da Vinci-Si Robotic Surgical System

Considering da Vinci robotics as a surgical option? The physicians at OU Medical Center Edmond are experienced specialists utilizing da Vinci technology in a variety of surgical procedures.

OU Medical Center Edmond boasts the most advanced daVinci “robot” system on the market today -- the daVinci Si HD. With four surgical arms, unparalleled 3D, high definition monitors, and precision instruments, the daVinci Si HD is designed to assist the physician in providing the highest quality of laproscopic surgery available. This results in quicker recovery, less pain, shorter hospital stays, and minimal scarring.

Surgical Options with da Vinci Robotics

Facing Prostate Cancer? Learn why da Vinci® Surgery may be your best treatment option

Prostate Cancer Treatment
Prostate cancer is among the most commonly diagnosed cancers, affecting one in six U.S. men. Today, due to early detection and aggressive monitoring and treatment, prostate cancer survival rates are among the highest of any cancer. In the U.S., 91 percent of new prostate cancer diagnoses are localized, 4 meaning the cancer has not spread. For localized cancer, men have multiple treatment options available to them. One such option is radical prostatectomy, the surgical removal of the cancerous prostate.

According to the American Urological Association's 2007 Guidelines for the Clinical Management of Prostate Cancer, "the major potential benefit of [radical prostatectomy] is a cancer cure in patients in whom the prostate cancer is truly localized."

Treatment options such as radiotherapy (either external beam or seed implants) or cryotherapy may radiate, burn or freeze the prostate. However, surgery is the only treatment that removes the cancerous prostate. And da Vinci Surgery offers patients a highly effective, minimally invasive option for removal of the prostate.

The Treatment:
Radical Prostatectomy
Radical prostatectomy, which surgically removes the prostate gland, is the most common treatment for prostate cancer. Traditional open prostatectomy requires an 8 to10-inch incision. This approach commonly results in substantial blood loss and a lengthy and uncomfortable recovery.

da Vinci Prostatectomy:
The #1 Treatment Choice for Prostate Cancer
If your doctor recommends surgery to treat your prostate cancer, you may be a candidate for a very effective, less invasive surgical procedure called da Vinci Prostatectomy. This procedure uses a state-of-the-art surgical system designed to help your doctor perform the most precise and least invasive prostatectomy available today. For most patients, da Vinci Prostatectomy offers numerous potential benefits over open prostatectomy, including:

  • Shorter hospital stay
  • Significantly less pain
  • Less blood loss, reducing need for transfusions
  • Less scarring
  • Quicker return to normal activities

As with any surgical procedure, these benefits cannot be guaranteed as surgery is both patient- and procedure-specific.


 

Facing Kidney Cancer? Learn why da Vinci® Surgery may be your best treatment option Kidney Cancer

The kidneys are two small, fist-sized organs located behind the abdomen on each side of the spine. Their function is to produce urine, which is then stored in the bladder until it is emptied. By producing urine, kidneys remove toxic by-products and excess fluids from the body. This process helps to maintain a critical balance of salt, potassium and acid.
 
Each year, 54,000 Americans are diagnosed with kidney cancer and more than 13,000 die from this disease. Overall, kidney cancer is slightly more common in men and is usually diagnosed between the ages of 50 and 70 years. The most common kidney cancer is renal cell carcinoma. Fortunately, with early diagnosis and treatment, kidney cancer can be cured. If found early, the survival rate ranges from 79 to 100 percent.

Treatments
Kidney cancer is relatively resistant to noninvasive treatments like radiation and chemotherapy. As a result, the gold standard treatment for localized kidney cancer is surgery.
 
Kidney surgery is traditionally performed using an open approach, which requires a large abdominal incision. Another approach, conventional laparoscopy, is less invasive but limits the doctor's precision, visualization and control compared to open surgery. da Vinci Surgery for kidney cancer uses the best techniques of open surgery and applies them to a robotic-assisted, minimally invasive approach.

The precision, vision and control of the da Vinci Surgical System allows your surgeon to provide a precise, minimally invasive treatment for kidney cancer. It may also provide your surgeon the means to preserve your kidney by removing the tumor and not the entire kidney*.  Preserving your kidney can help prevent future kidney disease and even dialysis.

*In certain cases, your doctor may need to remove the entire kidney. If so, he/she will enlarge one incision for removal.

da Vinci Surgery for Kidney Cancer: A Less Invasive Approach
If you have been diagnosed with kidney cancer, you may be a candidate for a very effective, minimally invasive approach - da Vinci Surgery. da Vinci Surgery uses state-of-the-art technology to help your doctor perform a more precise operation as compared to conventional surgery. It offers numerous potential benefits over open surgery, including:

  • Significantly less pain
  • Less blood loss & fewer transfusions
  • Less risk of infection
  • Less scarring
  • Shorter hospital stay & recovery time
  • Increased potential to preserve the kidney
  • in certain cancer operations
  • Better clinical outcomes, in many cases  

As with any surgery, these benefits cannot be guaranteed, as surgery is patient and procedure-specific. Talk to your doctor about the benefits and risks of this, or any surgery.


