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Minimally-Invasive Surgery (MIS) utilizes the latest technological
advancements to help reduce the negative impact of many of the most
commonly-performed urologic procedures. MIS includes laparoscopic, or
“keyhole” surgery, and robotic surgery.
By using long, thin telescopic instruments passed through small,
dime-sized incisions, minimally invasive surgeries can be performed in a
manner similar to how they would be performed through a traditional open
incision.
LAPAROSCOPIC ADRENALECTOMY
The adrenal glands are paired organs located just on top of each kidney
that secrete hormones. Tumors can arise in the adrenal glands that may require
surgical removal. This can be done in a minimally invasive fashion during
a laparoscopic adrenalectomy, which helps avoid a large incision, a long
hospital stay, long recovery time, and offers more cosmetically appealing
results. The procedure is performed using 3 to 4 dime-sized incisions in
the abdomen. The procedure usually takes about 3 to 4 hours and you should
expect to spend at least 1 night in the hospital. Preparing for the Procedure: Take only clear liquids on the day prior to the procedure. Acceptable
liquids include tea or coffee (no milk or cream), water, apple juice,
Gatorade or other sports drinks, popsicles, italian ice, or chicken
broth. Drink five ounces of citrate of magnesium at 4:00 pm the day before the
procedure. If this does not produce a bowel movement by 7:00 pm take an
additional 2 ounces of citrate of magnesium. This is available over the
counter in the laxative section of your pharmacy. Remember to drink plenty
of clear liquids to stay hydrated while preparing for your
procedure. Do not eat or drink anything after midnight the night before the
procedure. You should take your usual medications as you normally would
the morning of your procedure with a small sip of water only (avoid juice,
milk, coffee, etc.). Starting 5 to 10 days prior to your procedure (ask your doctor for a
specific time), it is important to stop taking medications that might
increase your risk of bleeding. For a list of blood-thinning
medications that should be avoided, click
here or ask you doctor. After the Procedure: There will be a dressing on the incision that can be removed on the
second day after the procedure. After that, it is OK to shower (let soap
and water run over the incision, then pat dry), but baths and soaking in a
tub should be avoided for 2 weeks after the procedure. The incision should
be kept clean and dry to allow it to heal, so it is important to shower
once a day. The incision generally heals in five to seven days, but avoid
any strenuous activity and exercise or heavy lifting for 4 to 6 weeks
after the procedure. Your doctor will remove the surgical staples in your
incision at your first office visit following your discharge from the
hospital. This is not painful and only takes a few minutes. It is usually OK to resume your blood-thinning
medication the day after your procedure, but check with your doctor to
be sure. Take all the medications prescribed by your doctor (including any
antibiotics and pain medications), and schedule an appointment to follow
up with him within the first 2 weeks after the procedure (ask your doctor
if you are unsure when to follow up). Make arrangements for someone to drive you home on the day of your discharge from the hospital. LAPAROSCOPIC NEPHRECTOMY About the Procedure: The kidneys are paired organs behind the abdomen that filter blood and
create urine. Laparoscopic nephrectomy is the minimally invasive removal
of a kidney, usually as a result of a tumor or because the kidney no longer functions. This
helps avoid a large incision, a long hospital stay, long recovery time,
and offers more cosmetically appealing results. The procedure is done
through 3 to 4 dime-sized incisions in the abdomen, and a separate 6 to 7
centimeter incision is made to remove the kidney itself. The procedure
usually takes about 3 to 4 hours and you should expect to spend at least 1
night in the hospital. Preparing for the Procedure: Take only clear liquids on the day prior to the procedure. Acceptable
liquids include tea or coffee (no milk or cream), water, apple juice,
Gatorade or other sports drinks, popsicles, italian ice, or chicken
broth. Drink five ounces of citrate of magnesium at 4:00 pm the day before the
procedure. If this does not produce a bowel movement by 7:00 pm take an
additional 2 ounces of citrate of magnesium. This is available over the
counter in the laxative section of your pharmacy. Remember to drink plenty
of clear liquids to stay hydrated while preparing for your
procedure. Do not eat or drink anything after midnight the night before the
procedure. You should take your usual medications as you normally would
the morning of your procedure with a small sip of water only (avoid juice,
milk, coffee, etc.). Starting 5 to 10 days prior to your procedure (ask your doctor for a
specific time), it is important to stop taking medications that might
increase your risk of bleeding. For a list of blood-thinning
medications that should be avoided, click
here or ask you doctor. After the Procedure: There will be a dressing on the incision that can be removed on the
second day after the procedure. After that, it is OK to shower (let soap
and water run over the incision, then pat dry), but baths and soaking in a
tub should be avoided for 2 weeks after the procedure. The incision should
be kept clean and dry to allow it to heal, so it is important to shower
once a day. The incision generally heals in five to seven days, but avoid
any strenuous activity and exercise or heavy lifting for 4 to 6 weeks
after the procedure. Your doctor will remove the surgical staples in your
incision at your first office visit following your discharge from the
hospital. This is not painful and only takes a few minutes. It is usually OK to resume your blood-thinning
medication the day after your procedure, but check with your doctor to
be sure. Take all the medications prescribed by your doctor (including any
antibiotics and pain medications), and schedule an appointment to follow
up with him within the first 2 weeks after the procedure (ask your doctor
if you are unsure when to follow up). Make arrangements for someone to drive you home on the day of your discharge from the hospital.
