Robotic surgery in gynecology
Written by:The advantages of laparoscopic surgery , such as rapid patient recovery and reduced risks, have been known for years.. Laparoscopy stimulated in its moment the appearance of new technologies, among which the robotic surgery stands out. With the advent of robotic surgery , a new era in surgical procedures began, allowing complex surgeries with minimal invasion.
One of the best instruments in the area of robotic surgery is the Da Vinci Surgical System, which can be used in urological, gynecological and general surgery surgical procedures.
This surgical technique is usually performed through small incisions , or operative ports, instead of a single large incision, which allows for shorter recovery periods, fewer complications and less trauma for the patient.
The main advantages are:
• Higher surgical precision .
• Better mechanics of instrumental movements (7 degrees mobility).
• Greater dexterity, because it stabilizes the surgical instruments by avoiding the tremor of any surgeon and allows the slowing down of the instruments and is also more ergonomic, so that avoids the fatigue of the surgeon in prolonged surgeries.
• Better visualization , because the surgeon works in high definition 3D.
• Better access .
Benefits for patients may include:
• Shorter hospitalization.
• Less pain.
• Less risk of infection.
• Less blood loss.
• Fewer transfusions.
• Smaller scars.
• Faster recovery and a faster return to normal daily activities.
The robotic surgery tries to replace the limitations of the classic laparoscopy, and therefore the clinical applications will be any procedure that is realized by means of conventional laparoscopy and, especially, those of greater difficulty, as they are the interventions of oncological surgery (cancer of neck or endometrium fundamentally), uterine myomectomies and uterine prolapse surgeries.
In these three surgeries will also allow us to safely address surgeries in cases where we could not do it by laparoscopy (for example, myomas larger or very close to endometrium). Of course, it will also be useful in surgeries in benign cases such as hysterectomies with large volume uteri.
In this type of operations it has been demonstrated that the operative time is similar to conventional laparoscopy but greater than that of the open pathway (laparotomy).. In oncological surgeries, it has been shown that the number of lymph nodes removed, operative bleeding and complications are similar or better than with the other two routes mentioned.. The time of hospital admission and convalescence are similar to those of laparoscopy and younger than with laparotomy .
