Chattanooga Times Free Press

Robotics Revolution­izes Surgery

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From smart TVs to drones, technology continues to revolution­ize the way we live. The medical community is often on the forefront of using technology to improve care. One such instance is robotic surgery. While the name may conjure images of shiny, silver robots with scalpels, this type of surgery is actually performed by highly trained human surgeons, not machines. The term “robotic-assisted surgery” is preferred by doctors since it more accurately portrays what’s happening in the operating room. The surgeons with University Surgical Associates offer robotic-assisted surgery as another innovative tool for quality patient care.

“Robotic-assisted surgery is another minimally invasive approach that we use,” says Dr. Benjamin Dart, general surgeon with University Surgical Associates (USA). Minimally invasive simply means that procedures are performed through small incisions instead of one large opening. “Because the incisions are small,” he says, “patients tend to recover more quickly and experience less pain than with traditiona­l, open surgery.”

Many patients are familiar with robotic surgery used in prostate and gynecologi­c surgeries but they may not be aware it’s available for general and colorectal procedures as well. “We’ve been using the robotic system with substantia­l success for inguinal hernia repair,” adds Dr. Dart.

How does it work? “Robotic surgery is an advancemen­t over laparoscop­ic surgery because the robotic instrument­s have a range of motion that exceeds that of the human wrist,” says Dr. Jacob Dowden, general and hepatobili­ary surgeon with USA. As in laparoscop­ic surgery, small incisions are used for entry of surgical instrument­s from outside the body. The robotic system is then attached to the instrument­s, and the surgeon controls them from a console in the operating room a few feet away from the patient. “The surgeon fully controls the instrument­s just as in open or laparoscop­ic surgery,” adds Dr. Dowden, “The robotic system does not act on its own.”

High definition 3-D cameras are used to create highly magnified images, so your surgeon has a close-up view of the area he or she is operating on. At the ends of the instrument­s are mechanical wrists that bend and rotate to mimic the movements of the human wrist allowing the surgeon to make small, precise movements inside the body. “The visualizat­ion is exceptiona­lly clear,” mentions Dr. Dart, “and the small instrument­s allow us to perform intricate movements in tight spaces.” Not just for adults USA surgeon Dr. Curt Koontz is just one of three pediatric general surgeons in the entire southeast performing robotic-assisted surgery. “While I’ve been using minimally invasive techniques for years, the robotic system offers a better range of motion for certain surgical procedures in pediatric patients,” says Dr. Koontz who believes the technology greatly impacts our region for the better. “Parents don’t have to leave this community to get highly advanced surgical care for their children. It’s right here in Chattanoog­a.”

Is it right for me? Robotic-assisted surgery is suitable for many types of procedures, but not all of them. It’s important to discuss options with your surgeon to determine which method is right for you. “We take pride in remaining at the forefront of emerging surgical technologi­es to provide the widest range of options for our patients,” says Dr. Dart. “Our goal is to help people recovery quickly and get back to living their lives faster than ever before. Robotic-assisted surgery means USA surgeons have another tool to address every surgical need with a specific and tailored treatment plan.”

 ?? Photo by Janda White ?? USA pediatric surgeon Dr. Curt Koontz pictured with the robotic surgery console and arms in the operating room.
Photo by Janda White USA pediatric surgeon Dr. Curt Koontz pictured with the robotic surgery console and arms in the operating room.
 ??  ?? Robotic instrument compared to a pencil.
Robotic instrument compared to a pencil.

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