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ROBOTIC CANCER SURGERY

ROBOTIC CANCER SURGERY

A diagnosis of cancer could hit one hard. That is why it is important to learn the facts about the condition and the best available options for treatment before choosing the way ahead.

The surgical treatment of cancers has traditionally been by open techniques. Open surgery is associated with a large wound and delayed recovery and return to normal activities. Laparoscopic surgery has been established as a feasible, safe and sound option for certain cancers including colon, endometrial, cervical and esophageal cancer but has limitations imposed by the 2-dimensional image, instruments with limited range of motion and dependence on a trained assistant for holding the camera.

Robotic surgery with the da Vinci System, on the other hand, bestows very high definition and magnified 3-dimensional vision with the camera controlled by the surgeon. The instruments with extreme degrees of freedom (Endo-wristed), enable the surgeon to use instruments in narrow confined spaces, to access difficult to reach cancers, and at angles that are impossible with open or laparoscopic instruments. Motion scaling which allows the surgeon to reduce the degree of instrument movement as a proportion of movement of the surgeon’s fingers enables a greater degree of precision. All these provide the ultimate flexibility and precision for exceptional surgical techniques in cancer surgery.

In cancer surgery, robotic techniques enable a radical operation to be performed with preservation of nerves and other critical structures, due to better visualization. This is particularly important in rectal, gynaecologic and prostate cancer surgeries. For example, in robotic prostate cancer surgery, every effort is made to spare the nerves. As the nerves and vessels are all magnified and it is much easier to save them and help retain potency.

Patient benefits include:

  • Precise removal of cancerous tissue
  • Significantly reduced pain
  • Less blood loss
  • Less scarring
  • Shorter hospital stay
  • Faster return to normal daily activities
  • Equivalent cancer cure rates as open surgery

Practically all cancers are amenable to this approach with the exception of locally advanced tumors. Specific cancers where robotic surgery is able to provide excellent outcomes include:

  • Colon and Rectal cancer
  • Endometrial [Uterine] and cervical cancer
  • Esophageal [Food pipe] and stomach cancer
  • Early cases of pancreatic cancer
  • Kidney, bladder and prostate cancer

Transoral Robotic Surgery (TORS): This is another type of minimally invasive surgery, specifically designed for patients with head and neck cancer. Here, the surgeon controls the robotic instruments that have been inserted through the mouth. No incisions are needed. In contrast, traditional open surgery requires long incisions through the throat and jaw, which often leave patients with visible scars, difficulty breathing or swallowing, and a lengthy recovery.

Trans Oral Robotic Surgery may be used to treat:

  • Throat cancer
  • Tongue cancer
  • Tonsil cancer

Undoubtedly, robotic surgical techniques have revolutionized cancer surgery and improved survival and quality of life in cancer patients, giving them real hope that cancer is conquerable.

ROBOTIC SURGERY IN GYNECOLOGY

ROBOTIC SURGERY IN GYNECOLOGY

The introduction of da Vinci robotic surgery to the field of gynecologic surgery has made minimally invasive procedures a possibility for a growing number of patients for whom open surgery was once the only option.

Indeed, conventional laparoscopy has been beneficial when compared to open surgery with advantages such as shorter hospitalization, faster recovery, less blood loss, better cosmesis and fewer complications. However, laparoscopy as well as surgical approaches via the vagina [ where the abdomen does not have to be cut open ] have limitations when there is complex surgery to be done. Both the vaginal approach for Gynecological surgeries as well as laparoscopy can also be challenging because of limited operative field visualization and the requirement for a skilled surgical assistant.

The turning point came in April 2005, once the FDA approved Robotic technology for Gynecologic surgery. Since then the adoption of robotic surgery has been rapid. Several hospitals have reported a decrease in both open hysterectomies and traditional laparoscopic surgeries while the rate of robotic surgery increased dramatically.

