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Mediclinic News : Da Vinci turns surgery into art

Title

Da Vinci turns surgery into art

Date

2018-03-07

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News Description

TYGERBURGER Ten patients, all currently on Tygerberg Hospital's urology waiting list for urgent prostatectomy surgery, are benefiting from an ongoing relationship between Mediclinic and the Western Cape Department of Health. During the next few weeks, Mediclinic Durbanville, together with urologist Dr Gawie Bruwer, will be providing these lifesaving prostatectomy surgeries to State patients. The pro bono procedures reduce the pressure on public surgical waiting lists at local and regional public hospital facilities. The unique aspect of the partnership at Mediclinic Durbanville is that it is the first time the renowned Da Vinci robot is being used as part of the surgery. Introduced to Mediclinic Durbanville in 2014, this robotic surgery has remarkable benefits for patient recovery. More than 60% of Bruwer's patients at Mediclinic Durbanville are discharged the day after surgery, which is much sooner than with traditional open surgery patients who require ICU care before being transferred to a normal ward. Robotic surgery lowers the risk of infection, and the reduction in blood loss minimises the risk of blood transfusions. Patients' pain levels are also comparatively lower. The Da Vinci has mechanical wrists that bend and turn to mimic the movements of a surgeon's hands during surgery. As the surgeon controls it, the robot operates on the patient, translating the surgeon's hand movements into smaller, more precise movements. A 10-times magnification of the inside of the body allows surgeons to see even the smallest veins and arteries, which can be seen far clearer than with the naked eye. "The precision of the Da Vinci aids the thorough removal of cancerous tissue and also offers the ability to perform nerve sparing surgery, which enables a faster return of erectile function, as well as a better chance for urinary continence. "I firmly believe that this technology is giving patients the option of improved clinical outcomes that may not be possible with open surgery," says Bruwer. He is one of only 17 surgeons in South Africa who are accredited to operate using the Da Vinci system. Anaesthesiologist Dr Gerry Brynard will also be assisting with the procedure on a pro bono basis in light of his specialised experienced regarding robotic anaesthesiology. The most recent series of collaborations have been carried out across the Western Cape, Free State and Limpopo provinces. Operations included cataract, urology and tympanoplasty eardrum repair procedures. "I wish to thank Mediclinic for the extension of the collaborative surgeries programme to the patients of Tygerberg Hospital. We are taking hands with our partners in the private sector in seeking a better health future for all the people of the Western Cape and South Africa," says Dr Nomafrench Mbombo, Western Cape MEC for health. Another key aspect of the relationship between Mediclinic and Tygerberg Hospital is the training element. A team of theatre staff, including a scrub nurse, anaesthetist and fellow urology registrars, will be included — either in the theatre or as part of a live broadcast to the doctors. "With no current access to the Da Vinci in public hospitals, this will provide a valuable teaching opportunity across the private and public platforms," says Dr Dimitri Erasmus, CEO of Tygerberg Hospital.
Created at 2018/03/14 08:42 AM by Mediclinic
Last modified at 2018/03/14 08:42 AM by Mediclinic