By Joseph Hazan,M.D., FACOG
Microinvasive and robotic surgery
provide improved precision and shorter
recovery.
The da Vinci Surgical System was introduced
in 1999 by Intuitive Surgical
and has gain wider acceptance.
The surgeon sits at a console and robotic arms
are used to produce the
finer movements that are required for
dissection, suturing and knot tying.
The precision achieved is due to the
magnified three-dimensional view
and reduction of hand movements to half
or one third of the original.
Instruments of the robotic system
bend at the tip to provide the wrist
motions.
This system allows surgery for very obese
patients especially those with endometrial cancer.
Obesity is a major risk factor for any
surgical procedure.
Obesity also predisposes to uterine cancer due to
the estrogens produced by the fatty tissues.
These estrogens are responsible in the
development and growth of endometrial cancer.
This, coupled with the fact that obesity and
metabolic syndrome is now
the greatest health problem faced in the US,
makes the robotic approach
ideally suited.
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