“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!
Biofilm discovery suggests new way to prevent dangerous infections
23.05.2017 | University of Texas at Austin
Another reason to exercise: Burning bone fat -- a key to better bone health
19.05.2017 | University of North Carolina Health Care
The world's highest gain high power laser amplifier - by many orders of magnitude - has been developed in research led at the University of Strathclyde.
The researchers demonstrated the feasibility of using plasma to amplify short laser pulses of picojoule-level energy up to 100 millijoules, which is a 'gain'...
Staphylococcus aureus is a feared pathogen (MRSA, multi-resistant S. aureus) due to frequent resistances against many antibiotics, especially in hospital infections. Researchers at the Paul-Ehrlich-Institut have identified immunological processes that prevent a successful immune response directed against the pathogenic agent. The delivery of bacterial proteins with RNA adjuvant or messenger RNA (mRNA) into immune cells allows the re-direction of the immune response towards an active defense against S. aureus. This could be of significant importance for the development of an effective vaccine. PLOS Pathogens has published these research results online on 25 May 2017.
Staphylococcus aureus (S. aureus) is a bacterium that colonizes by far more than half of the skin and the mucosa of adults, usually without causing infections....
Physicists from the University of Würzburg are capable of generating identical looking single light particles at the push of a button. Two new studies now demonstrate the potential this method holds.
The quantum computer has fuelled the imagination of scientists for decades: It is based on fundamentally different phenomena than a conventional computer....
An international team of physicists has monitored the scattering behaviour of electrons in a non-conducting material in real-time. Their insights could be beneficial for radiotherapy.
We can refer to electrons in non-conducting materials as ‘sluggish’. Typically, they remain fixed in a location, deep inside an atomic composite. It is hence...
Two-dimensional magnetic structures are regarded as a promising material for new types of data storage, since the magnetic properties of individual molecular building blocks can be investigated and modified. For the first time, researchers have now produced a wafer-thin ferrimagnet, in which molecules with different magnetic centers arrange themselves on a gold surface to form a checkerboard pattern. Scientists at the Swiss Nanoscience Institute at the University of Basel and the Paul Scherrer Institute published their findings in the journal Nature Communications.
Ferrimagnets are composed of two centers which are magnetized at different strengths and point in opposing directions. Two-dimensional, quasi-flat ferrimagnets...
24.05.2017 | Event News
23.05.2017 | Event News
22.05.2017 | Event News
29.05.2017 | Life Sciences
29.05.2017 | Physics and Astronomy
29.05.2017 | Statistics