Renown First to Perform Robotics-Assisted Heart Surgery|
- New tool complements surgeons' skill and expertise with gold-standard surgical technology -
RENO, Nev. (June 12, 2008) - With the introduction of the da Vinci® S HD(tm) Robotic Surgical System for patients with heart conditions, Renown Health is pleased to announce that one of its doctors successfully completed the first da Vinci® Mitral Valve Repair on May 13. Since then, three additional Mitral Valve Repair procedures have been done.
Renown Health is the first in northern Nevada and the only hospital between Seattle, Wash. and Long Beach, Cal. to perform this procedure. The heart valve surgery is potentially the most effective, least invasive treatment option available.
This innovative surgery relies on the expertise of Athan Roumanas, MD, Facility American College of Surgeons, Board Certified cardiac surgeon with Nevada Heart Surgeons and the director of cardiac surgery at Renown Regional Medical Center. Using the da Vinci® S HD(tm) Robotic Surgical System, Dr. Roumanas takes "Open" out of the phrase "Open-Heart Surgery." The procedure is an alternative to conventional open-heart surgery, the traditional way to treat mitral valve disease.
"We are pleased to be the first hospital in the area to offer the latest robotics-assisted technology for northern Nevada," said Jim Miller, president and CEO of Renown Health. "With benefits to both the patient and physician, robotic surgery allows us to provide the latest in skill, expertise and technology in order to meet the medical needs of the community. We are committed to providing world-class healthcare, right here at home so that patients do not have to leave our community to receive the high level of care they expect and deserve."
The mitral valve controls blood flow through the left side of the heart. When it opens, the mitral valve allows blood to flow into the left ventricle, the heart's main pumping chamber. When the left ventricle contracts, the mitral valve closes in order to prevent blood from flowing back toward the lungs.
Sometimes the mitral valve is abnormal from birth. It can also become damaged by infection, with age or from heart disease.
If the mitral valve leaflets cannot tightly seal the left ventricle, this is called prolapse. With mitral valve prolapse, some blood flows back into the atrium, a condition called regurgitation. Regurgitation can make the heart work harder, leading to further valve damage and increasing the risk of heart failure.
In addition to avoiding the pain and trauma of sternotomy and rib spreading, da Vinci Mitral Valve Repair provides most patients with the following benefits over open surgery: less risk of infection, less blood loss and need for blood transfusions, shorter hospital stay, significantly less pain and scarring, faster recovery, quicker return to normal activities and a potentially better clinical outcome.
Using the robotic system, Dr. Roumanas and his colleagues make three dime-sized and one five-centimeter-sized incisions in the side of the chest, through which they insert three robotic arms. One arm holds a tiny camera, which projects three-dimensional images onto a monitor in front of the surgeon. The other two arms hold the pencil-sized instruments, which have tiny computerized mechanical "wrists" designed to transmit the dexterity of the surgeon's forearm and wrist into the operative site.
Seated at a computer console located approximately ten feet away from the operating table, the surgeon views a magnified, three-dimensional image and manipulates the surgical instruments using two fingertip controls.
The system seamlessly translates the surgeon's hand, wrist and finger movements into precise, real-time movements of surgical instruments inside the patient. The surgeon controls all movement, which means the system never acts on its own.
The procedure also helps avoid mitral valve replacement, in which the natural valve tissues are cut away and replaced with an artificial valve. This is important because a repair can provide the patient with many significant advantages as compared with mitral valve replacement, including no need to take life-long blood thinners, less need for additional operations, reduced risk of surgical complications, a higher long-term survival rate and improved heart function. Recent studies also suggest that the da Vinci System may allow surgeons to complete 50 percent more repairs than they can when using an open surgical approach.
Since acquiring the da Vinci early this year, Renown surgeons have performed 38 procedures including hysterectomies, prostatectomies as well as these more recent heart valve procedures. Dr. Peter Lim performed the first da Vinci robotic-assisted procedure on March 6.
About the da Vinci® S HD(tm) Robotic Surgical System
The da Vinci S HD Surgical System is powered by state-of-the-art robotic technology. The System allows a surgeon's hand movements to be scaled, filtered and translated into precise movements of micro-instruments within the operative site. The magnified, three-dimensional view the surgeon experiences enables him/her to perform precise surgery in complex procedures through small surgical incisions. For more information, please visit www.intuitivesurgical.com.