SOURCE: OR-Live, Inc.

September 18, 2008 07:15 ET

REMINDER: OR-Live.com Presents: Surgical Tutorial on Complex da Vinci® Hysterectomy -- Strategies for Managing Endometriosis, Prior Pelvic Surgery and Large Uteri

Webcast With Live Moderation: Thursday, September 18, 2008 From 4:00-5:30 PM ET

ANN ARBOR, MI--(Marketwire - September 18, 2008) - OR-Live.com, the University of Michigan Health System and Intuitive Surgical, Inc. will present the second in a series of surgical tutorials on Complex da Vinci (robotic) Hysterectomy on September 18, 2008 from 4:00-5:30 PM (ET). Dr. Arnold P. Advincula, Associate Professor of Obstetrics and Gynecology and Director of the Minimally Invasive Gynecologic Surgery Program and Fellowship at the University of Michigan Health System, will moderate the event to explain critical portions of the surgery and to answer e-mail questions from viewers.

One complex case will be highlighted, including advanced endometriosis with associated adnexal mass, prior pelvic surgery and an enlarged uterus. Dr. Advincula will elaborate on strategies for surgically managing complex pathology while leveraging the advantages of the da Vinci® (robotic) Surgical System. He will perform a total laparoscopic hysterectomy (TLH) using all four operative arms of the da Vinci® S™ HD System.

The da Vinci® Surgical System is a breakthrough robotic platform designed to transcend the limitations of both traditional open surgery and conventional laparoscopy -- expanding the surgeon's ability to perform more complex gynecologic procedures using a minimally invasive approach. The da Vinci's high-definition 3D vision system, fully wristed EndoWrist® instrumentation, Intuitive® motion and ergonomic design provide unsurpassed visualization, surgical dexterity and control. These enhanced capabilities allow gynecologists to perform more complex hysterectomies with greater reproducibility across their patient population compared to conventional laparoscopy, while preserving techniques used in traditional open surgery.

Despite the broad acceptance of laparoscopy, open surgery remains the most common approach to hysterectomy. This is due in part to the learning curve associated with conventional laparoscopy and its associated complications(1) as well as the difficulty in treating advanced pathology -- such as an enlarged uterus, pelvic adhesions or endometriosis -- via laparoscopy.(2)

According to Dr. Advincula, "da Vinci provides a means to overcome both the challenges presented by advanced pathology and the surgical limitations of conventional laparoscopy. It does this by providing surgeons with improved precision and dexterity, coupled with advanced imaging, which allows for the completion of complex, minimally invasive procedures in a fashion analogous to open surgery."

The da Vinci System enables the GYN surgeon to tackle more complex pathology using a minimally invasive approach, thereby minimizing the need to perform hysterectomy via laparotomy (open incision). "I can operate with greater precision and control, which is especially valuable with more complex pathology, such as enlarged uterine pathology, pelvic adhesions or endometriosis," Advincula said. "With da Vinci, I can discern the tissue planes more easily and perform more difficult dissections -- which enables me to offer minimally invasive surgery to more of my patients," he added.

According to Dr. Advincula, "Robotic surgery is more intuitive to learn and perform compared to traditional laparoscopy, which will allow more GYN surgeons to perform minimally invasive surgery for their patients." Moreover, he added, "after you've become comfortable with the system, operative times for the da Vinci cases are comparable to that of open procedures, and based upon recent data(3) can even be faster than conventional laparoscopy."

"While more complex cases take longer, I routinely perform a simple, benign hysterectomy in 60 minutes," said Advincula. "And with new robotic instruments being introduced specific to GYN applications, da Vinci Hysterectomy and Myomectomy [removal of uterine fibroids] procedures are becoming even easier and quicker to perform."

For many patients, da Vinci Surgery means significantly less pain and scarring, less blood loss, reduced risk of infection, shorter hospital stays, a much quicker recovery and faster return to normal daily activities compared to conventional open surgery. According to Dr. Advincula, his patients who received a da Vinci Hysterectomy typically go home the same day or the following day, and return to their lifestyles within a matter of weeks.

The University of Michigan Health System is one of the nation's leading centers in minimally invasive gynecologic surgery. It offers one of the only training programs available in robotic-assisted gynecologic surgery. With ongoing investment in technology and procedure development in minimally invasive gynecologic surgery, the University of Michigan Health System is achieving its mission to raise surgical standards-of-care for women.

About the University of Michigan Health System

The University of Michigan Health System improves the health of patients and communities through excellence in education, patient care, community service, research and technology development -- and through leadership activities in Michigan, nationally and internationally. Our mission of patient care, education and research together enhance our contribution to society.

About Intuitive Surgical, Inc.

Intuitive Surgical, Inc. (NASDAQ: ISRG), headquartered in Sunnyvale, California, is the global technology leader in the emerging field of robotic-assisted, minimally invasive surgery (MIS). Intuitive Surgical develops, manufactures and markets robotic technologies designed to improve clinical outcomes and help patients return more quickly to active and productive lives. The company's mission is to extend the benefits of minimally invasive surgery to the broadest possible base of patients. More information is available at www.IntuitiveSurgical.com and www.daVinciSurgery.com. Intuitive Surgical - Taking surgical precision beyond the limits of the human hand™

About the da Vinci® Surgical System

The da Vinci Surgical System is a sophisticated robotic platform designed to enable complex surgery using a minimally invasive approach. The da Vinci System consists of an ergonomic surgeon's console, a patient-side cart with four interactive robotic arms, a high-performance vision system and proprietary EndoWrist® instruments. Powered by state-of-the-art robotic technology, the da Vinci System is designed to scale, filter and seamlessly translate the surgeon's hand movements into more precise movements of the EndoWrist instruments. The net result is an intuitive interface with breakthrough surgical capabilities. By providing surgeons with superior visualization, enhanced dexterity, greater precision and ergonomic comfort, the da Vinci Surgical System makes it possible for more surgeons to perform minimally invasive procedures involving complex dissection or reconstruction. This ultimately raises the standard of care for complex surgeries, translating into numerous potential patient benefits, including less pain, a shorter recovery and quicker return to normal daily activities.

The content presented above is for general information only and is not intended to substitute for formal medical training or certification. An independent surgeon, who is not an Intuitive Surgical employee, provides procedure descriptions. Intuitive Surgical trains only on the use of its products and is not responsible for surgical credentialing or for training in surgical procedure or technique. As a result, Intuitive is not responsible for procedural content. While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, individual results may vary. Intuitive®, da Vinci®, InSite® and EndoWrist® are registered trademarks of Intuitive Surgical, Inc.

(1) Garry, R. Laparoscopic Surgery. Best Pract Res Clin Obstet Gynaecol.
2006 Feb;20(1):89-104. Epub 2005 Dec 20.
(2) Sokol AI, Chuang K, Milad MP. Risk factors for conversion to laparotomy
during gynecologic laparoscopy. J Am
Assoc Gynecol Laparosc. 2003 Nov;10(4):469-73.
(3) Payne, T., Dauterive, F. Robotically Assisted Hysterectomy: Surgical
Outcomes in a Community Practice, Journal of Minimally Invasive Gynecology,
May 2008. (Ref. No.: JMIG-D-07-00152R3).

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VNR: www.OR-Live.com

Contact Information

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    OR-Live, Inc.
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