Coliseum Medical Centers and Coliseum Northside Hospital are dedicated to offering patients the best robotic surgical options available, including our fluorescence imaging system.

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Learn about patient information, our team at Coliseum Robotics Institute and how your condition can be treated in a way that is less invasive. You may also call our Consult-A-Nurse program for more information at (478) 746-4646.

Comprehensive Middle Georgia robotic surgery

Moѕt robotic procedures require much smaller incisions than thе ones mаdе during a traditional procedure. Thеѕе smaller incisions hаvе multiple benefits for the patient:

  • Significantly less pain
  • reduced scarring
  • Less blood loss
  • Shorter recovery time
  • Faster return to daily activities

Although not аll procedures саn bе done robotically, Coliseum Robotics Institute hаѕ a team of surgeons who саn perform gynecologic, urologic, colorectal and more procedures with robotic assisted surgery.

Our robotic surgery specialties

Robotic colectomy

Robotic colectomy is a new option for the surgical care of colorectal cancer, diverticular disease, colitis, prolapse and large polyps. While surgery is generally the most effective treatment option for a range of abdominal and other conditions, traditional open surgery with a large incision has its drawbacks – pain, trauma, a long recovery time and a risk of infection.

Today there are less invasive options available to many patients facing surgery. The most common of these is laparoscopic surgery, in which smaller incisions are used. While laparoscopy is effective for many routine procedures, it has inherent limitations when more intricate and complex surgery is required.

Physicians now have an effective alternative to traditional open surgery and laparoscopy that may allow them to provide patients with the best of both open and laparoscopic approaches.

With the assistance of the robotic assisted surgery, surgeons can now operate using only one to two centimeter incisions and with greater precision and control than ever before. Robotic assisted surgery can help surgeons minimize the pain and risk associated with surgery while increasing the likelihood of a fast recovery and excellent clinical outcomes.

In addition to the accepted benefits of laparoscopic procedures, robotic colectomy adds 3D imaging in high definition which provides greater visualization for the surgeon.

Gynecology

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 conditions may include:

  • cervical and uterine cancer
  • uterine fibroids
  • endometriosis
  • uterine prolapse
  • menorrhagia or excessive bleeding

Traditional gynecologic surgery uses a large incision. This type of open surgery may cause significant pain, trauma and a long recovery period.

For complex hysterectomies and other gynecologic procedures, robot-assisted surgery may be the most effective, least invasive treatment option. Through tiny, one to two centimeter incisions, surgeons can operate with greater precision and control.

Procedures performed with robotic assisted surgery:

  • Hysterectomy – surgical removal of the uterus and/or other reproductive organs
  • Myomectomy – surgical removal of uterine fibroids
  • Sacrocolpopexy – surgery for uterine or vaginal vault prolapse

Hysterectomy

Physicians perform hysterectomy – the surgical removal of the uterus – to treat a wide variety of uterine conditions. Each year in the U.S. alone, doctors perform approximately 600,000 hysterectomies, making it the second most common surgical procedure.

Types of hysterectomy

There are various types of hysterectomy that are performed depending on the patient’s diagnosis:

  • Supracervical hysterectomy – removes the uterus, leaves cervix intact
  • Total hysterectomy – removes the uterus and cervix
  • Radical hysterectomy or modified radical hysterectomy – a more extensive surgery for gynecologic cancer that includes removing the uterus and cervix and may also remove part of the vagina, fallopian tubes, ovaries and lymph nodes in order to stage the cancer (determine how far it has spread).

Approaches to hysterectomy

  • Open approach – surgeons perform the majority of hysterectomies using an “open” approach, which is through a large abdominal incision. An open approach to the hysterectomy procedure requires a six to 12 inch incision. When cancer is involved, the conventional treatment has always been open surgery using a large abdominal incision, in order to see and, if necessary, remove related structures like the cervix or the ovaries.
  • Vaginal hysterectomy – a second approach to hysterectomy, vaginal hysterectomy, involves removal of the uterus through the vagina, without any external incision or subsequent scarring. Surgeons most often use this minimally invasive approach if the patient's condition is benign (non-cancerous), when the uterus is normal size and the condition is limited to the uterus.
  • Laparoscopic hysterectomy – the uterus is removed either vaginally or through small incisions made in the abdomen. The surgeon can see the target anatomy on a standard 2D video monitor thanks to a miniaturized camera, inserted into the abdomen through the small incisions. A laparoscopic approach offers surgeons better visualization of affected structures than either vaginal or abdominal hysterectomy alone.
  • Robotic-assisted hysterectomy – combines the advantages of conventional open and minimally invasive hysterectomies – but with far fewer drawbacks. Robotic assisted hysterectomy is becoming the treatment of choice for many surgeons worldwide; it enables surgeons to perform surgical procedures with unmatched precision, dexterity and control. The single-site hysterectomy approach, allows the physician to have all the benefits of the robot-assisted procedure, and leaves only one small scar in the navel of the patient.

Which is right for me?

