Minimally Invasive Surgery
> Investment in Technology
> Computerized guidance for total joint replacement
> Endovascular stenting for treatment of abdominal aortic aneurysms
> Laparoscopic colectomy for cancer and benign disease
> Laparoscopic fundoplication for anti-reflux
> Laparoscopic gastric bypass and laparoscopic gastric banding
> Laparoscopic hernia repair
> Laparoscopic splenectomy
> Minimally invasive nephrectomy
> Totally laparoscopic supra-cervical hysterectomy
Investment In Technology
The Jewish Hospital has made an investment in the technology needed to offer minimally invasive surgery. We have four state-of-the-art operating rooms with High Definition imaging capabilities, flat-screen operating monitors, voice-activated controls and recording capabilities. The orthopedists enjoy two unique in-the-world operating suites that allow a minimally invasive surgical (MIS) approach to total joint replacement and spine surgery. And the operating room staff members are some of the most experienced in the city. This translates to faster and better surgical procedures.
Here at The Jewish Hospital, our surgeons have embraced the overwhelming benefits of MIS techniques and have gained expertise in their respective fields. See below for some program highlights. These procedures are being performed with superb outcomes at Jewish Hospital.
Whether it’s faster recovery times, shorter hospitalization, less consumption of health care resources, better outcomes, fewer infections, or improved cosmetics, the patients at Jewish Hospital are enjoying the benefits of the minimally invasive surgical revolution through the commitment of the hospital and its surgeons. Surgeons from around the region, country and world travel to Jewish Hospital to observe and learn from the surgeons who practice here.
Minimally Invasive Surgery program highlights
Computerized guidance for total joint replacement
Computer-assisted orthopedic surgery provides a better fit for the new hip or knee joint. These procedures also use small incisions, require few blood transfusions and offer fast healing. Guidance systems are comprised of tracking devices and cameras that feed data about the patient into a computer. The computer then creates a model on the screen of the patient’s bones during the surgery, and provides the surgeon with information about the correct position of the new joints. It can be compared to using a GPS system for surgery—it tells the surgeon exactly where he or she is operating, and helps him or her plan the next steps.
Endovascular stenting for treatment of abdominal aortic aneurysms
Catheters are threaded through patients’ arteries to guide the stent in to place. Placing a stent this way cuts time in the hospital down to two or three days. Patients will continue to have check ups to ensure the stent stays in place and continues to provide the support it’s supposed to.
Laparoscopic colectomy for cancer and benign disease
This surgical option allows many benefits over traditional surgery, including: quicker recovery time, less pain and scarring, shorter hospital stay, and better cosmetic results. These benefits are obtained without jeopardizing the primary goal – getting rid of the cancer.
Laparoscopic fundoplication for anti-reflux
Using five to six small incisions has transformed the routine fundoplication. Surgeons are able to pass instruments, thread and other materials through the incisions, allowing them to repair a diaphragm and manipulate the stomach for patients who have weakened esophagus muscles. With the traditional approach it takes patients six to eight weeks to return to normal activity; with MIS, it only takes one to two.
Laparoscopic gastric bypass and laparoscopic gastric banding
These minimally invasive procedures consist of five small incisions that are less than one-half inch long. A light, camera and surgical instruments are inserted into the abdomen after it has been inflated with gas (allowing the surgeon to have a better view). Depending on the procedure, the surgeon will then either bypass the stomach so that only a small portion remains in function, or will place a band to cinch the stomach. The band is adjustable after surgery.
Laparoscopic hernia repair
Through several small incisions, the surgeon uses specialized surgical instruments and tubes to make the repair with a recurrence rate of only one to five percent. Depending on your occupation and recovery, you can return to work after only a week.
Laparoscopic splenectomy
By replacing a large incision with small incisions, scarring is reduced. Also, the small incisions decrease the amount of pain, and length of recovery. Surgeons are able to use tools through the small holes to separate the spleen, place it in a sack, and then remove it. The wounds receive stitches and a band-aid. Patients can bathe and eat routinely beginning the next day.
Minimally invasive nephrectomy
This minimally invasive procedure is appropriate for patients who have benign conditions resulting in endstage kidney disease. Through three small incisions, instead of a flank incision and removal of a rib, the surgeon is able to remove the majority of localized renal tumors up to 12 to 15 centimeters in size.
Totally laparoscopic supra-cervical hysterectomy
Traditional hysterectomies required large, painful incisions that greatly increase recovery time. Now, a laparoscopic super-cervical hysterectomy offers the patient a quicker recovery time, and the option to have the uterus removed without damage to the cervix, which makes bladder and urinary tract complications minimal. This procedure is also less of a risk to vaginal support and sexual function.
