Overview

Institute of Robotic Sciences presents the da Vinci Surgical System, the dawn of new age in minimally invasive surgery.
The da Vinci Surgical System powered by state-of-the-art robotic technology is changing the experience of surgery for people around the world. The system allows our surgeon’s commands to be scaled, filtered and translated into precise movements of micro-instruments within the operative site.
The da Vinci System enhances surgical capabilities by enabling the performance of even the most complex surgeries through very small incisions with unmatched precision. It promotes improved surgical outcomes and greater patient safety.
The most widely used clinical robotic surgical system includes a camera arm and mechanical arms with surgical instruments attached to them. The surgeon controls the arms while seated at a computer console near the operating table. The console gives the surgeon a high–definition magnified, 3- D view of the surgical site. The surgeon leads other team members who assist during the operation.
The mechanical arms are fixed through parts to the patient and are the ones which perform the surgery controlled by the surgeon sitting at the console.
The surgeon is always present next to the patient so the surgeon is always in control of the surgery contrary to beliefs and myths that the robot is doing the surgery.

THE NEXT AGE OF MINIMALLY INVASIVE SURGERY

    • Perform complex dissections.
    • Better medical outcomes.
    • Fewer complications.
    • Tremor filtration(Surgeon’s hand tremors reduced).
    • Better stability of instrument.
    • 3x10 magnification (nerves seen better).
    • Less pain.
    • Smaller incisions for minimal scarring.
    • Low rate of blood loss & blood transfusions.
    • Lower rates of infection.
    • Fewer hospital re-admissions.
    • Reduced length of hospital stays,Faster return to normal activity.
    • Reduced trauma to the body.
    • Shorter Hospital Stay.
    • Lesser Pain.
    • Lower Risk of Infection.
    • Lesser Blood Loss.
    • Less Scarring.
    • Faster Recovery Quicker Return to Normal Daily Activities.
    • Overall precision of the surgery greater and also absorbs hand tremors so that surgery can be done better.
    • Better view of the surgery site with 3- D magnification which is 20-40 times better than naked eye.
    • Increase range of movements.
    • The surgeon is sitting in a comfortable and relaxed position.
    • Simplifies many laparoscopic techniques especially where finer movements are concerned.
    • Improved Access.
    • Improved Dexterity.

All these advantages help the surgeon to perform a better and more accurate surgery transferring the benefits to the patient.

  Services

  • Conditions where it has now been proven to be of benefit are:

    This is the speciality where robotic surgery has become the surgery of choice for various conditions.

    • Radical prostatectomy for cancer of prostate.
    • Partial and total nephrectomy.
    • Pyeloplasty.
    • Cystectomy.
    • Adrenalectomy.
    • Vesicovaginal fistula surgery.
  • Specific Advantages
    • Excellent vision in the pelvis.
    • Less chances of nerve damage.
    • Easier & precise suturing under vision.
    • This is rapidly growing speciality for robotic assisted surgery.
    • Gynaecological surgeries which can have improved outcome.
    • Wertheim’s hysterectomy for cancer of uterus.
    • Myomectomy for fibroids.
    • Oophrectomies and lymph node dissection Endometriosis.
  • Specific Advantages
    • Easier as all organs are in the pelvis.
    • Better vision.
    • Suturing is easier.
    • Less pain and faster recovery.
  • Because of difficult access to the pelvis (lowermost part of your body) with traditional surgery robotic assisted surgery is gaining ground for these surgeries as technically the vision is better and surgery more accurate.

    • Surgeries where patients can benefit.
    • Anterior resection for low rectal cancers.
    • Sphincter saving surgery for ultra low cancers.
    • Ventral mesh rectopexy for obstructed defaecation and prolapsed.
    • Sacrospinous fixations for vault prolapsed with pelvic floor repair
  • Specific advantages
    • Better vision.
    • Less chance of nerve damage resulting in better continence.
    • Less blood loss.
    • Safe and accurate suturing.
    • Oropharyngeal procedure by transoral route.
    • Surgery for sleep apnoea.
    • Scarless thyroid surgery through arm pit.

  Technology & Infrastructure

The da Vinci System, though it is called a robot, it cannot act on its own. Every surgical maneuver of da Vinci System is performed with direct input from our surgeons. It acts as a natural extension of a surgeon’s eyes and hands, through a combination of cutting-edge robotics, high definition 3D stereoscopic vision & magnified view, and intuitive human interface controls. These features enable our surgeon to operate with enhanced vision, precision, and control.

  KNOW MORE ABOUT YOUR SKIN:


Robotic surgery is extremely safe and the surgeon is present in the same operating room with the patient.

There are certain safety features like emergency undocking where in a few seconds the robot can be disconnected in an emergency and the surgeon can have immediate access to the patient.

The robot cannot function on its own without the surgeon.

Patients cannot opt for robotic surgery themselves. Robotic Surgery is offered to a patient as an alternative to conventional surgery only when he has met all necessary criteria. If a patient requests for robotic surgery, a specialist will need to review the patient and his reports to ensure that the patient is suitable for robotic surgery. Robotic Surgery is an option that a patient can select ONLY IF all the concerned doctors agree that it is a better option.

1. Laparoscopy gives 2D vision. Robot gives 3D. Lap is akin to seeing things with one eye closed. All appear at same level.Robotic surgery gives stereoscopic vision .
2. Tremors of the surgeon are passed on to the instrument in Lap. There is tremor filtration in Robot.
3. More Surgeon fatigue in Lap with shoulder, neck and back sprain. All avoided in Robotic Surgery. Surgeon sits and operates.
4. Suturing is easier in the robot which gives the surgeon 7 degrees of movement. Lap only gives a maximum of 2 degrees of movement.
5. Robotic surgery is similar to open surgery because the arms imitate your movement exactly in the same way but with a minimal access approach.

While the majority of insurance companies will pay for this surgery as they would the traditional open or laparoscopic prostatectomy, there are exceptions. As such, we advise that you consult your insurance agent/ TPA to confirm your coverage prior to surgery.

Every individual and their diseases are different. The decision whether robotic surgery is for you has to be made in consultation with your Doctor. There are many techniques employed for different surgical conditions depending on surgeon’s preference, training and hospital facilities so it is good to have a broad overview of the evidence available today.

It’s very rare situation as the machine is well tested previous day of surgery, there is a dry run of the machine. In case of an unprecedented situation if robot stops, the surgeons are capable to do laparoscopy or open surgery and complete the procedure.

Robotic Surgery has a role to play in children if the criteria are met mainly for congenital malformations and procedures.

The cost of the surgery will be higher than laparoscopic Surgery. But due to shorter hospital stay, minimal complications and lesser incidence of blood transfusions, the cost is compensated and thus becomes competitive.

For overall better results of robotic surgery you need good decision making by experience surgeons, good nursing staff and senior assistant staff at a competitive cost.

All these are available at MGM Vashi which has one of the most experienced surgeons in each speciality. It has a well equipped 36 bedded Critical care, 12 bedded Neonatal Intensive Care Unit with International Standards and emergency staff for any complications. Surgeons are trained not only in robotic surgery but also in open and laparoscopic surgery, so in unprecedented situation; the surgery can still proceed in the safest of hands for good outcome.

At MGM Vashi we believe in evidence based medicine and endeavour that the patients should receive the benefits of good surgery, technology and good after care.

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