DH PHYSICIAN PERFORMS FIRST SINGLE-SITE ROBOTIC HYSTERECTOMY IN PENNSYLVANIA 05/23/2013 Doylestown Hospital is the site of Pennsylvania’s first robotic-assisted single-incision hysterectomy. Scott Dinesen, D.O., successfully completed the procedure on May 15, requiring only one small incision -- less than one inch -- in the patient’s belly button. With this technique, there is virtually no scarring, very little blood loss, and quicker recovery than open hysterectomies. The patient is doing well and is expected to be discharged today.
Dr. Dinesen used the da Vinci® Si Surgical System to perform the surgery. The very first single-incision robotic hysterectomy in the U.S. was performed last week in Chicago. Dr. Dinesen is one of only 25 U.S. physicians selected for the first wave of physicians trained in this innovative technique. Dr. Dinesen is chair of the Department of OB/GYN at Doylestown Hospital, and has performed hundreds of robotic surgeries since 2009.
Assisting Dr. Dinesen were Kamela King, PA, Nicole Lescure, RN, Sue Frasch, RN and Diane Muntzer, RN, as well as the anesthesia team of Dale Wilson, MD and Pat Casey, CRNA.
The hospital’s new da Vinci Si required just one 2.5cm-incision in the belly button for the minimally-invasive surgery. There is no visible scarring on the outside of the patient’s body, and better results than other minimally-invasive techniques when it comes to internal scarring. During the May 15 surgery, the total blood loss was approximately 20 cc, similar to the amount of blood taken to fill one sample tube during routine blood testing. The patient is expected to return to work in 7 to 10 days.
Hysterectomies are among the most common surgeries performed in the U.S. Professional societies have long advocated for minimally-invasive procedures rather than open abdominal hysterectomies. The introduction of the surgical robot offered a new minimally-invasive approach about a decade ago for appropriate patients. Dr. Dinesen performed the first robotic-assisted surgical hysterectomy in Bucks County on April 1 2009 using the first version of the da Vinci robot. That surgery typically required three to five small (8.5 mm) incisions.
The single-site surgery using the da Vinci Si robot was approved by the FDA for use in April 2013. Dr. Dinesen trains other physicians in use of the robotic technology. He will be training other physicians in the new single-incision surgery technique. Several Doylestown Hospital physicians use the da Vinci robotic system when appropriate for urologic and gynecologic cases.
About Doylestown Hospital
Doylestown Hospital is a comprehensive 238-bed medical center serving families throughout Bucks and Montgomery Counties and Western New Jersey. The Hospital, along with The Doylestown Hospital Surgery Center at the Health & Wellness Center in Warrington; Pine Run Community and Health Center; Lakeview by Pine Run, and V.I.A. Affiliates, comprise the V.I.A. Health System.
Doylestown Hospital’s Medical Staff includes more than 420 physicians in more than 40 specialty areas. The Richard A. Reif Heart Institute of Doylestown Hospital is a regional center of excellence for cardiology and cardiac surgery, and Doylestown has been named to Becker's Hospital Review’s 2013 list of "100 Hospitals with Great Heart Programs.”
The Cancer Institute of Doylestown Hospital and Penn Radiation Oncology at Doylestown offer comprehensive cancer treatment in an integrated environment. The Cancer Institute of Doylestown Hospital is a member of the Penn Cancer Network, and is accredited by the American College of Surgeons as a Comprehensive Community Cancer Center.
Other areas of clinical emphasis include emergency medicine, maternal-child health, orthopedics, interventional radiology, gastroenterology, urology, general surgery and robotic surgery.