Baptist Health surgeon pioneer for hernia
da Vinci robot assisted in component separation procedure for incisional hernia
February 18, 2014 | Jacksonville, FL
A Baptist Health surgeon recently performed a rare type of robotic hernia repair surgery.
Steven Hodgett, MD, a Baptist Health general surgeon with North Florida Surgeons, used the da Vinci Robotic-Assisted Surgical System to perform a component separation procedure for an incisional hernia repair.
The procedure, which was done last week at Baptist Medical Center Jacksonville, allows for a smaller incision and lowers the chance of the hernia returning.
While the daVinci has been used for other hernia repairs, Dr. Hodgett is a pioneer in Florida for using the da Vinci robot for a component separation procedure on an incisional hernia. Only about a handful nationally have done the procedure. An incisional hernia mainly occurs from a previous abdominal surgery and results in a large bulge in the abdominal area from weakness of the abdominal wall.
Baptist Health has six da Vinci robots after purchasing two additional robots in December resulting in four at Baptist Medical Center Jacksonville, one at Baptist Medical Center South and one at Baptist Medical Center Beaches.
Baptist Health is the region’s leader in offering robotic technology for use by physicians in providing minimally invasive procedures and surgery. Baptist Health has the only Mazor Renaissance Robotic Technology (two robots) between Atlanta and Orlando, bringing North Florida residents the latest tools for increased precision in minimally invasive spine surgery. The MAKOplasty Partial Knee Resurfacing at Baptist Health is also an innovative procedure to provide quicker recovery and surgical outcomes for patients with degeneration in one or multiple parts of the knee.
The da Vinci Robotic-assisted surgery is performed by a specially-trained surgeon who sits at a console and views an enhanced 3-D image while controlling instruments for superior dexterity and control.
“The robot has the potential to really revolutionize how we are doing these (hernia) surgeries,” Dr. Hodgett said. “Performing the surgery robotically minimizes the size of the incision and wound complications, and lowers the chance of reoccurrence.”
Traditionally, component separation procedures have required large, midline incisions to fix the hernia and bring the primary tissues back together. Those procedures have higher wound complications than their laparoscopic counterparts, Dr. Hodgett said.
“Laparoscopic ventral hernia repair has very low wound complication rates, but we are unable to bring the primary tissue together leaving the patient with a less functional abdominal wall,” Dr. Hodgett said.
“We were able to use the robot to make relaxing incisions in the lateral muscle layers of the anterior abdominal wall and then use the robot to bring the primary tissue back together,” Dr. Hodgett added. “The robot has allowed us to combine the best of both worlds of open surgery and laparoscopic surgery.”
Michael Mayo, president of Baptist Medical Center Jacksonville, said the da Vinci system “continues to enhance Baptist Health’s Minimally Invasive Surgery Program and the mission of changing health care for good. Baptist Medical Center Jacksonville is committed to using the most advanced technology and providing patients with better outcomes.”
The da Vinci system continues to be used for more general surgery, da Vinci officials said, after already being used for urological, gynecological, lung and other procedures since the robot reduces complications, length of stay and provides for a faster recovery.
Dr. Hodgett was also the first at Baptist Medical Center Jacksonville more than a year ago to use the da Vinci robot to perform a low anterior colon resection. The robotic-assisted surgery is his treatment of choice to assist in removing part of the colon for people with colon cancer depending on the location of the tumor.
“The use of the da Vinci has really exploded in the field of general surgery. Every day we are finding something easier or new to do with it,” Dr. Hodgett said.