Minimally Invasive Surgery
Many surgeries and procedures can now be performed using minimally invasive surgery techniques, allowing patients to return to normal activities faster and experience fewer complications.
The Advanced Telemedicine and Videoscopic Surgical Center at Middlesex Hospital
One of the most innovative and sophisticated minimally invasive surgical techniques available today is Videoscopic surgery. For years, Middlesex Hospital's Advanced Telemedicine and Videoscopic Surgical Center has been at the forefront in both state-of-the-art technology and excellence in surgery. Its specially constructed operating suite features the most advanced videoscopic technology available, including voice-activated robotics and real-time telemedicine capabilities.
The Surgery Center's staff, including clinical nurse specialists, is highly trained in the various minimally invasive technologies involved in videoscopic surgery. This includes the use of advanced equipment and instrumentation, computer robotics, and telemedicine scheduling and implementation, with clinical pathways established to streamline patient care. For frequently asked questions about minimally-invasive surgical procedures, click here.
Videoscopic Surgery Specialties
With surgeons specially trained in basic and advanced videoscopic minimally invasive surgery techniques, the Center has revolutionized the way many basic surgical procedures are performed, including appendectomy, cholecystectomy, adhesiolysis, and inguinal and ventral herniorraphy. Center physicians also perform a number of advanced gastrointestinal, oncological, gynecological and arthroscopic procedures and, in conscious pain mapping, use videoscopy as a highly accurate diagnostic tool.
The results, to date, have been gratifying. For example, a recent study showed that patients who underwent a laparoscopic cholecystectomy at the Center had significantly lower total and technical complication rates than patients who had the same procedure done at thirty-five other Connecticut hospitals.
For additional information regarding minimally invasive surgery, or to make a referral to Middlesex Hospital's Advanced Telemedicine and Videoscopic Surgical Center, call (860) 347-9167.
Common Procedures in Videoscopic Surgery
At the Center, videoscopic surgery has had its most remarkable success in the treatment of gastroesophageal reflux disease (GERD). Once considered a "last resort" procedure, laparoscopic Nissen fundoplication has become a standard treatment for GERD because of the minimally invasive nature of videoscopic surgery. Studies have shown that more than 90% of patients who undergo the procedure are symptom-free after ten years.
Common to all minimally invasive videoscopic procedures is a dramatic reduction in patient pain, trauma and recovery time. At Middlesex Hospital, GERD patients usually stay between two or three days. In laparoscopic cholecystectomies, 95% of our patients are discharged on the day of surgery.
In this Laparoscopic Fundoplication procedure a portion of the stomach is wrapped around the esophagus to create a new lower esophageal sphincter (LES). The video monitor shows the surgeon closing the diaphragm muscle prior to the construction of the new LES.
Laparoscopic Preperitoneal Hernia Repair
In this procedure, a piece of plastic is placed between the peritoneum and abdominal wall to repair the hernia and prevent its return.
Advanced Shoulder Arthroscopy
Instead of making a large incision in the joint capsule, all manipulations are accomplished through tiny incisions under direct visual control.
Minimally invasive arthroscopic techniques offer the surgeon more diagnostic accuracy. In the photograph, the rotator cuff tendon is evaluated prior to surgical repair.
New Procedures in Telemedicine & Videoscopic Surgery
While the specially constructed operating suite at the Advanced Telemedicine and Videoscopic Surgical Center is designed for optimal use of the surgical space, the Center also offers two of the most advanced technologies for surgery available today: robotic scope positioning and complete telemedicine capabilities.
AESOP: Voice-activated Robotics
In traditional videoscopic surgeries, the laparoscope or endoscope was held by an assisting physician or nurse, often resulting in unsteady positioning. With the AESOP system, a robotic arm "hovers" over the patient and holds the scope, giving the physician a steady, clear picture of the surgical area. Since the system is computer-driven and voice-activated, the physician can have instant positioning on command and even "save the position' for later recall.
Middlesex Hospital of Connecticut is the only community hospital selected to participate in a national telemedicine network with Yale-New Haven Hospital and other nationally known hospitals.
Telemedicine capabilities enable consulting physicians within the network and from around the globe to view surgical procedures at the Center from up to three vantage points: an overall view of the suite, a close-up external view of the procedure and the internal view provided by the videoscope. Moreover, the consulting physician can communicate with the surgeon as the surgery is taking place. Using telemedicine capabilities, the consulting physician can, with a special mouse, draw instructions on the screen that can appear on a monitor screen in the surgery suite.