LAPAROSCOPIC NEPHROURETERECTOMY About the Procedure: Occasionally, tumors in the kidney may involve the drainage, or
collecting system of the kidneys, requiring the removal of the ureter as
well as the kidney. This can be done in a minimally invasive fashion
during a laparoscopic nephroureterectomy, which helps avoid a large
incision, a long hospital stay, long recovery time, and offers more
cosmetically appealing results. The kidney and its ureter (drainage tube)
are removed using 4 to 5 dime-sized incisions, and an additional 6 to 7
centimeter incision to remove the kidney and ureter intact. The procedure
usually takes about 3 to 4 hours and you should expect to spend at least 1
night in the hospital.
Preparing for the Procedure: Take only clear liquids on the day prior to the procedure. Acceptable
liquids include tea or coffee (no milk or cream), water, apple juice,
Gatorade or other sports drinks, popsicles, italian ice, or chicken
broth. Drink five ounces of citrate of magnesium at 4:00 pm the day before the
procedure. If this does not produce a bowel movement by 7:00 pm take an
additional 2 ounces of citrate of magnesium. This is available over the
counter in the laxative section of your pharmacy. Remember to drink plenty
of clear liquids to stay hydrated while preparing for your
procedure. Do not eat or drink anything after midnight the night before the
procedure. You should take your usual medications as you normally would
the morning of your procedure with a small sip of water only (avoid juice,
milk, coffee, etc.). Starting 5 to 10 days prior to your procedure (ask your doctor for a
specific time), it is important to stop taking medications that might
increase your risk of bleeding. For a list of blood-thinning
medications that should be avoided, click
here or ask you doctor. After the Procedure: There will be a dressing on the incision that can be removed on the
second day after the procedure. After that, it is OK to shower (let soap
and water run over the incision, then pat dry), but baths and soaking in a
tub should be avoided for 2 weeks after the procedure. The incision should
be kept clean and dry to allow it to heal, so it is important to shower
once a day. The incision generally heals in five to seven days, but avoid
any strenuous activity and exercise or heavy lifting for 4 to 6 weeks
after the procedure. Your doctor will remove the surgical staples in your
incision at your first office visit following your discharge from the
hospital. This is not painful and only takes a few minutes. It is usually OK to resume your blood-thinning
medication the day after your procedure, but check with your doctor to
be sure. Take all the medications prescribed by your doctor (including any
antibiotics and pain medications), and schedule an appointment to follow
up with him within the first 2 weeks after the procedure (ask your doctor
if you are unsure when to follow up). Make arrangements for someone to drive you home on the day of your
discharge from the hospital. LAPAROSCOPIC PARTIAL NEPHRECTOMY
About the Procedure:
Preparing for the Procedure: Take only clear liquids on the day prior to the procedure. Acceptable
liquids include tea or coffee (no milk or cream), water, apple juice,
Gatorade or other sports drinks, popsicles, italian ice, or chicken
broth. Drink five ounces of citrate of magnesium at 4:00 pm the day before the
procedure. If this does not produce a bowel movement by 7:00 pm take an
additional 2 ounces of citrate of magnesium. This is available over the
counter in the laxative section of your pharmacy. Remember to drink plenty
of clear liquids to stay hydrated while preparing for your
procedure. Do not eat or drink anything after midnight the night before the
procedure. You should take your usual medications as you normally would
the morning of your procedure with a small sip of water only (avoid juice,
milk, coffee, etc.). Starting 5 to 10 days prior to your procedure (ask your doctor for a
specific time), it is important to stop taking medications that might
increase your risk of bleeding. For a list of blood-thinning
medications that should be avoided, click
here or ask you doctor. After the Procedure: There will be a dressing on the incision that can be removed on the
second day after the procedure. After that, it is OK to shower (let soap
and water run over the incision, then pat dry), but baths and soaking in a
tub should be avoided for 2 weeks after the procedure. The incision should
be kept clean and dry to allow it to heal, so it is important to shower
once a day. The incision generally heals in five to seven days, but avoid
any strenuous activity and exercise or heavy lifting for 4 to 6 weeks
after the procedure. Your doctor will remove the surgical staples in your
incision at your first office visit following your discharge from the
hospital. This is not painful and only takes a few minutes. It is usually OK to resume your blood-thinning
medication the day after your procedure, but check with your doctor to
be sure. Take all the medications prescribed by your doctor (including any
antibiotics and pain medications), and schedule an appointment to follow
up with him within the first 2 weeks after the procedure (ask your doctor
if you are unsure when to follow up). Make arrangements for someone to drive you home on the day of your
discharge from the hospital. LAPAROSCOPIC RENAL CRYOBLATION About the Procedure: Occasionally, kidney cancer can be treated without having to remove
the entire kidney. While some tumors can be removed during a laparoscopic
partial nephrectomy, some are not safe to remove in this manner.