Hysterectomy

A hysterectomy is a common procedure that removes a patient’s uterus for a variety of reasons, including chronic pelvic pain, uterine fibroids, endometriosis, abnormal or extremely heavy vaginal bleeding, uterus thickening, vaginal prolapse, and, in some cases, early uterine cancer. 

Traditionally, a hysterectomy was performed via open abdominal surgery that requires a long incision from the pubic bone to just above the navel. This generally results in long recovery times, a greater risk of infection, and a greater dependence on medications post-surgery. 

daVinci assisted hysterectomy utilizes a high definition console as well as tiny, precise surgical instruments that allow your physician to perform the surgery with a few small incisions. The physician controls and guides the robot to remove the uterus. This results in a shorter recovery time, less pain, and less bleeding or risk of infection.

Uterine Fibroids (Myomectomy)

A uterine fibroid is a common type of benign (non-cancerous) tumor that can grow within the uterine wall, either inside or outside the uterus. Uterine fibroids are most common in women ages 30 to 40, but can occur at any age. An estimated 20 to 80 percent of women develop fibroids by age 50. These fibroids are the most common reason a hysterectomy is performed. 

Uterine fibroids may grow as a single tumor or in clusters. They often increase in size and frequency with age, but may shrink after menopause. Not all women experience symptoms due to fibroids. When symptoms are present they may include: excessive menstrual bleeding, pelvic pain, frequent urination and difficulty getting pregnant. 

Myomectomy is a common alternative to hysterectomy for treating fibroids. Myomectomy is the surgical removal of fibroid tumors while leaving the uterus in place. Myomectomy is often recommended and considered the standard of care for women who want to become pregnant or keep their uterus for other reasons. 

Myomectomy is often performed using traditional open surgery, meaning a large incision is made in the lower abdomen. After removing each fibroid, the surgeon repairs the uterus to minimize potential bleeding, infection, and scarring. Proper repair of the uterus is critical to reducing the risk of uterine rupture (tearing) during pregnancy. 

Uterine fibroid embolization is a newer, non-invasive treatment in which blood vessels to the uterus are blocked. This stops the blood flow that allows fibroids to grow. Possible side effects include bleeding, infection, and difficulty getting pregnant. 

Laparoscopic myomectomy is another minimally invasive alternative to open surgery but is usually not an option for women with large, multiple, or difficult-to-reach fibroids. 

Utilizing the daVinci Surgical systemfor myomectomy procedures allows the physician to target a multitude of different fibroid types, including those that are difficult to reach, large, or with patients that have numerous fibroids. Most patients experience less pain, less scarring, less pain, and a shorter hospital stay. 

Vaginal/Uterine Prolapse (Sacrocolpopexy)

Vaginal prolapsed occurs when the network of muscles, ligaments and skin that hold the vagina in its correct anatomical position weaken. This causes the vagina to prolapsed (slip or fall) from its normal position. 

Uterine prolapsed occurs when the pelvic floor muscles and ligaments stretch and weaken, reducing support for the uterus. The uterus then slips or falls into the vaginal canal. 

Prolapse can cause the following symptoms: a feeling of heaviness or pulling in your pelvis, tissue protruding from your vagina, painful intercourse, pelvic pain and difficulties with urination and bowel movements. 

About 200,000 women have prolapsed surgery each year in the United States. Risk factors for prolapse include multiple vaginal deliveries, age, obesity, hysterectomy, collagen quality, and smoking. One in nine women who undergo hysterectomy will experience vaginal prolapsed and 10 percent of these women may need surgical repair of a major vaginal prolapse. 

Checking in for your surgery

Once your physician and you determine that da Vinci surgery is right for you, a surgery date will be scheduled for you at our facility located at 1 S. Bryant in Edmond.

Prior to your scheduled surgery date, our admitting nurse coordinator will contact you via telephone to go over your surgery, get critical information from you, and give you instructions in preparation for the procedure. Admitting procedures vary by the type of surgery performed, but may include: additional laboratory or diagnostic imaging tests or fasting prior to surgery.

On the day of your surgery, you will be asked to arrive a few hours earlier than your scheduled surgery time so that we can admit you to the facility and begin preparing you for surgery. The pre-admitting nurse will give you both your surgery time and your arrival time. It is extremely important to adhere to the arrival time. Not doing so may delay your surgery start time.

Please arrive at our Admissions area in the Ambulatory Care Pavilion to check in prior to surgery. You will need your health insurance or Medicaid information cards, a list of any prescriptions that you normally take, and any changes of clothing you would like, including pajamas in case you need to be admitted overnight.

Discharge

In most cases, you will be discharged on the same day of your surgery. However, there may be some patients that require an overnight stay. Your physician will assess your condition after your surgery and will determine the best plan of care for you.

Prior to discharge, both your physician and a nurse will go over any discharge instructions, information, and medications with you. Please do not hesitate to ask for any information to be repeated if you are unclear about any part of the instructions.

Your physician will have his office staff schedule any post surgery examinations needed. The number of examinations as well as when you will need to see your physician will vary by the surgery and the patient.