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Minimally Invasive Surgery - Treatments Using Da Vinci Surgical System


Minimally Invasive Surgery - Treatments Using Da Vinci Surgical System


The Da Vinci Surgical System has been approved by the U.S. Food and Drug Administration (FDA) for adult and pediatric use in surgeries. These are the most common types of surgeries where da Vinci robotic surgery is performed:

Urology

Prostatectomy-removal of the prostate gland due to cancer.
Pyeloplasty- is a kidney surgery that reconstructs a damaged ureter and the renal pelvis.
Cystectomy- surgical removal of all or part of the urinary bladder.
Nephrectomy- kidney removal, is performed on patients with severe kidney damage from disease
Partial Nephrectomy-partial kidney removal
Ureteral Reimplantation- changes the way an abnormally positioned ureter connects with the bladder.

Gynecology

Hysterectomy- the surgical removal of the uterus
Myomectomy- is the surgical removal of fibroids from the uterus. In contrast to hysterectomy, the uterus remains preserved allowing fertility.
Sacrocolpopexy- a procedure that uses soft synthetic mesh to support pelvic organs that have slipped.

Cardiac

Mitral valve repair- procedure that treats narrowing (stenosis)or leakage (regurgitation) of the mitral valve
atrial septal defect closure- procedure corrects this abnormal opening between arial septums (heart's two upper champers)
cardiac bypass- is an operation to restore the flow of blood through the arteries
cardiac ablation- is a technique used to treat abnormal heart rhythms, or arrhythmias

General Surgery

Cholecystectomy- is the surgical removal of the gallbladder - a small organ that aids digestion.
Nissen fundoplication-is a surgical procedure to treat GERD (gastroesophageal reflux disease). It is caused by the abnormal reflux of stomach acid to the esophagus. Typical symptom is heartburn.
Heller myotomy- is a surgical procedure to treat achalasia, a condition in which the patient has problems swallowing food


gastric bypass- surgery that makes the stomach smaller and allows food to bypass part of the small intestine. The patient will feel full more quickly. It is used to treat obesity.
donor nephrectomy-kidney transplant


adrenalectomy- is the surgical removal of one or both adrenal glands- small, triangular glands located on top of both kidneys and are responsible for producing numerous hormones that impact our development and growth.


Splenectomy- is a surgical procedure that partially or completely removes the spleen- an organ that creates lymphocytes for the destruction and recycling of old red-blood cells.
bowel resection- is a surgical procedure in which a diseased part of the large intestine is removed.
Pediatric Surgery

Pyeloplasty-surgery to repair the kidney
Ureteral reimplantation-a surgery that changes the way an abnormally positioned ureter connects with the bladder


Cholecystectomy- (mentioned in general surgery section)
Nissen fundoplication (mentioned in general surgery section)
Patent ductus ateriosus ligation (PDA)- is a condition in which a blood vessel called the ductus arteriosus fails to close normally in an infant soon after birth
Atrial septal defect closure (mentioned in cardiac surgery section)

Thoracic Surgery

Thymectomy-is surgery to remove the thymus gland which is most active during early life, playing a critical role in the development of a child's immune system before birth and for a time thereafter.
Lobectomy- is a surgery in which a lobe of the lung is removed because there is a cancerous tumor in it. It may also refer to a lobe of the thyroid or a lobe of the brain.


Esophagectomy- is the surgical removal of all or part of the esophagus. Esophagus is the tube that carries food, liquids and saliva from your mouth to the stomach.

Mediastinal Tumor Resection-procedure that involves the removal of tumors in the chest area that separates the lungs. The reason for this procedure is to remove cancerous tumors to prevent the spread of cancer.

Mesothelioma Treatment Options


Mesothelioma treatment options vary according to the age and over-all health of the patient, and the extent of the disease. Treatment options are often determined by the intensity of damage caused by the tumor. There are three staging systems currently in use for pleural mesothelioma. Peritoneal mesothelioma is not staged.

There are a number of treatment options available to mesothelioma patients. The treatments can be roughly categorized into traditional or conventional treatment, alternative methods, new treatment approaches and miscellaneous treatment. Nine out of ten cancer patients will find relief by using a combination of medications.

Traditional treatment includes surgery, chemotherapy and radiation therapy. Age, contributing health problems, or advanced stage of tumor may make aggressive treatment impossible. In such conditions, alternative system is used.

These specific treatments are not generally used or approved by medical doctors. New treatment approaches are research studies used to determine whether new drugs or treatments are safe and effective.

Tri-modality therapy combines surgery with radiation and chemotherapy. Photodynamic therapy is a highly experimental treatment using a drug that causes cells to become light sensitive.

Immunotherapy, hemotherapy, intra-pleural interferon gamma therapy are some of the miscellaneous therapies. Gene therapy is an important tool under research. Almita is a newly approved drug.

Intensity Modulated Radiation Therapy (IMRT) is another technique that allows for radiation doses to be delivered to very complex shapes or to tumors with nearby normal structures.

Alternative medicinal systems like homeopathy have developed certain drugs which improve the immune system of the body to counter mesothelioma. Specific diet supplements and metabolic therapy are also recommended.

Complementary methods like sticking to a vegetarian diet, exercise, vitamins, herbal remedies, or stress management can sometimes help a mesothelioma patient.

Treatment options for physical pain accompanying mesothelioma vary. Palliative care is a specialized form of care that alleviates pain and other symptoms. The type of pain treatment, using drugs, is called pharmacological therapy.

Non-pharmacological therapies, those that do not rely primarily on medication to achieve effect, include therapeutic exercise and cognitive behavioral techniques such as deep breathing and muscle relaxation. Other alternative approaches include acupuncture and massage therapy.
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