In fact it would not be wrong to say that Robotic surgery has completely revolutionized surgical care of women. Technologic advances such as EndoWrist instruments that mimic natural hand and wrist motions intuitively, much like open surgery, not only offer an ergonomic advantage to the surgeon, but the increased precision of surgery because of three-dimensional vision and EndoWrist instrumentation reduces complications and overall surgical time.

The surgeon’s proficiency, the efficiency of the operating room, and surgical outcomes have all certainly been positively impacted by robotics.

Some Gynecological surgeries that are performed using Robotic technology are:

  • Hysterectomy, an operation to remove the uterus. A woman may have a hysterectomy for different reasons, including:
    • Uterine fibroids that cause pain, bleeding, or other problems
    • Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
    • Endometriosis
    • Abnormal vaginal bleeding
    • Chronic pelvic pain
    • Adenomyosis, or a thickening of the uterus
  • Myomectomy, a surgical procedure to remove uterine fibroids. The surgeon’s goal during myomectomy is to take out only the fibroids and reconstruct the uterus. Unlike hysterectomy, which removes the entire uterus, myomectomy removes only the fibroids and leaves the uterus intact.
  • Sacrocolpopexy, is surgery done to correct Pelvic prolapse, a condition that occurs when muscles and ligaments that support the pelvic organs such as the uterus, vagina, cervix, bladder, urethra, or rectum weaken and make these organs slip from their normal position.
  • Radical hysterectomy, for cancer of the cervix or endometrium where the surgeon removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina.
  • Surgery for complex endometriosis, Endometriosis is a disorder in which the tissue that forms the lining of the uterus grows outside the uterine cavity.
  • Tubal anastomosis, a procedure to restore fertility after a woman has had a tubal ligation – a procedure that cuts or blocks the fallopian tubes to prevent pregnancy.

ROBOTIC UROLOGY

Urinary System - Female Organs - Human Anatomy

Urology is the surgical speciality that focuses on the urinary tract and on the reproductive system of males. and on the reproductive system of males. Medical professionals specialising in the field of urology are called urologists and are trained to diagnose, treat, and manage patients with urological disorders. The organs covered by urology include the kidneys, ureter, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis). Both Urologists and General Surgeons operate on the adrenal glands. In men, the urinary system overlaps with the reproductive system, and in women, the urinary tract opens into the vulva. In both sexes, the urinary and reproductive tracts are close together, and disorders of one often affect the other. Urology combines management of medical (i.e. non-surgical) problems such as urinary tract infections and benign prostatic hyperplasia, as well as surgical problems such as the surgical management of cancers, the correction of congenital abnormalities, and correcting stress incontinence.

ROBOTICS IN COLORECTAL SURGERY

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Robotic surgery is now an extremely useful option in Colorectal surgery.

If medicine or lifestyle changes do not help a colorectal condition, the doctor may suggest surgery.

Thanks to a breakthrough surgical technology, there is a new category of minimally invasive surgery, an effective, minimally invasive alternative to both open surgery and laparoscopy. This is the da Vinci® Robotic Surgical System, which enables surgeons to offer a minimally invasive option for complex surgical procedures. The da Vinci System gives surgeons:

  • A 3D HD view inside the body
  • Wristed instruments that bend and rotate far greater than the human hand
  • Enhanced vision, precision, and control

Common colorectal conditions that may need surgery include:

  • Diverticulitis
  • Inflammatory Bowel Disease (ulcerative colitis and Crohn’s disease)
  • Colon Cancer
  • Rectal Cancer

Surgery to remove all or part of the colon is known as a colectomy, and rectal cancer surgery to remove part or all or the rectum is known as a rectal resection. Minimally invasive surgery can be done using traditional laparoscopy or robotic-assisted da Vinci Surgery.

