nerves and where precise anatomy re-establishment is required. The Endo Wrist technology allows surgical manoeuvres which are similar to open surgical techniques.

Who is eligible for this surgery?

I usually offer robotic surgeries to patients with recurrent prolapse with advanced pelvic floor repair or complex surgery. Most benign gynaecological procedures can be safely accomplished with endoscopy at a much lower cost.

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