L E A D I N G T H E W AY I N R O B OT I C S U R G E RY
always there. FOR UROLOGIC AND GYNECOLOGIC PROCEDURES
LE ADI NG TH E W AY I N
always there. Thanks to a breakthrough in surgical technology, there is a new category of minimally invasive surgery for which you may be a candidate. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci® Surgical System, surgeons are able to offer a minimally invasive option for complex surgeries. The da Vinci Surgical System is operated by a surgeon sitting a few feet away from the patient at a console. Using a high-powered camera, the surgeon guides the arms of the robot that holds surgical tools which are inserted into the patient through small, keyhole-sized incisions. The da Vinci’s highly accurate instruments allow the surgeon to move his own hands – and the robot’s – to conduct precise movements with extraordinary control and range of motion. The da Vinci’s video monitoring system provides a three-dimensional view of the surgery, magnified ten times beyond what the human eye can see. The da Vinci System expands the surgeon’s capabilities – and for the first time – offers a minimally invasive option for major surgery. With da Vinci, small incisions (openings) are used to introduce miniature instruments and a high-definition 3D camera. Seated comfortably at the da Vinci console, your surgeon views a magnified, high-resolution 3D image of the surgical site.
DETROIT, MI UROLOGY
2010-2011
Ranked "Top Performing in Gynecology, Urology and Four Other Specialties" in the Detroit Metro Area by U.S. News & World Report
At the same time, state-of-the-art robotic and computer technologies translate your surgeon's hand movements into precise micro-movements of the da Vinci instruments. The System cannot be programmed or make decisions on its own. The da Vinci System requires that every surgical maneuver be performed with direct input from your surgeon. The da Vinci Surgical System is the only commercially available technology that can provide the surgeon with the precision, dexterity and control of traditional open surgery, while requiring only 1 to 2 cm (.4 to .8 inches) incisions. Call 888-DMC-2500 or go to www.hvsh.org for a referral
FREQUENTLY ASKED QUESTIONS ABOUT ROBOTIC SURGERY Q: What is Robotic Minimally Invasive Surgery (RMIS)? A: RMIS is surgery performed by a surgeon, utilizing a robotic surgery system to perform small incisions (openings), or operating ports, rather than large incisions, resulting in potentially shorter recovery times, fewer complications and reduced trauma. Q: What are the benefits of da Vinci Surgery compared with traditional methods of surgery? A: Some of the major benefits experienced by surgeons are greater surgical precision, increased range of motion, improved dexterity, enhanced visualization and improved access. Benefits experienced by patients may include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusions, less scarring, faster recovery, and a quicker return to normal daily activities. None of these benefits can be guaranteed, as surgery is both patient- and procedure-specific. Q: Has the da Vinci Surgical System been cleared by the FDA? A: The U.S. Food and Drug Administration (FDA) has cleared the da Vinci Surgical System for a wide range of procedures. Q: Is da Vinci Surgery covered by insurance? A: da Vinci Surgery is categorized as robot-assisted minimally invasive surgery, so any insurance that covers minimally invasive surgery generally covers da Vinci Surgery. It is important to note that your coverage will depend on your plan and benefits package.
Q: Will the da Vinci Surgical System make the surgeon unnecessary? A: On the contrary, the da Vinci System enables surgeons to be more precise, advancing their technique and enhancing their capability in performing complex minimally invasive surgery. The System replicates the surgeon's movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way or perform any surgical maneuver without the surgeon's input. Q: Can the surgeon see the patient during surgery? A: Although seated at a console a few feet away from the patient, the surgeon views an actual image of the surgical field while operating in real-time, through tiny incisions, using miniature instruments. At no time does the surgeon see a virtual image or program/command the system to perform any maneuver on its own, outside of the surgeon's direct control. Q: What procedures have been performed using the da Vinci Surgical System? What additional procedures are possible? A: The da Vinci System is a robotic surgical platform designed to enable complex procedures of all types through 1-2 centimeter incisions or operating “ports.” To date, tens of thousands of procedures including general, urologic, gynecologic surgeries have been performed using the da Vinci Surgical System.
