“I wasn’t eating. I had lost about 12 pounds in the past two months. It came on when I was under stress, so I got attacks after almost every tournament round,” said Ms. Willhite, a Farmers Branch resident who has been on the professional circuit for five years.
She said she opted for the single-incision cholecystectomy in January to reduce scarring afterwards and have less down time.
“There were a lot of advantages to doing it through one hole, including less scarring and the possibility for quicker healing,” she said. “I’m young. I also wanted to get back on the golf course as soon as possible. The season technically starts in March. I was a little worried, but not too concerned. I trust Dr. Rivas.”
A day after the surgery she was already feeling better and the next day she was eating spaghetti, a meal previously off-limits due to the gallbladder problems. Within a week, she was back on the course putting and two weeks out was able to go through the full range of golf swings.
“I’ve been really pleased,” she said. “I’m looking forward to the start of the season.”
Surgeons inserted specialized tools developed for single-incision surgery through a 1/2-inch incision in the bellybutton. The tools included a flexible camera and an instrument to cut and suture. Minimally invasive laparoscopic procedures such as this usually require four small incisions for separate insertion of the instrumentation.
“It is certainly more difficult than a regular operation because there’s a learning curve for the instrumentation and the camera,” said Dr. Varela. “But gallbladder removal is one of the most common operations for general surgeons, so this would be a breakthrough if we could standardize a technique like this.”
Patients are generally attracted by the aesthetic appeal of having fewer post-operative scars. Doctors say the fewer incisions can also mean faster recovery times, less risk for infection, less risk for bleeding, less pain and potentially the opportunity to eventually reduce costs due to less instrumentation being needed.
Eventually, the technique could be used for other common gastrointestinal surgeries, such as appendectomies, some colon resections, weight-loss surgeries and gastrectomies, in which part of the stomach is removed.
Surgeons at UT Southwestern’s Center for Minimally Invasive Surgery, under director Dr. Daniel Scott, associate professor of surgery in the division of GI/endocrine surgery, have pioneered new techniques for single-incision surgery. Dr. Jeffrey Cadeddu, associate professor of urology, performed the nation’s first single-incision surgery to remove a kidney.
UT Southwestern surgeons are part of a national group evaluating the feasibility and safety of single-incision surgeries and have a joint academic venture with surgeons in Shanghai, China, to develop the techniques.
“There’s a worldwide trend to use less and less invasive techniques,” said Dr. Rivas. “One of the goals we have is to recruit more patients who could benefit from this.”
Dr. Rivas recently performed the first reported single-incision laparoscopic hysterectomy in Durango, Mexico. He has a visiting faculty appointment at the Hospital de la Paz, in Durango, where he frequently teaches other surgeons advanced techniques in minimal-access surgery. Dr. Rivas has also successfully performed another single-incision cholecystectomy and a single-incision appendectomy. Dr. Varela has since performed a single-incision laparoscopic colectomy.
Visit http://www.utsouthwestern.edu/surgery to learn more about UT Southwestern’s clinical services in surgery.
Russell Rian | EurekAlert!
'Exciting' discovery on path to develop new type of vaccine to treat global viruses
18.09.2017 | University of Southampton
A new approach to high insulin levels
18.09.2017 | Schweizerischer Nationalfonds SNF
Using ultrafast flashes of laser and x-ray radiation, scientists at the Max Planck Institute of Quantum Optics (Garching, Germany) took snapshots of the briefest electron motion inside a solid material to date. The electron motion lasted only 750 billionths of the billionth of a second before it fainted, setting a new record of human capability to capture ultrafast processes inside solids!
When x-rays shine onto solid materials or large molecules, an electron is pushed away from its original place near the nucleus of the atom, leaving a hole...
For the first time, physicists have successfully imaged spiral magnetic ordering in a multiferroic material. These materials are considered highly promising candidates for future data storage media. The researchers were able to prove their findings using unique quantum sensors that were developed at Basel University and that can analyze electromagnetic fields on the nanometer scale. The results – obtained by scientists from the University of Basel’s Department of Physics, the Swiss Nanoscience Institute, the University of Montpellier and several laboratories from University Paris-Saclay – were recently published in the journal Nature.
Multiferroics are materials that simultaneously react to electric and magnetic fields. These two properties are rarely found together, and their combined...
MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems Holding GmbH about commercial use of a multi-well tissue plate for automated and reliable tissue engineering & drug testing.
MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems...
Pathogenic bacteria are becoming resistant to common antibiotics to an ever increasing degree. One of the most difficult germs is Pseudomonas aeruginosa, a...
Scientists from the MPI for Chemical Energy Conversion report in the first issue of the new journal JOULE.
Cell Press has just released the first issue of Joule, a new journal dedicated to sustainable energy research. In this issue James Birrell, Olaf Rüdiger,...
19.09.2017 | Event News
12.09.2017 | Event News
06.09.2017 | Event News
19.09.2017 | Event News
19.09.2017 | Physics and Astronomy
19.09.2017 | Power and Electrical Engineering