Considering General Surgery?

Total Page:16

File Type:pdf, Size:1020Kb

Considering General Surgery? Considering General Surgery? Scripps surgeons offer minimally invasive, robotic options to treat many medical conditions Many of us need surgery at some point during our lives. Whether it’s Setting new standards in necessary or by choice, surgery is a significant medical procedure. That’s why you should carefully consider who will perform your surgical care surgery—and make sure you understand your surgical options. Scripps has cared for San Diego families for more than 100 years. We’re consistently Scripps general surgeons treat many medical conditions, especially recognized, locally and nationally, for our illnesses and injuries that affect the organs within your digestive quality of care: system. These include diseases of the esophagus, stomach, small • We’ve been named one of the nation’s intestine, colon, rectum, liver, gallbladder, pancreas, spleen and top 5 large health systems by Truven adrenal glands as well as the various types of abdominal hernias. Health Analytics. We’ve helped countless people overcome problems ranging from acid • Independent data shows that on average, reflux and gallstones to inflammatory bowel disease and colon cancer. Scripps has higher survival rates, fewer For some of these conditions, medical therapy may be ineffective or medical errors and better patient insufficient and you may be looking at surgical treatments to improve satisfaction than most health systems in your health. In other cases, surgery may be the only treatment option. the U.S. • Many of our specialty services are It’s natural to feel nervous about having an operation. But surgery ranked among the best in the country can dramatically improve your quality of life. And modern surgical by U.S. News & World Report. Our procedures are safer and less invasive than ever before, with minimal gastroenterology and GI surgery down time—letting you get back to work, family, hobbies and other programs are noted for treating the most routine activities more quickly. challenging digestive and liver problems. • We perform surgery at 12 convenient Learn more about general surgery procedures at Scripps, including locations throughout San Diego County, our minimally invasive robotic options. including hospital-based operating rooms and outpatient surgery centers. • We’re proud to offer the latest advancements in minimally invasive surgery. Our premier robotic surgery program offers dozens of treatments including hysterectomy, prostatectomy, mitral valve repair, hernia repair and gallbladder removal. Know your surgical options Before you move forward with surgery to treat your condition, it’s important to understand what options are available to you. General surgery procedures at Scripps Comparing surgical approaches Whether you’ve developed a hernia or have been living No matter what procedure you have, you and your with Crohn’s disease, you’ll find the care and support doctor will choose among several surgical approaches: you need at Scripps. We offer the full range of surgical options for many digestive-related disorders, including: • Open surgery requires one large incision, usually in your abdomen. • Cholecystectomy to remove your gallbladder. • Laparoscopic surgery is a minimally invasive • Colectomy to remove part (or all) of your colon. procedure. Your surgeon makes several tiny incisions • Gastrectomy to remove part (or all) of your stomach. instead of one large one. He or she passes tiny • Heller myotomy to treat an esophageal disorder surgical tools, and removes or repairs your organ, called achalasia. through these incisions. • Hernia repair to treat certain inguinal, hiatal and • Robotic surgery is nearly identical to laparoscopic incisional hernias. surgery. But your surgeon performs the procedure • Nissen fundoplication to treat GERD (acid reflux). with the aid of robotic tools and a 3-D camera. • Pancreatectomy to remove part (or all) of your pancreas. The approach best suited for you depends on several • Rectopexy to repair rectal prolapse. factors, including your age, severity of symptoms and • Adrenalectomy to remove an adrenal gland overall health. We are committed to using state-of-the- art techniques that reduce pain and recovery time. Discover the benefits of robotic surgery Scripps is known for providing care that is safe, effective and innovative. We were among the first in the region to offer the newest type of minimally invasive surgery: Robotic surgery. What sets robotic surgery apart? • It augments your surgeon’s vision. During other minimally invasive procedures, surgeons only have a All minimally invasive techniques, including laparoscopy, two-dimensional view of the surgical field. But during endoscopy and arthroscopy, use fewer (or smaller) robotic surgery, a high-definition