First Scarless Robotic Hysterectomy Patient Talks | Baptist Health South Florida скачать в хорошем качестве

First Scarless Robotic Hysterectomy Patient Talks | Baptist Health South Florida

Miami gynecologic oncologist Ricardo Estape, M.D., performed South Florida's first single-incision robotic hysterectomy in May at South Miami Hospital. The patient, Rosa Pazos, and Dr. Estape describe how this procedure differs from hysterectomies of the past. [Transcript] [Baptist Health South Florida] [Bethany Rundell] When 48-year-old Rosa Pazos had heavy menstrual bleeding and began feeling tired a lot, she went to her doctor to find out the cause. After blood work indicated an anemia and an MRI showed fibroids and a suspicious mass behind her uterus, Ms Pazos went to Dr. Ricardo Estape, a gynecologic surgeon and the medical director of Baptist Health Center for Robotic Surgery to determine her treatment options. [Rosa being interviewed on bench] [Rosa Pazos] Dr. Estape looked at the PET scan and looked at all the results, the blood work, all that stuff that had been done. And then they determined that the best way to go was to do the hysterectomy because once they went in there, they would determine whether it was a cyst and it could be removed. And if it wasn't a cyst, then they would take care of my fibroid situation, which is basically the reason why this whole ordeal started. [Rosa’s xrays] [Bethany Rundell] Since single-incision robotic hysterectomy was approved by the FDA in February, 2013, Dr. Estape suggested this approach for Ms Pazos. [Dr. Ricardo Estape] Oh, Rosa was a good candidate for the surgery because her uterus was relatively small. She was a thin patient, did not have a cancer, did not have a malignancy. And I think trying to do a single site surgery for her would have gotten her back on her feet sooner, would have given her much less pain after the surgery, like any of the minimally invasive procedures. And I think for her, she'd be happy with a much smaller scar so that she can get back to her bikini sooner than later. [Doctors performing robotic surgery] [Bethany Rundell] Instead of a long incision across the bikini line or three small incisions on the abdomen, one 2-1/2 centimeter incision is made in the belly button. There, Dr. Estape and his surgical team insert the arms of the robot, which he controls from a console inside the operating room. Because robotic surgery reduces the number of incisions and trauma to the body, patients typically recover faster. [Dr. Ricardo Estape] Most patients will be home within 24 hours, some as early as six hours after the surgery. Within five to seven days, you're back to driving, doing most of your normal activities. The only real limitations you're going to have for four to six weeks is going to be no heavy lifting of any kind. [Bethany Rundell] For Ms Pazos, who admits she's not one to sit around, the recovery time was great. [Rosa Pazos] Just the first week, just moving a lot slower, just consciously. I think it's conscientiously that I can't go fast. Then I would stop. And then other than just the swelling, just the discomfort of the air inside, I was fine. [Bethany Rundell] And without incisions on her abdomen, Ms Pazos doesn't worry about covering up her scar, barely visible after three weeks. [Rosa Pazos] I was ecstatic again about the fact that they were able to do it with one, and that my looking process is not going to be anything major or anything that it's going to look really bad. [Bethany Rundell] Bethany Rundell, Baptist Health, South Florida News. [Baptist Health South Florida] [End Transcript]