About da Vinci ®
da Vinci® Coronary Revascularization (Coronary Artery Bypass Surgery)
Your doctor may recommend a surgical procedure to treat severe coronary artery disease (CAD), ease your symptoms and reduce your risk of a heart attack.
If you have been told you need bypass artery surgery also known as coronary revascularization, ask your doctor about da Vinci® Surgery to treat CAD. da Vinci Surgery is performed minimally invasively through small incisions made between the ribs. This avoids the need for a sternotomy, its associated risks and complications. A sternotomy requires your doctor to cut through your breastbone through an 8 to 10 inch incision and spread your ribs to gain access your heart. da Vinci Surgery also avoids the need for a heart-lung machine and it's potential risks and complications. There are several other potential benefits of da Vinci Surgery over traditional open heart surgery, including:
- Shorter hospital stay 3
- Less pain and scarring 2
- Less risk of infection 2
- Less blood loss and need for blood transfusions 3
- Faster recovery 2
- Quicker return to normal activities 2
da Vinci Surgery is a breakthrough surgical system that enables surgeons to operate with unmatched precision, 3D-high definition vision and superior control. By overcoming the limitations of traditional open surgery, da Vinci Surgery is revolutionizing cardiac surgery.
As with any surgery, these benefits cannot be guaranteed, as surgery is patient-and procedure specific.
1. "What to Expect During Coronary Artery Bypass Grafting”, National Institutes of Health, www.nhlbi.nih.gov , URL: http://www.nhlbi.nih.gov/health/dci/Diseases/cabg/cabg_during.html
2. "How is Coronary Artery Disease Treated?” National Institutes of Health, www.nhibi.nih.gov , URL: http://www.nhlbi.nih.gov/health/dci/Diseases/Cad/CAD_Treatments.html%20
3. Poston RS, Tran R, Collins M, Reynolds M, Connerney I, Reicher B, Zimrin D, Griffith BP, Bartlett ST. Comparison of economic and patient outcomes with minimally invasive versus traditional off-pump coronary artery bypass grafting techniques. Ann Surg. 2008 Oct;248(4):638-46.
All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.
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