Another first in Sioux Falls, the state, and region was performed at Avera McKennan hospital: a scarless total hysterectomy.
Gynecologic Oncologist Dr. Luis Rojas (and his team) with Avera Women's Center for Gynecologic Cancer just completed, not only the first ever in the region, but also one of the toughest single incision surgeries to do, a laparoscopic total abdominal hysterectomy. Everything is done through a single incision in the belly button and a special port.
Dr. Rojas says, "Once we go in we spread the muscles up and down and put the device inside there. Then we put the device inside capable of holding three ports; a camera and two others go inside that. We detach the blood supply to both ovaries, peel off or dissect the bladder from the uterus.
The patient in this surgery had a mass on her left ovary that was the size of a grapefruit. The size itself presents a challenge getting it out, but not knowing if its cancerous presents a real danger.
Dr. Rojas says, "In this particular case, the mass was probably bigger than the uterus so we had to detach the mass from the uterus, put it in a bag and deliver it through the vagina. The goal is to deliver the mass without rupturing it because if it has cancer and it ruptures it will spread throughout the body."
The post surgery pathology report came back negative for cancer. The patient spent only one night in the hospital and home to Nebraska the next day. Dr. Rojas (who is participating in a multiple clinic trial with the Cleveland Hospital on single incision gynecologic surgeries and outcomes) says they are finding patients are also doing better at home, using pain medications on average for only 2 days.
Dr. Rojas says, "I think this is only being born and is the future of surgery. I believe as we grow and get better technology and equipment to work with, we will be doing much more of this and the patient will be benefiting from this more."
Less pain, faster recovery and no scar. Big benefit performed by a talented surgeon.