Robotic Surgery in Gynecology

Book Series: “Emerging Technologies in Women's Health”

Volume 1

by

Togas Tulandi, Arnold Advincula

DOI: 10.2174/97816080527211110101
eISBN: 978-1-60805-272-1, 2011
ISBN: 978-1-60805-574-6
ISSN: 2211-8535 (Print)



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Emerging Technologies in Women's Health is the first of a series of books dedic...[view complete introduction]

Table of Contents

Foreword

- Pp. i

Camran Nezhat

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Preface

- Pp. ii

Togas Tulandi

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List Of Contributor

- Pp. iii

Togas Tulandi

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Robot-Assisted Laparoscopy: Basic Principles, Equipment, and Instrumentation

- Pp. 3-9 (7)

Arnold P. Advincula

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Robot-Assisted Laparoscopic Colpo- and Cervicosacropexy with the Da Vinci® Surgical System

- Pp. 10-17 (8)

Catherine A. Matthews

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Robot-Assisted Myomectomy

- Pp. 18-26 (9)

Ceana Nezhat and Shabnam Dadgar

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Robotic Assisted Laparoscopic Hysterectomy

- Pp. 27-40 (14)

Michael C. Pitter

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Robot-Assisted Tubal Anastomosis: The Evolution, Technique and Outcomes

- Pp. 41-49 (9)

Sejal Patel and Nora Algothani

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Robotic Surgery in Gynecologic Oncology

- Pp. 50-61 (12)

Vanna Zanagnolo and Javier F. Magrina

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Complications of Gynecologic Robotic Surgery

- Pp. 62-68 (7)

Geetu Pahlajani and Tommaso Falcone

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Avoiding Complications in Robotic Surgery in Gynecology

- Pp. 69-73 (5)

Rosanne M. Kho

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Index

- Pp. 74-75 (2)

Togas Tulandi and Arnold Advincula

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Foreword

Professor Tulandi has to be congratulated for the present e-book about computer enhanced (robotics) in gynecology. As usual, he is right there in the frontiers of new and exciting developments!

This e-book is a timely and a very comprehensive contribution. Each of the authors is a trailblazer in this new discipline. The well-written chapters will assist the reader in embarking on the use of this fascinating development to help their patients. Any physician or patient interested in this new development will benefit immensely from reading this e-book. I like to congratulate him on this well-done job.

In 1986 and later in 1992, we stated that “wherever in the body a cavity exists or a cavity can be created, operative laparoscopy is indicated and probably preferable…. and that the main limitation to operative laparoscopy is the surgeon’s imagination….

Further, we presented the first laparoscopic bowel, bladder, and ureter resection and reanastomosis in videopresentations and abstracts in several meetings in 1989, including the annual meeting of ACOG held in Atlanta, the annual ASRM (previously AFS) meeting held in San Francisco, and the AAGL annual meeting in Washington, D.C. It was not until 2004, that following a randomized study with positive results titled “A comparison of laparoscopically assisted and open colectomy for colon cancer” in the New England Journal of Medicine that the editor of the journal, Dr. Pappas wrote: “Surgeons must progress beyond the traditional techniques of cutting and sewing, to a future in which minimal access to the abdominal cavity are only the beginning“. This proclamation came nearly nineteen years after the report of our first reported laparoscopic bowel resection. Today, there is a substantial body of evidence to support that the laparoscopic approach is the preferred method for practically all procedures that previously required laparotomy, including surgery for malignancies.

To date, despite all the proven advantages of minimally invasive surgery, most procedures like hysterectomies and bowel resections are done by laparotomy due to the lack of trained endoscopic surgeons and lack of proper instruments. The advent of computer enhanced technology incorporated into laparoscopic surgery will help in bringing significant changes. The DaVinci Robot developed by pioneer robotic scientists Ajit Shah and Phil Green, is an example of potentials of this technology. This “robot” enables visualization of the surgical field in three dimensions, eliminates tremors, has more wrist motions, and allows a quicker learning curve for suturing. I am certain it will convert more laparotomies to minimally invasive surgery.

This e-book will have a good place in history as it is one-of- a -kind in assisting many surgeons in helping their patients by doing less laparotomies and more minimally invasive surgeries. Congratulations again.