camera provides a incisions. This means they are less invasive or damaging magnified 3-D view. to the body, compared to open surgery. But robotic surgery is different in several meaningful ways: • It helps increase precision, dexterity and control. • It uses sophisticated robotic technology. Tiny As your surgeon moves his or her hands, wrists and surgical instruments and a camera are attached to fingers, the robotic arms translate these movements robotic arms. Your surgeon controls these arms from into delicate and precise movements of the instrument a nearby computer. Additionally, surgeons can use in real time. These instruments can also bend and certain intravenous dyes to highlight the blood flow to rotate in ways that laparoscopic instruments cannot, the intestines while removing the diseased part, can and they can reach into places where the human hand visualize the bile ducts during gallbladder surgery to could never visibly go. help identify the proper anatomy or can light up the ureters to protect them during nearby surgery. Many surgeries that once required large incisions and a long recovery can now be performed robotically. Scripps surgeons perform robotic surgery using the da Vinci Surgical System. Consider robotic general surgery at Scripps If you’re a candidate for minimally invasive general Scripps also offers an ideal combination of training and surgery, choosing a robotic approach may offer experience. Our robotic surgeons are some of the several benefits: most proficient in San Diego. With more than a • Reduced risk of complications, including decade’s experience using the da Vinci Surgical surgical site infection. System, they’ve performed thousands of robotic general surgery procedures. • Less blood loss (reducing the need for a blood transfusion). • Less pain (reducing the need for pain medication). • Smaller, less noticeable scars. • Shorter hospital stay and faster overall recovery. • Quicker return of bowel function, or faster return to your normal diet, following certain colorectal procedures. Find out if robotic general surgery is right for you. To learn more about robot-assisted general surgery, and find out if you’re a candidate, call 1-800-SCRIPPS (727-4777). We’ll help you schedule a consultation with a surgeon near you. Remember, not everyone is a candidate for robotic surgery. Your doctor will help you understand which procedure is safest for you, based on your age, health and other factors. Whether you need a different minimally invasive option, or a traditional “open” approach, you’ll find the right surgical solution at Scripps. © 2018 Scripps Health (10/18) CGEN-0063.
Recommended publications
  • CV-Summer 2017.Pdf
    CURRICULUM VITAE NAME: MARY THERESE KILLACKEY, MD OFFICE ADDRESS: 1430 Tulane Avenue New Orleans, LA 70112 t 504.988.2317 f 504.988.1874 [email protected] PLACE OF BIRTH: Yonkers, NY EDUCATION: 1990-1994 Columbia College, Columbia University New York, NY, B.A. (Biology) 1994-1998 College of Physicians & Surgeons, Columbia University New York, NY M.D. POST-GRADUATE TRAINING: 6/1998-6/1999 Intern, General Surgery Strong Memorial Hospital University of Rochester Rochester, NY 6/1999-6/2003 Resident, General Surgery Strong Memorial Hospital University of Rochester Rochester, NY 7/2003-6/2005 Fellow, Abdominal Organ Transplant Surgery Recanati/Miller Transplant Institute The Mount Sinai Hospital New York, NY 11/2010 Leadership Development Program American Society of Transplant Surgeons Northwestern University Kellogg School of Management Chicago, IL 6/2015 Surgeons as Leaders Course American College of Surgeons Chicago, IL 9/2015-8/2016 Clinical Leadership Development Program Tulane School of Medicine, Office of the Dean New Orleans, LA 12/2015 Mid-Career Women Faculty Professional Development Seminar Association of American Medical Colleges Austin, TX 6/2016 Being a Resilient Leader Association of American Medical Colleges Washington, DC 6/2017 - 4/2018 Fellow, Executive Leadership in Academic Medicine Drexel University College of Medicine Philadelphia, PA ACADEMIC APPOINTMENTS: 7/2003-6/2005 Instructor in Surgery Mount Sinai School of Medicine New York, NY 10/2006-present Assistant Professor of Surgery and Pediatrics Tulane University
    [Show full text]
  • Laparoscopy in Emergency Hernia Repair
