Wednesday, February 6, 2013

First Successful Robotic Surgeries Completed


In the past two weeks, Grinnell Regional Medical Center staff and Surgical Associates surgeons have completed 10 surgeries on the new daVinci® SI Surgical System and patients are sharing their success stories.

“Recovery time was probably twice as fast after the robotic surgery. I had outpatient gallbladder surgery on Monday. By Tuesday night, I quit taking pain meds and by Thursday I was back to work for a couple of hours,” says Todd Couful of Victor, Iowa. “I had no problems and the big advantage is the benefit to the surgeons. I’m glad we were able to bring this technology to Grinnell. ”

Nicholas Kuiper, DO, Surgical Associates, performed the first surgery at GRMC with the daVinci® SI Surgical System. He removed Couful’s gallbladder in a procedure took just a little more than 20 minutes.

“Robotic surgery is the greatest advancement in surgery since laparoscopy. It offers several advantages,” Kuiper says. “Robotic surgery allows surgeons the ability to treat patients with the best precision and view of the operative field. Traditional laparoscopy is uncomfortable and the instruments used do not feel natural. Robotic surgery is very comfortable and gives me the ability to use instruments that move like my own wrists and hands. My patients find comfort in knowing that I am selecting the safest, most precise way to do their surgery through as few as incisions as possible.”
Couful agrees.

“Dr. Kuiper had discussed the procedure with me and a comparison of robotic surgery versus open or laparoscopic surgery. He explained that the amount of time in the OR is the about same with both. But the robotic unit is much easier on the surgeon and he actually spends less time on the operation. I feel more confident knowing that this is easier on the surgeon,” he says.

Angela Doty of Brooklyn, Iowa, was also one of the first patients to have surgery at GRMC with the daVinci unit. She underwent a complex robotically assisted hysterectomy performed by David Coster, MD, surgery department chair at GRMC. The outpatient surgery allowed Doty to go home the same day after recovering from anesthesia.

“Having had previous abdominal surgeries, I can say I wasn’t in so much pain after the surgery and I was able to sleep,” Doty says. “By day four I was back to normal, with no pain. I still had lifting restricts for a few days but I felt normal. I’ve had seven abdominal surgeries in my life time. I have many experiences to compare. This was better than expected.”

Coster explains that “it is really remarkable what a difference this technology makes for both the patient and the surgeon. There is less physical stress for both the patient and surgeon during the procedure. The surgeon has the advantage of magnified 3-D visibility and can work comfortably sitting at the console. The da Vinci instruments are finely tuned to work in a much smaller space with less overall movement, reducing blood loss and tissue stress. Surgeries can be performed with incomparable precision, and patients can often go home the same day even after major operations. This technology is an astonishing leap forward, and it’s fun and intuitively easy to use.”

The da Vinci system can be used for a range of minimally invasive procedures in gynecology, urology, thoracic, and general surgery. GRMC surgeons have been recognized as talented leaders in minimally invasive procedures for more than 20 years.

Surgeons at GRMC will use the da Vinci system for prostate, kidney, bladder, colo-rectal, biliary, gynecologic, gastric, esophageal, hernia, liver, bariatric surgeries, and more. Performing robotically assisted surgeries at GRMC are general surgeons David Coster, MD; Nicholas Kuiper, DO; Mathew Severidt, DO; urologist Aaron Smith, DO; and gynecologist Seanna Thompson, MD, FACOG. Coster, Kuiper, and Smith have been performing robotic surgeries for a number of years and were able to begin procedures at GRMC as soon as robotic unit arrived. Severidt and Thompson will complete their training and begin performing procedures in March.

“National healthcare data shows the vast majority of hysterectomies (uterus) and prostatectomies (prostate) are now completed with robotic assisted technology. Its use in the broad arena of general surgery is only just now beginning and GRMC surgeons are already ahead of the curve, setting the stage for a new era at GRMC,” says Suzanne Cooner, GRMC vice-president.

To learn more about robotic surgery at GRMC, speak with your surgeon or healthcare provider. 

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