Minimally invasive vaginal and laparoscopic hysterectomies offer obvious potential advantages to patients over open abdominal hysterectomy, including:

  • Reduced risk for complications
  • A shorter hospitalization
  • Faster recovery

However, there are inherent drawbacks. With vaginal hysterectomy, surgeons are challenged by a small working space and lack of view to the pelvic organs.

With laparoscopic hysterectomy, surgeons may be limited in their dexterity and by 2D visualization, potentially reducing the surgeon’s precision and control when compared with traditional abdominal surgery.

Prostatectomy

The gold standard treatment option for men under 70 with early-stage, organ-confined cancer is surgical removal of the prostate using nerve-sparing radical prostatectomy. Prostatectomy is also the most widely used treatment for prostate cancer today in the U.S.

The primary goal of prostatectomy is removal of the cancer. A secondary goal is to preserve urinary function and – when applicable – erectile function. Preservation of the nerves necessary for erections can be an extremely important goal for patients.

These nerves run alongside the prostate and are often damaged when removing the prostate. A nerve-sparing prostatectomy attempts to preserve these nerves so that the patient may be able to return to his prior erectile function.

Types of prostatectomy

  • Traditional open surgery
  • Conventional laparoscopic surgery
  • Robot-assisted laparoscopic surgery

With a traditional open procedure, your surgeon uses an eight to 10 inch incision to access the prostate. This approach often results in substantial blood loss, a lengthy, uncomfortable recovery and a risk of impotence and incontinence.

Conventional laparoscopy uses a specialized surgical camera and rigid instruments to access and remove the prostate using a series of small incisions. This approach provides your surgeon with better visualization than an open approach. In addition, it provides patients the benefits of a minimally invasive procedure.

Despite these advantages, conventional laparoscopy relies on rigid instruments and standard 2D video, technical limitations that can be challenging for the surgeon. Because of these drawbacks, conventional laparoscopy doesn't lend itself well to complex procedures like prostatectomy. Therefore, very few urologists use this approach for prostatectomy. Moreover, neither laparoscopy nor open surgery can provide adequate visualization for a very precise, nerve-sparing prostatectomy.

Robotic surgery for prostate cancer or robotic prostatectomy, is more accurately a robot-assisted, minimally invasive surgery that is quickly becoming the preferred treatment for removal of the prostate following early diagnosis of prostate cancer. In fact, studies suggest that prostatectomy may be the most effective, least invasive prostate surgery performed today.

Though any diagnosis of cancer can be traumatic, the good news is that if your doctor recommends prostate surgery, the cancer was probably caught early. With robotic assisted prostatectomy, the likelihood of a complete recovery from prostate cancer without long-term side effects is, for most patients, better than it has ever been.

Robotic assisted prostatectomy enables surgeons to operate with unmatched precision and control using only a few small incisions.

Urology

When medication and other non-surgical treatments are either unavailable or cannot relieve symptoms, surgery is the accepted treatment for a broad range of conditions that affect the male reproductive organs and the organs of the urinary tract.

Medical conditions that affect the uterus include:

  • Cervical cancer
  • Uterine cancers
  • Endometrial cancer
  • Uterine fibroids
  • Uterine prolapse
  • Excessive bleeding or menorrhagia
  • Endometriosis
  • Prostate cancer
  • Ureteropelvic junction (UPJ) obstruction
  • Bladder and kidney cancer
  • Vesicoureteral reflux

Now Coliseum Health System surgeons use a minimally invasive approach, utilizing the latest in surgical and robotics technologies, which is ideal for delicate urologic surgery. Using robotic assisted surgery, your surgeon has a better tool to spare surrounding nerves, which may enhance both your recovery experience and clinical outcomes.

Endometriosis

Endometriosis, also known as endometrial hyperplasia, is a condition in which the endometrial tissue grows outside the uterus, causing scarring, pain, and heavy bleeding. It can often damaging the fallopian tubes and ovaries in the process.
Endometriosis can be treated with medications such as Lupron for endometriosis that lowers hormone levels and decreases endometrial growths.

Endometrial cancer

For endometrial cancer, also known as uterine cancer and more common among women after menopause. Standard treatment options include:

  • Hormone therapy
  • Radiation therapy
  • Chemotherapy
  • Hysterectomy (surgical removal of the uterus)

Three of these – radiation therapy, chemotherapy and hysterectomy – are also used to treat cervical cancer.

Benign conditions

For benign (non-cancerous) conditions like menorrhagia (heavy menstrual bleeding), non-surgical treatments like hormone therapy or minimally invasive ablative therapies may offer relief.

Uterine fibroids are benign (non-cancerous) tumors occurring in at least one quarter of all women. They can grow underneath the uterine lining, inside the uterine wall or outside the uterus.

Many women don’t feel any symptoms with uterine tumors or fibroids. But for others, these fibroids can cause excessive menstrual bleeding (also called menorrhagia), abnormal periods, uterine bleeding, pain, discomfort, frequent urination and infertility. The following diagram depicts different types of fibroids that can occur. For fibroids, uterine-preserving myomectomy – a surgical alternative to hysterectomy – may be an option.