    Review Article Page 1 of 11 Laparoscopy in emergency hernia repair George P.C. Yang Department of Surgery, Hong Kong Adventist Hospital, Hong Kong, China Correspondence to: George Pei Cheung Yang, FRACS. Department of Surgery, Hong Kong Adventist Hospital, 40 Stubbs Road, Hong Kong, China. Email: [email protected]. Abstract: Minimal access surgery (MAS) or laparoscopic surgery has revolutionized our surgical world since its introduction in the 1980s. Its benefits of faster recovery, lesser wound pain which in turn reduced respiratory complications, allows earlier mobilization, minimize deep vein thrombosis, minimize wound infection rate are well reported and accepted. It also has significant long-term benefits which are often neglected by many, such as reduced risk of incisional hernia and lesser risk of intestinal obstruction from post-operative bowel adhesion. The continuous development and improvement in laparoscopic equipment and instruments, together with the better understanding of laparoscopic anatomy and refinement of laparoscopic surgical techniques, has enable laparoscopic surgery to evolve further. The evolution allows its application to include not only elective conditions, but also emergency surgical conditions. Performing laparoscopy and laparoscopic procedure under surgical emergencies require extra cautions. These procedures should be performed by expert in these fields together with experienced supporting staffs and the availability of appropriate equipment and instruments. Laparoscopic management for emergency groin hernia conditions has been reported by centers expert in laparoscopic hernia surgery. However, laparoscopy in emergency hernia repair includes a wide variety of meanings. Often in the different reports series one will see different meanings for laparoscopic repair and open conversion when reading in details.
    [Show full text]
  • General Surgery
    - 1 - KALEIDA HEALTH Name: ___________________________________ Date: ____________________________ DELINEATION OF PRIVILEGES - GENERAL SURGERY PLEASE NOTE: Please check the box for each privilege requested. Do not use an arrow or line to make selections. We will return applications that ignore this directive. GENERAL STATEMENTS - Privileges in Adult Surgery are separated into the following divisions: General Surgery and Plastic Surgery. Applicants desiring procedure privileges in more than one division must complete separate forms for each. Procedures designated with an asterisk (*) indicate that Moderate or Deep Sedation may be required. If you do not have Moderate or Deep Sedation privileges, you must invite a Kaleida Health anesthesiologist to participate in the procedure. Procedures are also separated into levels of complexity (Level I-A, Level I-B, Level I, Level II, and Level III), which require increasing levels of education and experience. In general, procedures learned during residency are grouped in Level I-A or Level I and are granted upon evidence of successful completion of residency training. Level II procedures may or may not require evidence of additional training beyond residency. Documentation of additional training and/or experience is required for all Level III procedures. LEVEL I-A PRIVILEGES Procedures which involve primarily wound care, can be done under local anesthetic and occasionally involve application of temporary skin coverage or application of agents to expedite wound healing. Can be performed by any competent
    [Show full text]
  • General Surgery Career Resource
    The American Journal of Surgery (2013) 206, 719-723 Association of Women Surgeons: Career Development Resources General surgery career resource Ana M. Parsee, M.D.a, Sharona B. Ross, M.D.b, Nancy L. Gantt, M.D.c, Kandace Kichler, M.D.d, Celeste Hollands, M.D.e,* aJohns Hopkins Hospital, Baltimore, MD, USA; bFlorida Hospital, Tampa, FL, USA; cNortheast Ohio Medical University, St. Elizabeth Health Center, Rootstown, OH, USA; dUniversity of Miami, Palm Beach Regional Campus, Palm Beach, FL, USA; eSt John’s Children’s Hospital, Springfield, IL, USA KEYWORDS: Abstract General surgery residency training can lead to a rewarding career in general surgery and General surgery; serve as the foundation for careers in several surgical subspecialties. It offers broad-based training with General surgery exposure to the cognitive and technical aspects of several surgical specialties and prepares graduating residency; residents for a wide range of career paths. This career development resource discusses the training as- Surgical fellowship; pects of general surgery. Surgical subspecialties; Ó 2013 Elsevier Inc. All rights reserved. Transition to practice; Surgery interest groups General surgery training provides the foundation for who enter medical school with an interest in surgery and many different surgical career paths. The training begins those who become interested early can become involved with a general surgery residency, which is usually followed in their schools’ surgery interest group (SIGs) as early as by either entry into practice or additional training. General the first day of medical school at most institutions. Each surgery residency programs provide broad-based training local SIG has different offerings to help students explore with exposure to the cognitive and technical aspects of and develop their interest in surgery as a career.