CHOOSE A HOSPITAL That Has it All. DMC Huron Valley-Sinai Hospital’s clinical services have been recognized by prestigious national organizations for their excellence. The hospital focuses on patient safety, comprehensive, high quality care and patient satisfaction. HVSH
U.S. News & World Report Regional "Top Performing Hospital" for Urology U.S. News & World Report Regional "Top Performing Hospital" for Gynecology A Top Hospital Nationally for Safety as Ranked by The Leapfrog Group, the Nation’s Premier Hospital Quality Ranking Agency Certified by The Joint Commission, a National Leader in Health Care Accreditation Surgery Program with 99th Percentile Rankings in Patient Satisfaction DMC Credentialed Robotics Physicians with Combined Experience Performing Thousands of Robotic Surgeries
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Women of all ages trust the highly-experienced physicians of Huron Valley-Sinai hospital for their gynecologic needs. Today, our doctors are using the da Vinci Surgical System to enhance their capabilities for many gynecologic conditions, including hysterectomy, uterine fibroids, endometriosis, vaginal or uterine prolapse, and distorted pelvic anatomy. “Robotic surgery is an advance over laparoscopy because it has a high-definition, 3D image with a greater ability to see. The instruments are superior to laparoscopic instruments. They behave very much like hands, moving 360 degrees. With robotic surgery you can magnify a view and reduce potential complications,” explained David Cantor, M.D., a gynecologist on staff at Huron Valley-Sinai Hospital.
David Cantor
Ethan Goldstein
Anthony Joseph
Lon Katz
M.D.
M.D.
M.D.
M.D.
Vaginal and Uterine Prolapse Every year, about 2,000 women have surgery when their vagina or uterus slips from its normal position; often this is required after hysterectomy. A surgical mesh is used to hold the vagina permanently in place. Robotic surgery is a less invasive method to correct prolapse and patients benefit from reduced pain and recovery time.
Hysterectomy A hysterectomy, the surgical removal of the uterus, is the procedure used most often to treat fibroids, endometriosis or a prolapse of the uterus. Sometimes a hysterectomy can be performed through the vagina but in some cases internal scarring or a large uterus require hysterectomy through an abdominal incision. Using robotic surgery can reduce the patient’s blood loss, pain and the length of the hospital stay.
Uterine Fibroids Excessive menstrual bleeding, pelvic pain or difficulty in becoming pregnant may indicate uterine fibroids, non-cancerous tumors that develop inside the uterine wall. A myomectomy –surgical removal of the fibroids through a large abdominal incision—is often the standard treatment. However, robotic surgery can be used to remove the fibroids, usually with fewer complications and a quicker recovery.
Distorted Pelvic Anatomy Some women are born with abnormalities in the pelvic area which inhibit pregnancy and cause significant pain. Dr. Goldstein uses minimally-invasive robotic surgery to correct and treat these problems with advantages over traditional laparoscopy. “Traditional laparoscopy sometimes has limitations and a prolonged recovery. Most people are candidates for robotics,” explained Dr. Ethan Goldstein, M.D.
ROBOTIC GYNECOLOGIC SURGERIES
ROBOTIC UROLOGIC SURGERIES
Robotic surgery is a good option for treating many kidney, bladder and prostate conditions. According to Richard Sarle, M.D., medical director for robotic urology at DMC Harper University Hospital and a member of Huron Valley-Sinai Hospital’s medical staff, robotic surgery is used to remove cancerous tumors in the bladder, treat congenital anomalies (conditions that are present at birth) and remove kidney stones. Urology patients whose procedures are done with robotic-assisted minimally-invasive surgery typically experience less pain, reduced blood loss and a shorter hospital stay. “With minimally-invasive robotic surgery there are fewer complications. With 3D, high-definition images and magnification by ten times, the image of the patient is superior. When you can see better, you can do better,” said Dr. Sarle.
Intensive Training for Robotic Surgery All of the Huron Valley-Sinai Hospital physicians who perform robotic surgery have completed extensive training and been certified in robotic procedures. This education process includes practice on animals, online training, videos, and observations of surgeries performed by robotic-assisted physicians. In addition, each physician is monitored and assisted for five cases by a certified physician as a final step in the certification process. To make an appointment with a DMC Huron Valley-Sinai Hospital Trusted Physician, call 888-DMC-2500 or go to www.hvsh.org
Not Pictured: Edward Schervish M.D. Fadi Eliya
Richard Sarle
Tina Schuster
M.D.
