Started a Centre for Robotic surgery, at Nanavati Max Super Speciality Hospital, Vile Parle West, Mumbai 400056.
We offer Robotic surgeries for following surgical conditions –
Appointment can be booked by logging on the website or by logging in at www.nanavatihospital.org.
Consultation time is 5.00pm to 8.00pm , Monday to Saturday.
Robotic surgery is a type of Minimal Access Surgery, performed with the help of a surgical robot.
Surgical Robot has a camera arm and three mechanical arms through with specialized surgical instruments can be introduced. The surgeon sits on the console and controls the movements of the robot.
Robotic surgery gives a distinct advantage over conventional Laparoscopic surgery in following way –
1. Gives an advantage of having a 3D vision which gives precision during surgery and prevents injury to the surrounding vital structures, thus reducing the chances of post Operative complications significantly.
2. Total 280 degrees of rotation in the instruments and 7 types of movements in the instrument helps in suturing , especially in deep cavities like pelvis ( Usually very difficult in Laparoscopic surgery ), thus avoiding the use of costly tackers and costly suture material.
3. The precise port placement with a good fulcrum effect over the abdominal wall reduces the port site pain post surgery as there is a minimal movement at the site of port placement.
4. Better ergonomics reduces the Surgeon’s fatigue during surgery, thus minimizing the mistakes while operating…. Also an advantage to the patients.
5. Helps in quick post surgical recovery and resuming early to work.
I have started with Robotic surgeries at Nanavati Max Super Speciality Hospital, Mumbai & have been using surgical robot for doing Cholecystectomy ( Gall bladder removal ), Repair of all types of Groin and Abdominal wall Hernia, Bowel resections, Rectopexy for Prolapse of Rectum, Fundoplication for Reflux disease with excellent postoperative results.
Major disadvantage of using a surgical robot being slightly higher cost as compared to Laparoscopic surgery and lack of wide spread insurance cover. But with more and more use of surgical robots in routine surgeries, these problems will get solved in the near future.
Detailed illustration of a minimally-invasive robotic surgery procedure, with telemanipulator, surgeon, assistant, anesthesiologist, and patient.
Robotic surgical system in hospital. Doctor at the Robotic surgical console.
Typical Operation Theatre layout during a Robotic surgery.
37 yrs, Male patient came with upper abdominal discomfort. Had a surgery done in 2015 for Pseudocyst of Pancrease. ( CystoJejunostomy).
On examination there was a palpable lump in the upper abdomen which was non tender.
Palpable Abdominal Lump
CT scan of the abdomen confirmed the diagnosis of Recurrent Pseudocyst of Pancrease
Exploratory Laparatomy with Cysto-Gastrostomy was done.
Patient recovered well.
75 yrs old Male, chronic smoker presented with Gangrene of Left 2nd toe. All pulsations below the knee joints were absent.
Amputation of 2nd toe done.
Angiography of Left lower limb by an Interventional radiologist revealed tight blockage of all main arteries supplying left leg and foot.
Complete cut off noted in left leg main artery
Angioplasty done and stents are placed past the arterial blocks
65 year old male, presented with –
Pain in Abdomen since, 4 days, which became severe since, one day.
Vomiting several times since, one day.
Constipation since, one day.
On Examination – Patient had Tachycardia, Blood Pressure was within normal limits
Per Abdominal examination – The whole abdomen had guarding and severe tenderness all over.
Distention was present.
Cinical diagnosis of Peritonitis was made,
CT scan of whole Abdomen showed Pneumatosis intestinalis i.e. Free air in the bowel wall, which is suggestive of Ischaemia of Intestine with imminenet Gangrene.
Also, it showed free air in the abdomen.
After stabilizing the patient, Emergency Exploratory Laparatomy was performed.
Gangrenous Small Bowel ( Jejunum )
Gangrenous part resected and End to End anastamosis of Small bowel Done.
Patient recovered completely after the surgery.