    [Show full text]
  • Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: Lessons Learned from 3,100 Hernia Repairs Over 15 Years
    Surg Endosc (2009) 23:482–486 DOI 10.1007/s00464-008-0118-3 Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years Jean-Louis Dulucq Æ Pascal Wintringer Æ Ahmad Mahajna Received: 30 November 2007 / Accepted: 14 July 2008 / Published online: 23 September 2008 Ó Springer Science+Business Media, LLC 2008 Abstract Mean operative time was 17 min in unilateral hernia and Background Two revolutions in inguinal hernia repair 24 min in bilateral hernia. There were 36 hernias (1.2%) surgery have occurred during the last two decades. The first that required conversion: 12 hernias were converted to was the introduction of tension-free hernia repair by open anterior Liechtenstein and 24 to laparoscopic TAPP Liechtenstein in 1989 and the second was the application of technique. The incidence of intraoperative complications laparoscopic surgery to the treatment of inguinal hernia in was low. Most of the patients were discharged at the sec- the early 1990s. The purposes of this study were to assess ond day of the surgery. The overall postoperative morbidity the safety and effectiveness of laparoscopic totally extra- rate was 2.2%. The incidence of recurrence rate was peritoneal (TEP) repair and to discuss the technical changes 0.35%. The recurrence rate for the first 200 repairs was that we faced on the basis of our accumulative experience. 2.5%, but it decreased to 0.47% for the subsequent 1,254 Methods Patients who underwent an elective inguinal hernia repairs hernia repair at the Department of Abdominal Surgery at Conclusion According to our experience, in the hands of the Institute of Laparoscopic Surgery (ILS), Bordeaux, experienced laparoscopic surgeons, laparoscopic hernia between June 1990 and May 2005 were enrolled retro- repair seems to be the favored approach for most types of spectively in this study.
    [Show full text]
  • Posterior Cervical Discectomy: an Optimally Invasive Approach to Laterally Prolapsed Cervical Disc
    Original Research Article DOI: 10.18231/2455-8451.2016.0005 Posterior cervical discectomy: An optimally invasive approach to laterally prolapsed cervical disc Shashank Sah1,*, Suresh Kumar Kaushik2, Neeraj Prajapati3 1Associate Professor, Dept. of General Surgery, 2Associate Professor, Dept. of Orthopaedics, 3Associate Professor, Dept. of Radiology, SRMSIMS, Bareilly, Uttar Pradesh *Corresponding Author: Email: [email protected] Abstract Aim: Posterior cervical discectomy is one of the surgical techniques for management of laterally prolapsed cervical disc causing cervical radiculopathy. This method has remained under-utilized in comparison to the classic technique of Anterior Cervical Discectomy and Fusion (ACDF). The study was conducted to evaluate it’s feasibility in terms of ease, challenges and short term outcome. Material and Methods: This is a prospective study conducted over a period of 65 months. Patients visiting to neurosurgery/ orthopedics OPD’s with cervical disc diseases and requiring surgery, were further evaluated on the basis of selection criteria for the feasibility of posterior cervical discectomy. Patients meeting the selection criteria were then operated upon by this approach and the outcome was evaluated. Results: Posterior cervical discectomy is essentially a disc conserving, optimally invasive microscopic technique - best suited for selected subset of patients with laterally prolapsed disc causing radiculopathy. 21 out of 23 patients appreciated the surgical benefit by as early as 48 hours of operation. There were no complications. Conclusion: Posterior cervical discectomy is an excellent direct approach to the diseased segment provided case selection criteria are properly followed. Keywords: Cervical disc, Posterior cervical discectomy, Lamino-foraminotomy, Motion preserving cervical disc surgery Introduction approach has largely remained underutilized and Cervical disc disease is a prevalent and disabling therefore in the present study we evaluated this disorder.
