da Vinci ® Endometriosis Resection
If you've been diagnosed with endometriosis, your doctor may recommend an endometriosis resection (removal of endometrial implants/uterine lining) or a hysterectomy (removal of the uterus). If you are considering surgery, ask your doctor about minimally invasive da Vinci Surgery.
With the da Vinci System, surgeons operate through a few small incisions instead of a large open incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.
As a result of da Vinci technology, da Vinci Endometriosis Resection offers the following potential benefits, which are similar to those offered by traditional laparoscopy:
- Low blood loss1
- Low conversion rate to open surgery1
- Low rate of complications1
- Short hospital stay1
- Small incisions for minimal scarring
da Vinci's 3D HD vision system allows surgeons to see key anatomy with depth and clarity– critical to removing deep endometrial tissue implants. State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.
Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.
Risks & Considerations Related to Endometriosis Resection & da Vinci Surgery
Potential risks of any endometriosis resection procedure include:2
- Wound infection
- Urinary infection
- In rare cases, injury to nearby organs (bladder, bowel and ureter)
da Vinci Hysterectomy
If you plan to have a hysterectomy – removal of the uterus - you may be a candidate for da Vinci Hysterectomy. As a result of da Vinci technology, potential benefits of da Vinci Hysterectomy compared to traditional open surgery include:
- Less blood loss3
- Fewer complications3
- Shorter hospital stay3,4
- Small incisions for minimal scarring
Potential benefits of da Vinci Hysterectomy compared to traditional laparoscopy include:
- Less blood loss5
- Lower conversion rate to open surgery5,6
- Shorter hospital stay5,7
- Less need for narcotic pain medicine8,9
State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci - taking surgery beyond the limits of the human hand.
Physicians have used the da Vinci System successfully worldwide in approximately 1.6 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.
Risks & Considerations Related to Hysterectomy & da Vinci Surgery
Potential risks of any hysterectomy procedure include:3
- Separation of the vaginal incision
- Blocked lung artery
- Urinary tract injury
PN 1002175 Rev C 01/2014
- Nezhat C, Lewis M, Kotikela S, Veeraswamy A, Saadat L, Hajhosseini B, Nezhat C. Robotic versus standard laparoscopy for the treatment of endometriosis. Fertil Steril. 2010 Dec;94(7):2758-60. Epub 2010 May 26.
- Endometriosis.org Global forum for news and information. “Surgery”. Available from: http://endometriosis.org/treatments/endometriosis-surgery/
- Landeen L, Bell M, Hubert H, Seshadri-Kreaden U, Hassebroek J. A Comparative Study of Four Surgical Approaches for Hysterectomy at a Single Institution: Outcomes and Costs of Robot-Assisted, Laparoscopic, Vaginal, and Abdominal Procedures. Pending publication June 2011, South Dakota Medical Review.
- DuBeshter B, Angel C, Toy E, Thomas S, Glantz JC. Current Role of Robotic Hysterectomy. Journal of Gynecologic Surgery. Vol 29 Issue 4: August 2013. 29(4): 174-178. doi:10.1089/gyn.2012.0113.
- Payne T. N. and F. R. Dauterive. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. (In this study, surgeons treated patients with benign conditions that included endometriosis resection.) J Minim Invasive Gynecol, 2008;15(3): 286-291.
- Patzkowsky KE, As-Sanie S, Smorgick N, Song AH, Advincula AP. Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease. JSLS. 2013 Jan-Mar;17(1):100-6. doi: 10.4293/108680812X13517013317914.
- Giep BN, Giep HN, Hubert HB. Comparison of minimally invasive surgical approaches for hysterectomy at a community hospital: robotic-assisted laparoscopic hysterectomy, laparoscopic-assisted vaginal hysterectomy and laparoscopic supracervical hysterectomy. J Robot Surg. 2010 Sep;4(3):167-175. Epub 2010 Aug 10.
- Shashoua AR, Gill D, Locher SR. Robotic-assisted total laparoscopic hysterectomy versus conventional total laparoscopic hysterectomy. JSLS. 2009 Jul-Sep;13(3):364-9.
- Betcher R MD, Chaney P MD, Otey S MD, Wood D DO, Lacy P MD, Lee M RN, Chi G PhD. A Retrospective Analysis of Post Operative Pain in Patients Following da Vinci Robotic Hysterectomy and Total Laparoscopic Hysterectomy. Oral presentation, Presented at: AAGL 2012.
da Vinci Surgery with Single-Site® Instruments is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery, including da Vinci Surgery with Single-Site® Instruments. There may be an increased risk of incision-site hernia with single-incision surgery, including Single-Site surgery with da Vinci.
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.
Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.
Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.
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