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Texas physician breaks ground in robotic cervical surgery
Date:3/29/2013

Performing surgery on a pregnant patient is a delicate matter. Risks to both mother and baby must be carefully weighed in every decision a surgeon makes. Recently, at the University of Texas Medical Branch at Galveston, a surgeon performed a groundbreaking robotic laparoscopic procedure on a 35-year-old pregnant patient whose cervix was too short to sustain a pregnancy.

VIDEO: http://www.youtube.com/watch?v=AtvVARBoxFw.

PATIENT FEATURE STORY: http://www.utmb.edu/newsroom/article8400.aspx.

Dr. Sami Kilic, chief of minimally invasive gynecology and research at UTMB, is the first surgeon in the world reported to have used robotically assisted, ultrasound-guided laparoscopic surgery to successfully tighten a pregnant patient's incompetent cervix. The procedure is explained in a new paper now online in the Journal of Minimally Invasive Gynecology. When performed traditionally, abdominal cerclage surgery requires a large incision and a long period of recovery. Kilic's new procedure left the patient with only three tiny abdominal scars.

Stitches to the cervix during surgery must be precise; a suture placed a hair's breadth the wrong way can puncture either the amniotic sac or a major blood vessel in the mother. With the dual visualization screen of the da Vinci Si robotic surgical system, Kilic was able to view a real-time ultrasound image on one screen and the operative field via scope camera on another screen, side by side, at the same time he performed the surgery. This two-screen system offers unsurpassed visualization in a laparoscopic surgical situation.

The surgery lasted two hours, and the patient was discharged after a one-night stay in the hospital. An ultrasound performed two weeks later confirmed the cerclage had been placed properly. The patient proceede
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Contact: Molly Dannenmaier
mjdannen@utmb.edu
409-771-5105
University of Texas Medical Branch at Galveston
Source:Eurekalert

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