    [Show full text]
  • Ventral Hernia Repair
    AMERICAN COLLEGE OF SURGEONS • DIVISION OF EDUCATION Ventral Hernia Repair Benefits and Risks of Your Operation Patient Education B e n e fi t s — An operation is the only This educational information is way to repair a hernia. You can return to help you be better informed to your normal activities and, in most about your operation and cases, will not have further discomfort. empower you with the skills and Risks of not having an operation— knowledge needed to actively The size of your hernia and the pain it participate in your care. causes can increase. If your intestine becomes trapped in the hernia pouch, you will have sudden pain and vomiting Keeping You Common Sites for Ventral Hernia and require an immediate operation. Informed If you decide to have the operation, Information that will help you possible risks include return of the further understand your operation The Condition hernia; infection; injury to the bladder, and your role in healing. A ventral hernia is a bulge through blood vessels, or intestines; and an opening in the muscles on the continued pain at the hernia site. Education is provided on: abdomen. The hernia can occur at a Hernia Repair Overview .................1 past incision site (incisional), above the navel (epigastric), or other weak Condition, Symptoms, Tests .........2 Expectations muscle sites (primary abdominal). Treatment Options….. ....................3 Before your operation—Evaluation may include blood work, urinalysis, Risks and Common Symptoms Possible Complications ..................4 ultrasound, or a CT scan. Your surgeon ● Visible bulge on the abdomen, and anesthesia provider will review Preparation especially with coughing or straining your health history, home medications, and Expectations .............................5 ● Pain or pressure at the hernia site and pain control options.
    [Show full text]
  • Exhibit 3 Specialty Classification Codes for Physicians, Surgeons and Other
    EXHIBIT 3 SPECIALTY CLASSIFICATION CODES FOR PHYSICIANS, SURGEONS AND OTHER HEALTH CARE PROVIDERS (JUA) CLASS 005 PHYSICIANS - NO SURGERY This classification generally applies to specialists hereafter listed who do not perform obstetrical procedures or surgery (other than incision of boils and superficial abscesses or suturing of skin and superficial fascia), who do not assist in surgical procedures, and who do not perform any of the procedures determined to be extra-hazardous by the Association. JUA CODES SPECIALTY DESCRIPTION 00534 Administrative Medicine – No Surgery 00508 Hematology – No Surgery 00582 Pharmacology – Clinical 00537 Physicians – Practice limited to Acupuncture (other than acupuncture anesthesia) 00556 Utilization Review 00599 Physicians Not Otherwise Classified – No Surgery (NOC) CLASS 006 PHYSICIANS - NO SURGERY This classification generally applies to specialists hereafter listed who do not perform obstetrical procedures or surgery (other than incision of boils and superficial abscesses or suturing of skin and superficial fascia), who do not assist in surgical procedures, and who do not perform any of the procedures determined to be extra-hazardous by the Association. JUA CODES SPECIALTY DESCRIPTION 00689 Aerospace Medicine 00602 Allergy/Immunology – No Surgery 00674 Geriatrics – No Surgery 00688 Independent Medical Examiner 00609 Industrial/Occupational Medicine – No Surgery 00687 Laryngology – No Surgery 00649 Nuclear Medicine – No Surgery 00685 Nutrition 00624 Occupational Medicine – Including MRO or Employment Physicals 00612 Ophthalmology – No Surgery 00613 Orthopedics – No Surgery 00665 Otolaryngology or Otorhinolaryngology – No Surgery 00684 Otology – No Surgery 00617 Preventive Medicine – No Surgery 00618 Proctology – No Surgery 00619 Psychiatry – No Surgery, including Psychoanalysts who treat physical ailments, perform electro- convulsive procedures or employ extensive drug therapy.
