Navigation Links
Robots enable scar-free hysterectomies for some women

AUGUSTA, Ga. The precision and three-dimensional view provided by robots can enable essentially scar-free surgery for some women needing hysterectomies, physicians report.

The case report in the Journal of Minimal Access Surgery is of a 46-year-old physically fit female with a history of excessive bleeding and benign growths on her uterus. Her surgery was performed through a two inch-long incision in the belly button, the thinnest part of the abdomen, using the robotic arms in a "chopstick" fashion, said Dr. John R. Lue, Chief of the Medical College of Georgia Section of General Obstetrics and Gynecology at Georgia Health Sciences University.

"This paper helps show it can be done," said Lue, corresponding author. "Now we need to do large studies to find which women would most benefit and whether it can be done for more significant pathology such as large fibroids and cancer." Cost effectiveness also needs to be assessed, he noted.

A multi-inch incision across the pubic hair line is the approach for the majority of hysterectomies in the United States. Another option one that minimizes pain, scarring and recovery time is laparoscopy, a decade-old approach involving multiple, smaller abdominal incisions that provide access for a two-dimensional camera and surgical instruments.

Robotics, which enables three-dimensional imaging and directing surgical moves from a console, improves mobility and surgical control but typically requires multiple small incisions, Lue said. The single point of entry adds improved aesthetics to its list of benefits, he said.

"It's like an extension of your own hand being inside the patient," Lue said of the fine control and access of robotics. "You can see the anatomy much clearer. I can see each blood vessel streaming blood and where your nerves are. You can see the ureter much clearer," he said, noting injury to this connector between the kidney and bladder is a known risk of laparoscopic hysterectomy.

The downside is the robotic technique can be tough to learn: physicians essentially work in reverse since the single point of entry requires the chopstick approach that leaves the right hand doing what the left typically would. "You have to think opposite of what you normally do," said Lue, who began using robotics about five years ago on cases such as large fibroids that were difficult to remove laparoscopically.

Single-incision robotics is being used for an increasing number of surgeries such as prostate cancer, gallbladder disease and removal of a donor kidney for transplant. One relatively new obstetric use is to put a stitch in the cervix to prevent premature delivery, an approach Lue now utilizes. Surgeons from the Yonsei University College of Medicine in Korea reported on the use of robotic single-port total hysterectomies in seven patients in 2011 in the Journal of Gynecology Oncology for benign disease and cervical cancer.


Contact: Toni Baker
Georgia Health Sciences University

Related medicine news :

1. Robots in the home: Will older adults roll out the welcome mat?
2. HF/E researchers examine older adults willingness to accept help from robots
3. Can robots improve patient care in the ICU?
4. Pharmacy Robots Linked to Bacterial Contamination of Drugs
5. New, improved mouse model of human Alzheimers may enable drug discovery
6. Unique protein bond enables learning and memory
7. Expanding database enables discoveries in emerging field of metabolomics
8. Circadian clock research may enable designer plants, and cancer and diabetes treatments
9. New Stanford method enables sequencing of fetal genomes using only maternal blood sample
10. VisionWare and Serco Partner to Enable ‘Digital by Default’ Strategy
11. Extra Pounds Linked to Rheumatoid Arthritis Risk in Women
Post Your Comments:
Related Image:
Robots enable scar-free hysterectomies for some women
(Date:11/24/2015)... ... November 24, 2015 , ... The Trustees, Massachusetts’ largest conservation ... parking fees at several of their most popular properties, including Crane Beach in ... of REI’s Black Friday #OptOutside Campaign. The Trustees encourage families and friends to ...
(Date:11/24/2015)... ... November 24, 2015 , ... The ... to support their local poison centers through donations on Tuesday, Dec. 1, 2015. ... it “a day that inspires people to collaborate in improving their local communities ...
(Date:11/24/2015)... ... ... , LLC launched their Pro Vest, the latest version of their widely popular weight loss ... 10 hours. , The campaign, which will continue to run through Saturday, ... , The PRO Vest provides consumers with a less expensive, one-size fits all comfort option, ...
(Date:11/24/2015)... ... November 24, 2015 , ... ... Healthy Aging Program have announced their endorsement of the Medical Fitness Network ... Fitness is proud to have the MFN as one of our endorsed organizations,” ...
(Date:11/24/2015)... IL (PRWEB) , ... November 24, 2015 , ... All her life, Don Peck’s mother ... Even her obituary said she might have been. After a 25-year search for information, ... voyager with whom she shared a last name. Turns out, it was Don’s father ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)...  NuShield, Inc., an industry leader in LCD screen protection and glare-elimination technology, is providing a ... of their patient monitoring or electronic documentation system. ... ... ... A study in 2013 by the National ...
(Date:11/24/2015)... Pa. , Nov. 24, 2015  BioPlast ... for the medical research, clinical diagnostic and biotech ... a leading manufacturer of quality petri dishes. This ... offer clients a platform of products that are ... manufactured with the highest quality.  ...
(Date:11/24/2015)... LYON, France , November 24, 2015 ... Pharma the patent they co-own with Inserm, Poxel, CNRS, UCBL ... --> --> Hepatitis B ... more than 350 million people chronically infected worldwide, 20 to ... disease, cirrhosis and hepatocellular carcinoma. Despite the existence of an ...
Breaking Medicine Technology: