Medi-Clinic makes his­tory with ro­botic surgery

The New Age (KwaZulu-Natal) - - Western Cape News - VIN­CENT CRUYWAGEN vin­centc@the­newage.co.za

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.

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