    [Show full text]
  • Surgical Oncology 3 PGY3
    Stanford University General Surgery Residency Program Surgical Oncology 3 / Endocrine Surgery Rotation Goals and Objectives Rotation Director: Dana Lin, MD Description The Surgical Oncology 3 / Endocrine Surgery rotation offers an intensive experience in the surgical care of patients with endocrine diseases as well as breast cancer and melanoma. Goals The goal of the Surgical Oncology 3 / Endocrine Surgery rotation is to: Gain the knowledge and experience in the evaluation and management of patients with endocrine diseases, breast cancer, and melanoma. The primary goals for the R-3 resident: Develop knowledge and experience in the evaluation and management of patients with endocrine diseases, breast cancer, and melanoma. Acquire and refine procedural and operative skills required in the care of these patients. Direct the post-operative / in-patient care of the patients on the service. Objectives The Surgical Oncology 3/ Endocrine Surgery R-3 rotation has the following objectives: The resident has primary responsibility for the management of all patients admitted to or evaluated by the team in conjunction with the attending surgeon. The R-3 gains knowledge of surgical care through discussion with and teaching from the attending physicians in the inpatient and outpatient setting, attendance at the multidisciplinary endocrine tumor board conference, as well as independent reading. The resident gains operative skills through pre-operative reading and preparation and by direct intra-operative teaching and guidance from the faculty. Residents can expect frequent teaching from members of the team, both at the bedside and during formal and informal sessions. Feedback and teaching is individualized to the needs of the residents.
    [Show full text]
  • Office Brochure-2
    COLOPROCTOLOGY ASSOCIATES, PA COLONRECTAL SURGERY HERNIA REPAIR CENTER FOR PRECISION PROCTOLOGY Over the last 20 years, we have striven for one thing above quality service and care.. TRUST... Our patients usually leave our offices with a secure feeling, confident that their problems will be addressed in an Marcus Michael Aquino, honest and cost efficient attempt at successful MD, FACS, FRCS, FASCRS resolution. They realize that Dr. Aquino approaches ColonRectal Surgeon the patient's symptoms and signs as a good detective methodically analyzes a crime scene, looking for a Born and raised in Bangalore, South India, Marcus reason behind every one, and grouping them into a completed his basic surgical training in the United Kingdom unifying diagnosis when possible. before immigrating to the United States of America, where he underwent a 5 year General Surgery residency training in New York City. Following this, he completed a ColonRectal Surgery fellowship training program in Baltimore, Maryland and has subsequently established his practice in Houston since 1988. Dr. Aquino is certified by the American Boards of both (General) Surgery and ColonRectal Surgery. He is a Fellow of the American College of Surgeons, the Royal College of Surgeons (Glasgow, UK) and the American Society of Colon and Rectal Surgeons. Most of his surgery is done in an outpatient setting as this has been shown to be both cost effective and well accepted by patients. Whenever possible, special long acting local anesthetic techniques are used to maximize patient comfort. Dr. Aquino is the only board certified Colon/Rectal surgeon in the entire Galveston Bay area, East of Dr.
