Medi-Clinic makes history with robotic surgery
MEDI-CLINIC Durbanville wrote a bit of history when it became the first hospital in South Africa to perform a pelvic floor prolapse repair with the use of the Da Vinci robotic surgical system.
The operation was carried out during the Youth Day long weekend.
Dr Frikkie Rademan and Dr Reniel de Beer performed a number of additional pelvic floor and colorectal procedures with the robot.
The recipient, Hillary Nortje, the first patient to undergo pelvic floor repair at the hospital, is no stranger to pelvic surgery. Several years ago she underwent an unsuccessful pelvic repair followed by a successful bladder operation.
“Dr Rademan advised me to wait for the robotic option and I am so happy I did. It was less invasive, my recovery was so much quicker and I only experienced a little discomfort from the incisions rather than actual pain. I am hoping that soon I can get back to a little gentle trail training or spinning, which I have not been able to do for the last two years,” Nortje said.
In the past, surgeries such as pelvic floor repairs were performed via open surgery or laparoscopy, both of which have inherent restrictions for the surgeon. However, the robot eliminated this shortcoming.
“With laparoscopic surgery you have the ‘chopsticks’ effect where the equipment cannot adjust for the pelvic curvature and with open surgery, the surgeon’s hands often obscure the area and the surgeon is partially blind to this action,” general surgeon Rademan said.
“The Da Vinci robot arms permit more than 360° movements that allow the surgeons specific access past the curvature of the pelvis to repair the necessary pathology.”
Medi-Clinic general surgeon Louis Leipoldt said that through the magnification, they were able to ensure that nerves were not damaged and that their patients’ bowel, bladder or erectile function could be saved or restored, providing better post-surgery outcomes.
“The Da Vinci robot is utilised worldwide for an array of confined space surgeries and over time we foresee additional procedures such as nephron sparing kidney surgery and pancreatic and thoracic surgery being performed in this hospital,” Medi-Clinic Durbanville general manager Christine Taylor said,
HISTORY: The Medi-Clinic in Durbanville.