Prior to Procedure

Depending on the reason for your surgery, your doctor may do the following:

• Physical exam
• Blood tests
• ECG
• Chest x-ray
• Ultrasound
• CT scan
• MRI scan

Leading up to the surgery:

• Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
• Take antibiotics if instructed.
• Follow a special diet if instructed.
• Shower the night before using antibacterial soap if instructed.
• Arrange for someone to drive you home from the hospital. Also, have someone to help you at home.
• Eat a light meal the night before. Do not eat or drink anything after midnight.

Anesthesia

Depending on the type of procedure that you have, you may be given:

• General anesthesia—blocks pain and keeps you asleep through the surgery
• Local anesthesia with sedation—just the area that is being operated on is numbed

Description of the Procedure    TOP

Keyhole Incisions Keyhole incisions are placed in preparation for a robot-assisted surgical procedure. Copyright © Nucleus Medical Media, Inc.

Several small keyhole openings will be cut in the skin near where the surgery will take place. In most cases, a needle will be used to inject carbon dioxide gas into the surgical area. This gas will make it easier for the doctor to see internal structures. Next, a small camera called an endoscope will be passed through 1 of the incisions. The camera will light, magnify, and project an image of the organs onto a video screen. Then robotic arms holding instruments for grasping, cutting, dissecting, and stitching will be inserted through the holes.

While sitting at a console near the operating table, the doctor will use lenses to look at a magnified 3-D image of the inside of the body. Another doctor will stay by the table to adjust the camera and tools. The robotic arms and tools will be guided by movements of the surgeon. Lastly, the tools will be removed and stitches or staples will be used to close the area.

How Long Will It Take?    TOP

Usually 1-2 hours or less, depending on the procedure

How Much Will It Hurt?    TOP

Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications. You may also feel discomfort from the gas used during the procedure. This can last up to 3 days.

Average Hospital Stay    TOP

This procedure is done in a hospital setting. The usual length of stay is a few days. Your doctor may choose to keep you longer if you have any problems.

Post-procedure Care    TOP

While you are recovering at the hospital, you will:

• Be encouraged to walk with assistance soon after surgery.
• Receive guidelines on what you should eat and what activities you can do. Depending on your procedure, you should be able to go back to your normal activities in a few weeks.
• Participate in any physical therapy or rehabilitation.