Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Johns Hopkins surgeons among the first in the country to perform a robotic single-site hysterectomy

31.05.2013
Training advances access to minimally invasive surgery for gynecologic cancers

Two Johns Hopkins gynecologic surgeons are among the first in the nation to perform a robotic hysterectomy using a single, small incision.

Amanda Nickles Fader, M.D., associate professor of gynecologic oncology and director of the Kelly Gynecologic Oncology Service and the Minimally Invasive Surgery Center in the Department of Gynecology and Obstetrics; and Stacey Scheib, M.D., assistant professor of gynecology and obstetrics and director of the Multidisciplinary Fibroid Center in the Division of Gynecologic Specialties at Johns Hopkins, recently performed other several types of single-site robotic gynecologic procedures — including surgery for fibroids, abnormal uterine bleeding and ovarian cysts and masses.

Nickles Fader and Scheib have collectively authored more than 25 articles on robotic surgery as well as single-site laparoscopy in peer-reviewed medical journals. They are among a small group of surgeons in the United States, with expertise in this procedure, according to officials at The Johns Hopkins Hospital.

Nickles Fader, an internationally recognized surgeon with a specialty in minimally invasive women's cancer surgery, has performed more than 400 laparoscopic single-site surgeries and more than 600 robot-assisted procedures since 2008.

"To be one of the first hospitals in the region to offer this surgical innovation, which is a less invasive surgical option for many women, demonstrates Johns Hopkins' commitment to providing our patients with the most advanced, minimally invasive surgical options," says Nickles Fader. "Our institution is also leading the way with surgical innovations research, to ensure that any new technology we use in the operating room is safe, cost-effective and truly better for our patients than what we have used in the past."

Scheib, a nationally known expert in the single-incision laparoscopic technique for hysterectomies and other gynecologic procedures, who has performed more than 600 single-site procedures since 2009, says, "I think this is only the beginning and eventually we will expand the use of this tool for more procedures."

Recently approved by the U.S. Food and Drug Administration, single-site robotic surgery offers the traditional benefits of minimally invasive surgery such as shorter recovery time, smaller incisions, minimal pain, low blood loss and a brief hospital stay, but it also provides the added benefit of a single incision, so that women are left with just one, nearly invisible scar.

Conventional laparoscopy and robotic surgery both offer the promise of less invasive surgery to treat both benign and cancerous gynecologic conditions. These approaches, in which several small surgical incisions are made in the abdomen instead of one large incision, lead to faster recovery times, less pain and a better experience for women who need a hysterectomy or other gynecologic procedure.

Single-site surgery goes even farther, allowing surgeons to perform complex abdominal procedures through a single, tiny incision in the belly button. Benefits of this approach include the cosmetically hidden surgical scar at the base of the navel. Additionally, the navel is the thinnest part of the abdominal wall, with few nerves, blood vessels and little muscle, so patients may avoid incisions through their abdominal muscles and may experience less pain after the surgery. During a robotic-assisted single-site procedure, the surgeon sits at the robotic console, viewing a 3-D, high-definition camera image of the surgical site. The surgeon uses hand controls to move the camera and instruments — controls that translate hand, wrist and finger movements into more precise movements of the smaller instruments inside the patient.

Patients who have undergone the robotic single-site procedure with Nickles Fader and Scheib are eager to share the experience with the media. Interviews are available upon request. The physicians are also scheduled to perform several such procedures in the future.

Related Web links:

The Johns Hopkins Kelly Gynecologic Oncology Service
http://www.hopkinsmedicine.org/gynecology_obstetrics/specialty_areas/
gynecologic_oncology/
Johns Hopkins Fibroid Center
http://www.hopkinsmedicine.org/gynecology_obstetrics/specialty_areas/
gynecological_services/treatments_services/fibroid_treatment.html
Amanda Nickles Fader, M.D., Joins Johns Hopkins As Director of Gynecologic Oncology Service
http://www.hopkinsmedicine.org/news/media/releases/amanda_nickles_fader
_md_joins_johns_hopkins_as_director_of_gynecologic_oncology_service_
Virtue in a Single Incision
http://www.hopkinsmedicine.org/news/publications/physician_update/physician
_update_fall_2012/virtue_in_a_single_incision

MEDIA CONTACT: John Lazarou
PHONE: 410-502-8902
EMAIL: jlazaro1@jhmi.edu
OR
Helen Jones
PHONE: 410-502-9422
EMAIL: hjones49@jhmi.edu

John Lazarou | EurekAlert!
Further information:
http://www.jhmi.edu

More articles from Medical Engineering:

nachricht Visualizing gene expression with MRI
23.12.2016 | California Institute of Technology

nachricht Illuminating cancer: Researchers invent a pH threshold sensor to improve cancer surgery
21.12.2016 | UT Southwestern Medical Center

All articles from Medical Engineering >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Traffic jam in empty space

New success for Konstanz physicists in studying the quantum vacuum

An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...

Im Focus: How gut bacteria can make us ill

HZI researchers decipher infection mechanisms of Yersinia and immune responses of the host

Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...

Im Focus: Interfacial Superconductivity: Magnetic and superconducting order revealed simultaneously

Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.

While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...

Im Focus: Studying fundamental particles in materials

Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales

Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...

Im Focus: Designing Architecture with Solar Building Envelopes

Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.

As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Sustainable Water use in Agriculture in Eastern Europe and Central Asia

19.01.2017 | Event News

12V, 48V, high-voltage – trends in E/E automotive architecture

10.01.2017 | Event News

2nd Conference on Non-Textual Information on 10 and 11 May 2017 in Hannover

09.01.2017 | Event News

 
Latest News

Helmholtz International Fellow Award for Sarah Amalia Teichmann

20.01.2017 | Awards Funding

An innovative high-performance material: biofibers made from green lacewing silk

20.01.2017 | Materials Sciences

Ion treatments for cardiac arrhythmia — Non-invasive alternative to catheter-based surgery

20.01.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>