Discover Why CIGC Never Uses Robotics Or Power Morcellation
What Is Robotic Surgery?
Robotic surgery is performed with the surgeon sitting at a control station, controlling robotic “arms” that have been inserted into the patient’s abdomen at the beginning of the surgery. Under direction from the surgeon, the robotic arms can cut blood vessels, burn tissue, and move organs. Robot-assisted surgery generally requires four to five skin incisions, through which robotic arms can be placed into the patient’s abdomen. These incisions are eight to 12 mm each and are placed above and below the belly button in an arc.
The robot–called the DaVinci Surgical System–is manufactured by Intuitive Surgical. It costs approximately US $1.5-2 million dollars, with a maintenance cost of $150,000-$180,000 per year; it also requires costly disposable instruments.
The Controversy Surrounding Robotics In Gyn Surgery
Despite the increased costs and the lack of benefit to the patient over other laparoscopic techniques, the number of robotic surgeries being performed has increased, mainly due to:
- Aggressive direct-to-consumer marketing by Intuitive Surgical, the company that manufactures the robot; and
- Aggressive marketing to doctors and hospitals to convince them to adopt the technology, in order to attract more business.
“Aggressive direct-to-consumer marketing of the latest medical technologies may mislead the public into believing that they are the best choice. Our patients deserve and need factual information about all of their treatment options, including costs, so that they can make truly informed health care decisions.” Dr. Breeden.
More About Robotic GYN Surgery And The Unnecessary Use Of Power Morcellators
The Journal of the American Medical Association (JAMA) has published articles concluding that robotics is not a better approach than standard laparoscopy. Many surgeons who use a robot to perform minimally invasive procedures lack sufficient training in laparoscopy.
A March 2015 committee opinion from the American College of Obstetrics and Gynecologists states: “Surgeons should be skilled at laparoscopic approaches for a specific procedure before undertaking robotic approaches. Surgeon training, competency guidelines, and quality metrics should be developed at an institutional level.”
Have There Been Any Legal Actions Against Intuitive Surgical, The Manufacturer Of The daVinci Robot, Or FDA Warnings?
Yes. Class action lawsuits have been issued and are being developed by multiple law firms throughout the United States, given the complications reported from robotic surgeries. The U.S. Food and Drug Administration issued a recent warning against Intuitive Surgical.
The use of a power morcellator in a surgical procedure to remove either fibroids or the uterus has generated a lot of attention for the potential spread of cancer by its spinning blades. The Food and Drug Administration has issued a black box warning to ensure patients are warned about the risks.
A power morcellator grinds up material within the pelvic cavity, making is easier to remove an enlarged uterus or a large fibroid laparoscopically. With the possible risks, power morcellators should never be used for fibroid removal or hysterectomy.
If your surgeon uses a robot and power morcellator to perform hysterectomies, find a GYN surgical specialist who does not. CIGC never uses robotics or power morcellators for any of its procedures.
What Is Conventional Laparoscopic Surgery?
“Conventional” laparoscopy does not use a robot to operate the instruments. With these procedures, the surgeon actually holds the instruments and camera. The surgery is typically performed using 5 mm skin incisions in the lower abdomen. Conventional laparoscopy has been done for years, and is the traditional approach to laparoscopic GYN procedures.
How Are Cigc Surgeries Performed?
Advancements in laparoscopy, extensive training and surgical skill make the CIGC DualPortGYN and LAAM laparoscopic techniques possible. These techniques are performed without using expensive equipment. DualPortGYN and LAAM techniques are used to perform complex procedures like hysterectomy or fibroid removal as outpatient procedures, so patients return home the same day.
Major Journals Or Societies Indicate That Robotics Offers No Benefit Compared To Conventional Laparoscopy
“There is no good data proving that robotic hysterectomy is even as good as–let alone better than–existing, and far less costly, minimally invasive alternatives.” -Dr. James Breeden, President, American Congress of Obstetrics and Gynecology
|Statement on Robotic Surgery by ACOG President James T. Breeden, MD||The American Congress of Obstetricians and Gynecologists (ACOG)|
|Committee Opinion No. 628: Robotic Surgery in Gynecology||The Green Journal||MARCH 2015|
|Laparoscopic hysterectomy appears less painful than robotic surgery||American College of Surgeons (ASC)||DECEMBER 2013|
|Robotic-assisted laparoscopic surgery in benign gynecology||The Journal of Minimally Invasive Gynecology (JMIG)||FEBRUARY 2013|
|Comparative effectiveness research on robotic surgery|
Robotically Assisted Vs Laparoscopic Hysterectomy Among Women With Benign Gynecologic Disease
|The Journal of the American Medical Association (JAMA)||FEBRUARY 2013|
|The commercialization of robotic surgery: unsubstantiated marketing of gynecologic surgery by hospitals||American Journal of Obstetrics & Gynecology (AJOG)||SEPTEMBER 2012|