Re: Robotic surgery

From: art fougner, md (evsono@pipeline.com)
Sat May 3 18:57:08 2008


With robotics, battlefield surgery will never be the same. Another benefit would be the end of needle stick injuries. Finally, should the transmission time difficulty be solved, robotics could be a lifesaver for NASA.

Art

At Sat, 3 May 2008, ENDODOK@aol.com wrote: >
>A couple of years ago I did a lecture/preceptorship in Colorado on LSH. Not
>having heard of its utilization for months I finally spoke with the local
>rep, and learned that indeed this hospital was performing about 5 a week. The
>astonishing thing was almost all were being done with the Da Vinci robot!! I
>guess if you have a hammer somewhere you will/can find a nail!!. Our local
>gyn oncologist is the most accomplished laparoscopic surgeon I have ever had
>the privilege to scrub with; his retroperitoneal node dissections leave the
>pelvic side wall appearing like a Frank Netter anatomic illustration. He does
>not use Da Vinci ( enormous cost, steep learning curve, time/ personnel/
>equipment required in OR.
>
>J. Glenn Bradley MD
>
>In a message dated 5/3/2008 7:54:12 A.M. Pacific Standard Time (Mexi,
>RModugno@aol.com writes:
>
>Question: Who is going to pay for placing Da Vinci Robots in all the
>community Hospitals in the USA?
>
>Robert Modugno MD MBA FACOG
>Sylva, NC
>
>In a message dated 4/22/2008 6:02:51 P.M. Eastern Daylight Time,
>garrys@mindspring.com writes:
>
>FWIW, I hear that for most of us, there is a steep learning curve and if
>we don't need to use the robot often, then we shouldn't due to lack of
>familiarity and expense.
>
>I suspect that the target will be a moving one over time.
>
>Garry
>
>At Tue, 22 Apr 2008, Glen Elrod wrote:
>>
>>For one thing, we have one local gynecologist that only does abdominal
>hysts, never trained to do vaginal surgery and hasn't learned in the last 16
>years how to either. I figure for her at least, the DaVinci would be familiar
>looking anatomy without the abdominal incision. For me, its about the
>difficult ones that I've had to convert recently to abdominal procedures because of
>shortcomings with 'straight-stick' laparoscopy. I could be wrong in saying
>that there should be more options that vaginal or abdominal, but there is now
>mounting pressure from patients to be able to work robotically. The patient I
> converted from an LAVH to TAH had a relative getting a 'robotic
>hysterectomy' and wondered why we couldn't do it that way too. After the case, I wished
>I could have.
>>
>>I know there are others on the list besides Chris (Richard comes to mind)
>that do robotics and can speak to the benefits of the procedure.
>>
>>Glen
>>
>>>----- Original Message ----
>>From: R. Daniel Braun <rd.braun@gmail.com>
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>>Sent: Tuesday, April 22, 2008 5:12:31 AM
>>Subject: Re: Complex Surgeries On-Line
>>
>>Why ??
>>Dan
>>
>>On Mon, Apr 21, 2008 at 7:54 PM, Glen Elrod <dr99645@yahoo.com> wrote:
>>Chris,
>>
>>I personally can't wait to watch your webcast. I have never used the
>DaVinci, but am going to a lecture and dry lab this weekend in Anchorage. I'm
>trying to get the other gynecologists interested in at least learning about the
>technology.
>>
>>Glen
>>
>>>----- Original Message ----
>>From: "ND84MD@aol.com" <ND84MD@aol.com>
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>>
>>Sent: Monday, April 21, 2008 2:22:57 AM
>>Subject: Re: Complex Surgeries On-Line
>>
>>Well timed. my team has a live robotic staging procedure on or-live this
>Thursday 4/24 at 7PM. i will watch my p's and q's and strive not to embarrass
>the list.
>>
>>CJS
>>
>>Dr Chris Stanley, MD
>>Director
>>Robotics/Endoscopy Fellowship
>>Halifax Health Center
>>Daytona Beach, FL
>>
>> Be a better friend, newshound, and know-it-all with Yahoo! Mobile.
>Try it now.
>>
>>--
>>R. Daniel Braun, MD FACOG(L) ABMP CMTh
>>Professor Emeritus
>>Dept. of Obstetrics and Gynecology
>>Indiana U. School of Medicine
>>
>>R. Daniel Braun
>>
>> "Science without Religion is LAME; Religion without Science is BLIND"
>> Einstein 1941
>>

>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
>____________________________________
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>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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