“The da Vinci system has allowed me to use minimally invasive techniques to perform procedures that normally would be more complex. An indispensable asset to the community, the da Vinci system has truly changed the way we perform surgery at Crittenton.”
-Douglas Pugmire, DO, Gynecologic Oncologist and Medical Director of Robotic Surgery at Crittenton
Dr. Pugmire is a da Vinci robotics surgeon. He has performed over 1,100 surgeries and ranks among the top ten nationally in total number of robotic procedures performed. In addition to performing robotic surgeries, Dr. Pugmire proctors hundreds of robotic cases and trains new robotic surgeons on a regular basis.
When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding.
Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes. Robotically-assisted minimally invasive surgery represents a third generation of surgery, one which builds upon the advances of open surgery that were introduced by minimally invasive surgery. Robotic technology takes surgery beyond the limits of the human hand, introducing precise, versatile instrument movement combined with three-dimensional visualization of the operative site.
Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.