At Osceola gynecology, Dr Gyang uses the most advanced da Vinci robotic systems available in the Orlando, Kissimmee area.
The da Vinci robotic surgical system was first approved for use in gynecologic surgery by the U.S. Food and Drug Administration in 2005. Since that time, robotic technology has been applied to a wide variety of gynecologic surgery, particularly those that previously required open abdominal surgery. Gynecologic procedures that have increasingly been performed with robotic assistance include hysterectomy, myomectomy (removal of fibroid tumors from the uterus), and vaginal prolapse surgery (sacrocolpopexy).
Gynecologic surgery can now be performed through several routes: vaginal, laparoscopy, robot-assisted laparoscopy, combination of laparoscopic and vaginal, and open abdominal approach. Currently, more than 60% of hysterectomies performed in the U.S. are via the abdominal route. Robot-assisted laparoscopic approach is potentially most beneficial and cost-effective when applied to surgical cases that would otherwise require open abdominal approach, but should not replace vaginal hysterectomy when this route is possible. The ultimate decision regarding the route and method of surgery depends on which is the safest for the patient’s underlying gynecologic condition, taking into account patient factors such as obesity, accessibility to the uterus, underlying medical conditions, and surgeon’s experience and surgical skill.
The daVinci robotic surgical system is composed of three parts:
Studies on benign gynecologic surgery suggest that robotic-assisted surgery is associated with less wound complications, lung-related complications, faster return of bowel function, less bleeding, and clot formation compared to the open abdominal approach (laparotomy). Robotic surgery is comparable to laparoscopic surgery for blood loss, operative time, length of hospital stay, and surgical and postoperative complications. However the robotic approach often allows the surgeon to perform cases that they wouldn’t otherwise be able to do laparoscopically. Many otherwise abdominal surgeries can be converted to a laparoscopic approach using the robot giving the patient the associated benefits of a less invasive operation.
Some of the advantages of robot-assisted gynecologic surgery compared to open abdominal surgery:
Intraoperative surgical risks associated with robotic approach is related primarily to the surgical procedure performed, the patient’s underlying gynecologic condition, and pre-existing medical conditions.
Some of the disadvantages of robot-assisted gynecologic surgery: