Dr. Santa-Cruz with Urological Services, and Dr. Miller in OB/GYN Services at Agnesian HealthCare demonstrates the world of robotic surgery and how he has leveraged its use within the AHC system.

1. da Vinci® Surgical System
Know & Go Friday
Robert Santa-Cruz, MD
Fond du Lac Regional Clinic Urology

2. Teams Performing Robotic Surgery
Using the da Vinci
• Urology
– Robert Santa-Cruz, MD
• Obstetrics & Gynecology
– Ted Miller, MD

3. Our Urology Team
Robert Santa-Cruz, MDAaron Johnson, MD Christopher Tuveson, MD James Wright, MD

4. Our Obstetrics/Gynecology Team
Scott Hansfield, MD Brita McCullough, MD Karen Meyer, MDSara Dennis, MD Ted Miller, MD

5. Our Obstetrics/Gynecology Team
Barbara Peschong, MD Mary Schultz, MD Robert Schuster, MD Kristen Witkowski, MD

6. da Vinci Surgical System
WHAT IS IT?
• A sophisticated robotic platform
designed to expand the surgeon’s
capabilities and offer a minimally
invasive option for major surgery.
• Provides physicians with enhanced
detail and precision
• System can simulate an open
surgical environment while allowing
operation through tiny incisions.

7. Why da Vinci?
• Greater surgical precision, increased range of
motion, improved dexterity, enhanced
visualization and improved access.
• Surgeons can operate through tiny incisions of
one to two centimeters.

8. What Procedures Can Be Performed?
• Urologic, gynecologic, thoracoscopic and
thoracoscopically-assisted cardiotomy procedures.
• da Vinci Surgery is also used to treat the following
general surgery conditions:
– Obesity
– Stomach cancer
– Pancreatic disease (pancreatitis and cancer)
– Achalasia (swallowing disorder)
– Gallbladder disease and stones

9. Patient Benefits
• Compared to an open procedure, the
da Vinci procedures may lead to shorter
hospital stay, less pain, less risk of
infection, less blood loss, fewer
transfusions, less scarring, faster recovery and
a quicker return to work and normal daily
activities.

10. da Vinci Procedures
• Urology
– Prostatectomy
– Nephrectomy
• OB/GYN
– Hysterectomy
– Fibroid removal
– Ovarian removal
– Endometriosis

11. UPJ Obstruction

12. da Vinci Operation
• Surgeon is immersed in a
3D-HD surgical field with up
to 10x magnification
• Surgeon directs every
movement of the tiny
instruments using console
controls

13. da Vinci Operation (continued)
• The da Vinci® System scales and
replicates the surgeon’s hand
movements, while minimizing
hand tremors
• da Vinci allows surgeons to
operate with enhanced
vision, precision, dexterity and
control even during the most
complex procedures

14. Surgical Risks
• All surgeries involve the risk of complications.
Before deciding on surgery, discuss all treatment
options with your healthcare provider.
• Surgery with the da Vinci® Surgical System may not
be appropriate for everyone; it may not be
applicable to your condition. Ask your healthcare
provider about all treatment options, as well as the
risks and benefits. Only your doctor can determine
whether da Vinci surgery is appropriate for you.

15. Our Collective Goal: Patients First
• Care for patients’ overall, long-term health
• Ensure patients are aware of all treatment
options for their conditions
• Provide the treatment most appropriate for each
patient – most effective, least invasive

16. Thank You!
Questions?