Camran Nezhat
Stanford University Medical Center
USA


Preface

Numerous treatments and devices have been introduced into the armamentarium to treat disorders and diseases in women. Due to rapid advances in new technologies, clinicians and researchers are not always updated with their knowledge. Indeed, there are many new technologies in women's health, I have identified many new technologies in women's health. These include robotic surgery, new imaging technologies, novel treatment of uterine fibroid including MR guided focused ultrasound, image capturing, virtual reality and many others. These topics become Ebook series on "Emerging Technologies in Women's Health".

The first e-book in this series is Robotic Surgery in Gynecology and the guest editor is Dr. Arnold Advincula. Dr. Advincula is a Professor of Obstetrics and Gynecology at the University of Central Florida College of Medicine and a pioneer in Robotic Surgery. The contributors are experts in advanced laparoscopy surgery and robotic surgery. Each chapter contains many illustrations by line drawing, photographs and surgical technique which is illustrated step by step. As the technique is relatively new, we allow overlapping of the chapters allowing the readers to learn different techniques from the experts.

This concise and practical e-book on robotic surgery is for practicing gynecologists, residents of Obstetrics and Gynecology, fellows of Reproductive Endocrinology and fellows of Minimally Invasive Surgery. Readers will gain an understanding of robotic surgery in gynecology, its advantages and disadvantages and learn about the development and delivery of this technique. We also hope that this book will be helpful in directing new investigations and the clinical management of patients.

Togas Tulandi
McGill University
Canada

List of Contributors

Editor(s):
Togas Tulandi
McGill University
Canada


Arnold Advincula
University of Central Florida
USA




Contributor(s):
Arnold P. Advincula
Professor of Obstetrics & Gynecology
University of Central Florida College of Medicine
Medical Director, Gynecologic Robotics
Director, AAGL/SRS Minimally Invasive Surgery Fellowship
Florida Hospital - Celebration Health
USA


Nora Alghothani
MD, Center for Reproductive Medicine
3435 Pinehurst Ave
Orlando
FL, 32803
USA


Shabnam Dadgar
Fellowship & Clinical Director, Nezhat Medical Center
Center for Special Minimally Invasive Surgery & Reproductive Medicine
Adjunct Clinical Associate Professor of Obstetrics & Gynecology
Stanford University School of Medicine, 5555
Peachtree Dunwoody Rd
Peachtree Dunwoody Rd
Suite 276
Atlanta
USA


Tommaso Falcone
Professor and Chair Obstetrics
Gynecology and Women's Health Institute
Cleveland Clinic
9500 Euclid Ave - A81
Cleveland
Ohio
USA 44195


Rosanne Kho
Assistant Professor
Associate Program Director
Division of Urogynecology and Pelvic Reconstructive Medicine
Department of Gynecologic Surgery
Mayo Clinic Arizona
Phoenix
AZ



Javier F Magrina
Director Gynecologic Oncology
Professor, Obstetrics and Gynecology
Barbara Woodward Lips Professor
Mayo Clinic Arizona
Phoenix
Arizona


Catherine Matthews
Associate Professor and Division Chief of Urognecology and Reconstructive Pelvic Surgery
University of North Carolina
Chapel Hill
NC



Ceana Nezhat
Fellowship & Clinical Director, Nezhat Medical Center
Center for Special Minimally Invasive Surgery & Reproductive Medicine
Adjunct Clinical Associate Professor of Obstetrics & Gynecology
Stanford University School of Medicine, 5555
Peachtree Dunwoody Rd., Suite 276
Atlanta
USA


Geetu Pahlajani
Research Fellow
Obstetrics, Gynecology and Women's Health Institute
Cleveland Clinic
9500 Euclid Ave - A81
Cleveland
Ohio, 44195
USA


Sejal Dharia Patel
Center for Reproductive Medicine
3435 Pinehurst Ave, Orlando, FL 32803
Michael C. Pitter, MD, FACOG
Chief of Gynecological Robotic &; Minimally Invasive Surgery
Newark Beth Israel Medical Center
201 Lyons Avenue
Newark
New Jersey
USA 07112


Vanna Zanagnolo
MD, Deputy Director
Division of Gynecology
European Institute of Oncology
Milan
Italy




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