M.D.
D.O.
A PATI E NT’S ROBOTIC SU RGE RY E XPE RI E NCE
Judie Valden, a busy mother and medical assistant, was suffering from headaches, heavy menstrual bleeding and spotting. A hysterectomy (surgical removal of the uterus) was a treatment option but she didn’t want the lengthy recovery required after major abdominal surgery. Then she heard about robotic surgery and went to see Ethan Goldstein, M.D., co-director of Huron Valley-Sinai Hospital’s Robotic and Minimally Invasive Surgery Program. He recommended a hysterectomy using the da Vinci Surgical System. The smaller incisions used in minimally invasive surgery and the greater range of motion provided by the special surgical instruments means less trauma to the patient’s body, reduced blood loss and as a result, an easier, shorter recovery. “I didn’t have down time. I went home the next day and went back to work about two weeks later. I was sore for about a week or so but it wasn’t painful,” Valden said. “I went to my son’s baseball game a few days after surgery and went to a Tiger’s game five days later. I was walking gently on a treadmill four weeks after surgery. I feel so much better. It was the best thing I ever did,” she commented. Call 888-DMC-2500 or go to www.hvsh.org for a referral
“I feel more in control and more comfortable, laparascopically – robotically – than I do with a traditional open procedure.” - Ethan Goldstein, M.D.
“The experience was very positive. I feel great.”
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For Information About One of Our Trusted Physicians Who Specialize in Robotic Surgery Please Call 1-888-DMC-2500 or Visit www.hvsh.org
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DMC Huron Valley-Sinai Hospital’s Trusted Physicians
always there. For a complete list of DMC physicians, please visit http://www.dmc.org
The Leapfrog Group, the nation’s premier hospital quality ranking agency, has honored DMC Huron Valley-Sinai Hospital as one of the top hospitals in the country for patient safety and quality achievements. Huron Valley-Sinai is one of only four hospitals in the state to receive this honor; the others are DMC Detroit Receiving and DMC Harper/Hutzel’s Women’s hospitals and the University of Michigan Health System.
DMC Huron Valley-Sinai Hospital, One of the Nation’s Safest Hospitals
The Leapfrog Group surveys almost 1,200 hospitals nationwide to determine its top hospitals. These national rankings are based on an assessment of the use of computerized physician order entry (CPOE) to prevent medication errors; standards for high-risk procedures; procedures and policies to reduce medical errors; and adequate nurse and physician staffing. All of these efforts improve the quality and safety of care to provide better outcomes for patients.
Emery King Healthcare Video Library Learn More about Robotic Surgery and the DMC Huron Valley-Sinai Hospital Surgeons Who Lead the Way in Advanced Techniques at www.hvsh.org
Student Contest Names the Surgical Robot at Huron Valley-Sinai Hospital Huron Valley-Sinai Hospital recently held a contest for Huron Valley Schools students to name the hospital’s new surgical robot. Information explaining the new minimally invasive robotic surgical system was provided to the students, whose entries were evaluated for their creativity and originality. The winner, Marcus Sullivan, a third grader at Oxbow Elementary School, submitted T.H.E.O. 2011, which stands for “Technology Has Endless Opportunity.” He received a toy robot at a special reception held at the hospital for students and their families. Ethan Goldstein, M.D. and Tina Schuster, D.O. , co-directors of the robotic surgery program, led the students on a tour of an operating room to see how the robotic system works.
Tina Schuster, D.O.
Be a Part of Our FREE Webinar and Ask Questions About Robotic Surgery Join DMC Huron Valley-Sinai Hospital on Friday, December 9th at 12 p.m. for an online informational chat about prostate health and robotic prostate surgery with Tina Schuster, D.O. Dr. Schuster, a trusted DMC urologist, will discuss current advances in prostate treatments and answer any questions you may have about urology and robotic prostate surgery. To participate in the webinar, log on to www.hvsh.org at 12 p.m. on Friday, December 9th.
Contest winner Marcus Sullivan, third from left, with his parents and Dr. Schuster
always there. 1 William Carls Dr. | Commerce, MI 48382 | (248) 937-3300
To make an appointment with a Huron Valley-Sinai Hospital physician, call 1-888-DMC-2500 or visit www.hvsh.org.