    [Show full text]
  • DR. GONZALO SAPISOCHIN Assistant Professor of Surgery UHN, Multi-Organ Transplant and HPB Surgical Oncology Division of General Surgery
    DR. GONZALO SAPISOCHIN Assistant Professor of Surgery UHN, Multi-Organ Transplant and HPB Surgical Oncology Division of General Surgery Dr. Gonzalo Sapisochin is Staff Hepatobiliary and Transplant Surgeon at The Toronto General Hospital, University Health Network in Canada. Dr. Sapisochin received his Medical Diploma in 2005 from the Universidad Complutense de Madrid, Spain and went on to complete his General Surgery residency training in 2011 at the University Hospital of Vall d’Hebron in Barcelona where he successfully defended his Doctoral Thesis, “Optimization of Liver Transplantation for Hepatocellular Carcinoma”, to receive his PhD be the Universidad Autonoma de Barcelona. He went on to complete his Clinical Fellowship Hepatobiliary Surgical Oncology & Abdominal Transplant with the University of Toronto and was subsequently recruited in a position at the Toronto General Hospital as Staff Surgeon with the Division of General Surgery. He began his new job and tenure as Assistant Professor, Department of Surgery at the University of Toronto on January 1, 2016. Dr. Sapisochin main research interest is the “interface” between liver transplantation and cancer. He has focused his research in the management of hepatocellular carcinoma, cholangiocarcinoma and colorectal liver metastases. Dr. Sapisochin has over 65 publications in peer reviewed journals. He has several publications in the field of transplant oncology in journals such as Hepatology, Annals of Surgery, Journal of Hepatology and Annals of Surgical Oncology. Currently he is the PI of clinical trials for liver transplantation for colorectal liver metastasis and intrahepatic cholangiocarcinoma. Dr. Sapisochin is developing new protocols and improving surgical management for patients with liver cancers. Motto – Optimizing liver transplantation as a treatment of cancer .
    [Show full text]
  • Inguinal Hernia Repair Procedure Guide
    INGUINAL HERNIA REPAIR PROCEDURE GUIDE EXAMPLE OPERATING ROOM (OR) CONFIGURATION PATIENT POSITIONING & PREPARATION PORT PLACEMENT SYSTEM DEPLOYMENT & DOCKING SUGGESTED INGUINAL HERNIA PROCEDURE STEPS INSTRUMENT GUIDE IMPORTANT SAFETY INFORMATION Inguinal Hernia Repair – Transabdominal Preperitoneal (TAPP). For use with the da Vinci Xi Surgical System. Developed with, reviewed and approved by Brian Harkins, MD. 1 2 3 4 5 6 7 8 9 PN1039738 REV A 08/2017 INGUINAL HERNIA REPAIR PROCEDURE GUIDE EXAMPLE OPERATING EXAMPLE OPERATING ROOM CONFIGURATION ROOM (OR) CONFIGURATION The following figure shows an overhead view of the recommended OR configuration for a da Vinci PATIENT POSITIONING Inguinal Hernia Repair (Figure 1). & PREPARATION NOTE: Configuration of the operating room suite is dependent on room dimensions as well as the preference and experience of the surgeon. PORT PLACEMENT SYSTEM DEPLOYMENT & DOCKING SUGGESTED INGUINAL HERNIA PROCEDURE STEPS INSTRUMENT GUIDE IMPORTANT SAFETY INFORMATION Inguinal Hernia Repair – Transabdominal Preperitoneal (TAPP). For use with the da Vinci Xi Surgical System. FIGURE 1 Developed with, reviewed and approved by Brian Harkins, MD. 1 2 3 4 5 6 7 8 9 PN1039738 REV A 08/2017 INGUINAL HERNIA REPAIR PROCEDURE GUIDE EXAMPLE OPERATING PATIENT POSITIONING & PREPARATION ROOM (OR) CONFIGURATION > Place the patient in the supine position. PATIENT POSITIONING > Tuck the arms and pad pressure points and bony prominences. & PREPARATION > Secure the patient to the table to avoid any shifting with the Trendelenburg position. > Sterilely prep the abdomen. PORT PLACEMENT > Insufflate the peritoneal cavity up to 12 mmHg. > Before docking, place the patient in approximately 15° Trendelenburg and lower the table as much as possible (Figure 2).
    [Show full text]