At Flinders Private Hospital we are proud to offer our patients access to the new da Vinci® Xi™ Surgical System which is a fourth-generation surgical system offering the most advanced robotic technology. The da Vinci system allows surgeons to operate with superior visualisation due to a highly magnified view, enhanced dexterity, greater precision, ergonomic comfort and control.

The da Vinci Surgical System makes it possible for surgeons to perform minimally invasive procedures involving complex dissection or reconstruction, providing patients with surgical alternatives that can reduce the costs and complications associated with open procedures.

Flinders Private Hospital currently offers this advanced surgical option for the following specialities:

• Ear Nose & Throat surgery (ENT)
• General Surgery (Bariatric Surgery, Colorectal Surgery)
• Gynaecology
• Gynaecological Oncology
• Urology

What is Robotic Surgery?

Robot-assisted surgery mimics the surgeon's hands with robotic arms performing scaled-down, tiny movements within the body. The surgeon remains 100 percent in control of the operation but the robot provides optimised 3D vision, magnification and motion tremor control, allowing the surgeon to operate high-tech instrumentation with greater dexterity and precision.

The da Vinici Surgical System expands doctors' human capabilities by enabling minimally invasive and more efficient access through the abdomen and chest. The latest model has expanded features and the new immersive 3D-HD vision system provides surgeons a highly magnified view, virtually extending their eyes and hands into the patient.

How will Robotic Surgery benefit patients?

Prior to this technology, many complex procedures would require a large abdominal incision, commonly referred to as open surgery. In comparison, robotic surgery involves several small keyhole incisions, resulting in patients experiencing shorter hospital stays and quicker recoveries.

Studies in robotic surgery have shown:

• Less blood loss
• Fewer complications
• Less need for narcotic pain medicine
• A faster recovery
• Smaller incisions with minimal scarring.
• A shorter hospital stay

For further information on the da Vinci Xi Surgical System please visit: www.davincisurgery.com

The surgeons currently credentialed to use the da Vinci® Xi™ Surgical System at Flinders Private Hospital are:

Bariatric Surgery

• Dr Jacob Chisholm
• Assoc Prof Lilian Kow

General Surgery

• Dr Alex Karatassas

Gynaecologic Oncology

• Dr Sellva Paramasivam

Urology

• Dr Alexander Jay
• Dr Jason Lee
• Dr Dan Spernat

Flinders Private Hospital acquired the Mako™ Orthopaedic Robotic-Arm System in March 2018.

The Mako™ Orthopaedic Robotic-Arm provides surgeons with an innovative treatment option for suitable patients requiring a Total Knee Replacement or Total Hip Replacement.

Robotic Surgery utilises computer-assisted planning combined with a robotic arm guided by your surgeon, as a means to insert a joint replacement prosthesis. The major aim is to assist the surgeon in achieving highly accurate placement of a hip or knee prosthesis and is an advancement of a current technology using computer navigation to assist positioning of a joint replacement implant.

Robotic assisted joint replacement is a relatively new technology, though it has been in use overseas for more than 10 years.

Robotic Knee Replacement may allow:

• Improved alignment, component positioning and soft tissue balancing
• Less bone removal
• Improvement in quality of life measures

Robotic Hip Replacement may allow:

• Accurate component placement
• Improved functional outcomes

How does it work?

1. The patient is assessed by the surgeon and deemed an appropriate candidate for joint replacement surgery
2. A specialised CT scan of the limb is performed to map bone anatomy and alignment
3. A pre-operative surgical plan including implant positioning and sizing is developed by the robotic software and reviewed by the surgeon
4. The surgeon-controlled robotic arm aids in implant positioning during surgery to achieve the desired plan. The robotic arm is held by the surgeon and provides live visual image feedback and haptic (tactile) feedback.

Who is a candidate for Robotic Assisted Joint Replacement?

All patients who are suitable for joint replacement may be suitable for Robotic Surgery. Your Orthopaedic Surgeon will discuss your suitability for Robotic Surgery.

What is the average hospital stay?

Most patients are in hospital for only 2-3 days after Robotic Surgery.

What is the recovery time?

Recovery after surgery depends on a multitude of factors, mainly related to the patient’s pre-operative strength, weight, stiffness, and general medical health.

For further information on the Mako™ Orthopaedic Robotic-Arm System please visit: strykercare.com.au/home

The surgeons currently credentialed to use the Mako™ Orthopaedic Robotic-Arm System at Flinders Private Hospital are:

• Dr Mark Inglis
• Dr Anthony Samson
• Dr Jason Ward
• Dr Darren Waters
• Dr Chris Wilson

™Mako is a trademark of Stryker