This site offers a discussion of available minimally invasive options for treatment of common gynecologic problems. Patients are always presented with available medical and surgical options for management. Even observation is presented when it is appropriate. I also include discussion of options that are available that I may not offer.

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Friday, May 1, 2009

DaVinci Si Robotic Assisted Surgery

Good news for women in the intermountain area.  Ogden Regional Medical Center has purchased a new DaVinci Si Surgical System.  This new laparoscopic tool will allow more physicians to offer minimally invasive surgery to the women in the surrounding area.  Ogden Regional will also be one of the few hospitals in Utah that have a robotic system to allow women with non-cancerous conditions to have their surgery done with robotic assistance.

New cost comparison studies have recently come out that look at the surgical and patient costs of the robotic system.  These studies have shown that there is very little difference in hospital and patient cost to benefiting from robotics.  The total cost difference is actually less with robotic or laparoscopic hysterectomy compared to "open" hysterectomy.  This does not even take into account the financial benefit of being able to return to work between 2-4 weeks earlier after laparoscopic hysterectomy.

I am excited about the robotic option coming to women of the area for a few reasons.  First, the articulation of the robotic instruments allows a more precise surgery.  Second, I experience less fatigue and body strain which I believe could translate into safer surgery during a difficult or prolonged case.  Third, and most importantly, more women will be able to benefit from minimally invasive surgery as more providers develop the skills to perform advanced laparoscopy through robotics.

Even though robotics allows a surgeon to complete a surgery through small incisions, I still feel it is important to choose a physician with training in and comfort with dealing with difficult pathology.  Things such as severe endometriosis or adhesions could prompt a surgeon planning on robotic surgery to convert to open laparotomy if the surgery appears too difficult to perform robotically.

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Minimally Invasive Procedures Offered

  • Hysterectomy - Out Patient Surgery and No Large Incisions
  • Endometriosis
  • Uterine Prolapse
  • Cystocele/Bladder Repair
  • Enterocele
  • Ovarian Cysts
  • Adhesions
  • Stress Incontinence
  • Uterine Fibroids
  • Da Vinci Robotic Assisted Surgery

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