Dec2018: Free Cancer Awareness Talk at Inspiredge

We have organized Cancer Awareness Talk by our Gynaec Oncologist Dr. Jyoti Doki, followed by an interactive discussion with the enthusiastic participants, at Inspiredge IT Solutions to make young women employees aware of the importance of Self-Breast-Examinations and vaccination against HPV to keep cancer away.

Nov2018: Free Mega Cancer Screening Camp at Rayagada

A 3-day Free Mega Cancer Screening Camp was inaugurated by Mrs. Guha Poonam Tapas Kumar, District Collector of Rayagada, Dr. Murali Voonna, MD of Mahatma Gandhi Cancer Hospital and Rotary club committee of Rayagada. Free Mega Cancer Screening Camp was conducted by Mahatma Gandhi Cancer Hospital in association with Rotary Club-Rayagada & Young Odisha at GCD Grounds, Rayagada during 24th-26th Nov. There was Massive response from locals and surrounding tribal villages too.

 

Nov2018: Brave Hearts Meet 2018

On the occasion of ChildernsDay, Shreya Cancer Foundation & Mahatma Gandhi Cancer Hospital take pride in celebrating BRAVEHEARTS' spirit and resilience in conquering cancer.

Grand Inauguration of BRAVEHEARTS' Meet 2018:

Chief guest Sri P.Basanth Kumar, Metropolitan Commissioner VMRDA, our Managing Director Dr. Murali Voonna, Medical Director Dr.V Sitaramaswamy and Medical Oncologist Dr. Rakesh Reddy inaugurated BRAVEHEARTS' Meet 2018.

BRAVEHEARTS' celebrating life with energetic dance moves to the latest movie songs and thus Giving Hope to us all.

BRAVEHEARTS' with some of their caregivers showing victory sign by raising their fingers and in turn raising awareness on Childhood Cancer and on Cancer in general at today's celebratory event on ChildrensDay.

Various entertainment activities like Mimicry, Magic, Actors Imitation, Theme-Dance, Classical Dance and Juggling performed during the BRAVEHEARTS' Meet 2018 event.

A glimpse of BRAVEHEARTS-Meet-2018 in a 5-Minute capsule with Highlights - a fun-filled and vibrant Celebration of Life with our young survivors to uplift their spirits and raise awareness on ChildhoodCancer on 14-Nov-2018, Watch Here:

showing victory sign by raising their fingers

Nov2018: Brave Hearts Meet 2018 Event

The little fighters conquer their future by showing indomitable courage to overcome cancer. These #BRAVEHEARTS inspire all of us. On the occasion of #ChildernsDay, Shreya Cancer Foundation & Mahatma Gandhi Cancer Hospital take pride in celebrating BRAVEHEARTS’ spirit and resilience in conquering cancer. #MGCHRI #CancerHospital #CancerCare

Brave Hearts Meet 2018 - Childhood Cancer Awareness

Nov2018: Free Cancer Screening Camp at Bobbili

Excellent response to the free Cancer-Screening camp held in Bobbili on November 1st. The camp was organized in association with Rotary Club Of Bobbili Tigers, Nightingale Women Welfare Club, and a few other organizations.

Honorable coal and mining minister(A.P) Shri.Sujaya Krishna Ranga Rao Garu, Bobbili counselor Shri. Puvvala Srinivas Garu, Bobbili Municipal chairperson Mrs. Atchutavalli Garu, Chaitanya medical center’s Chief pathologist Dr.Rama Koteswar Rao Garu, Mahatma Gandhi Cancer Hospital and Research Institute‘s Medical Director Dr. V. Sita Rama Swamy Garu were the guests at the event.

Sep2018: ‘World Rose Day’ Event Organized By MGCHRI

On the occasion of ‘World Rose Day’, Mahatma Gandhi Cancer Hospital has organized an event to raise hope and optimism among cancer survivors at the hospital, in which actress Jia Sharma has joined. Having a cancer survivor in her family, she has turned emotional while spending time, distributing Roses & Fruits to the child-survivors and encouraging all to be optimistic while dealing with cancer.