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In the story Teodoro Maldonado Cabo Specialized Hospital (HTMC) The Ecuadorian Social Security Institute (IESS), based in southern Guayaquil, has reported shortages of supplies, medicines, and postponed surgeries and medical appointments, which it compared to the use of technology to provide clinical surgeries to its members, such as the da Vinci robot.
It is a robotic device that is more precise than the surgeon, who manages and guides the surgery through a console. It has been certified by experts for optimal use.
Franklin Encalada, general manager of HTMC, said the robot is in operation five days a week and seven days a week. “Little by little, we are bringing the supplies that doctors need for minimally invasive and robotic surgery. This is our response to the IESS affiliate,” he explained.
HTMC provides services to IESS members and their dependent family members as well as beneficiaries of the Farmers Social Security (SSC).
IESS stressed that the robotic tool is used in HTMC’s general surgery, gynecology, urology and colorectal departments for patients who require precise endoscopic interventions, “from cholecystectomy and bile duct exploration to colorectal cancer surgery.”
Through a console, the surgeon guides the device’s metal arms during surgery, allowing for greater precision, less invasive interventions, lower risk of complications (bleeding), and shorter recovery and hospital stays. The entire procedure is done without touching the patient, reducing the risk of infection.
“The doctor sits down and watches the image, which is projected by a camera inside the patient’s abdomen,” Encalada said.
The cost of this surgery is about $10,000, not including post-operative costs. Each requires specific inputs that are different from those used in traditional operations.
“Robotic surgery is always more expensive; therefore, it is used for more complex interventions. Generally, treatment of kidney cancer, colon cancer, stomach cancer and lung cancer. In this country, we do all these procedures with this robot,” he added.
The difference lies in precision, as robotic devices have greater sensitivity: “Cutting, dissecting, because it’s like having several hands inside the patient;” it’s equivalent to the precision with which surgeons carry out such interventions. Its use is worldwide, so the country cannot lag behind in medical advancement. “
Nine years after HCAM, the Teodoro Maldonado Carbo Hospital purchased the da Vinci robot
Since April last year, HTMC has completed 131 surgeries using the da Vinci robot. General Surgery: Abdominal Hernia, Nissen Fundoplication
Colorectal: rectopexy, rectal prolapse, tumorous partial colectomy and low anterior resection.
Urology: Nephrectomy, tumors and hydronephrosis, radical prostatectomy, cancer and benign prostatic hyperplasia (BPH).
Gynecology: hysterectomy, ovarian tumors and teratomas.
The Carlos Andrade Marín Specialist Hospital of the IESS in Quito, the Eugenio Espejo of the Ministry of Public Health, the Metropolitan Hospital and the Society Against Cancer (Solca) Hospital also have this robotic device.
“We surgeons love it; we operate with the robot every day at the Teodoro Maldonado Carbo,” Encalada said. Functions performed by the metal arms include suturing, tissue dissection and cauterizing blood vessels.
The first da Vinci robotic surgery was performed on April 19. The beneficiary was a 50-year-old patient who had been suffering from jaundice and pain for a long time. The patient was eventually diagnosed with gallstones and underwent bile duct evaluation for cholecystectomy.
A team of board-certified expert surgeons participated in the operation under the auspices of Intuitive Surgical, California, USA, and Hospital Israel of São Paulo (Brazil).
The surgical procedure is completed in a very short time. If it is an open surgery, it will take two and a half hours. (I)
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