However, by applying a probe to the tumor during laparoscopy, it can be
frozen, destroying the cancer in the process. After exposing the kidney
tumor using 3 to 4 dime-sized incisions, a probe is inserted into the
tumor, freezing it and the cancer. The rest of the kidney is unaffected
and undamaged. The procedure usually takes about 3 to 4 hours and you
should expect to spend at least 1 night in the hospital.
Preparing for the Procedure: Take only clear liquids on the day prior to the procedure. Acceptable
liquids include tea or coffee (no milk or cream), water, apple juice,
Gatorade or other sports drinks, popsicles, italian ice, or chicken
broth. Drink five ounces of citrate of magnesium at 4:00 pm the day before the
procedure. If this does not produce a bowel movement by 7:00 pm take an
additional 2 ounces of citrate of magnesium. This is available over the
counter in the laxative section of your pharmacy. Remember to drink plenty
of clear liquids to stay hydrated while preparing for your
procedure. Do not eat or drink anything after midnight the night before the
procedure. You should take your usual medications as you normally would
the morning of your procedure with a small sip of water only (avoid juice,
milk, coffee, etc.). Starting 5 to 10 days prior to your procedure (ask your doctor for a
specific time), it is important to stop taking medications that might
increase your risk of bleeding. For a list of blood-thinning
medications that should be avoided, click
here or ask you doctor. After the Procedure: There will be a dressing on the incision that can be removed on the
second day after the procedure. After that, it is OK to shower (let soap
and water run over the incision, then pat dry), but baths and soaking in a
tub should be avoided for 2 weeks after the procedure. The incision should
be kept clean and dry to allow it to heal, so it is important to shower
once a day. The incision generally heals in five to seven days, but avoid
any strenuous activity and exercise or heavy lifting for 4 to 6 weeks
after the procedure. Your doctor will remove the surgical staples in your
incision at your first office visit following your discharge from the
hospital. This is not painful and only takes a few minutes. It is usually OK to resume your blood-thinning
medicationn the day after
your procedure, but check with your doctor to be sure. Take all the
medications prescribed by your doctor (including any antibiotics and pain
medications), and schedule an appointment to follow up with him within the
first 2 weeks after the procedure (ask your doctor if you are unsure when
to follow up). Make arrangements for someone to drive you home on the day of your
discharge from the hospital. LAPAROSCOPIC URETEROPELVIC JUNCTION (UPJ) OBSTRUCTION
REPAIR About the Procedure: If the junction between the kidney and its drainage tube, the ureter,
has a narrowing causing the flow of urine to be obstructed,
this can sometimes be repaired in a minimally invasive fashion. Done
laparoscopically, UPJ obstruction repair helps avoid a large incision, a
long hospital stay, long recovery time, and offers more cosmetically
appealing results. This is accomplished through 3 to 5 dime-sized
incisions in the abdomen. The procedure usually takes about 3 to 4 hours
and you should expect to spend at least 1 night in the hospital. After the
procedure, your doctor may leave a stent, or plastic drainage tube, in
your body to help the repair heal. This will need to be removed by your
doctor at a later date, so you must remember to follow up when you are
scheduled to do so.
Preparing for the Procedure: Take only clear liquids on the day prior to the procedure. Acceptable
liquids include tea or coffee (no milk or cream), water, apple juice,
Gatorade or other sports drinks, popsicles, italian ice, or chicken
broth. Drink five ounces of citrate of magnesium at 4:00 pm the day before the
procedure. If this does not produce a bowel movement by 7:00 pm take an
additional 2 ounces of citrate of magnesium. This is available over the
counter in the laxative section of your pharmacy. Remember to drink plenty
of clear liquids to stay hydrated while preparing for your
procedure. Do not eat or drink anything after midnight the night before the
procedure. You should take your usual medications as you normally would
the morning of your procedure with a small sip of water only (avoid juice,
milk, coffee, etc.). Starting 5 to 10 days prior to your procedure (ask your doctor for a
specific time), it is important to stop taking medications that might
increase your risk of bleeding. For a list of blood-thinning
medications that should be avoided, click
here or ask you doctor. After the Procedure: There will be a dressing on the incision that can be removed on the
second day after the procedure. After that, it is OK to shower (let soap
and water run over the incision, then pat dry), but baths and soaking in a
tub should be avoided for 2 weeks after the procedure. The incision should
be kept clean and dry to allow it to heal, so it is important to shower
once a day. The incision generally heals in five to seven days, but avoid
any strenuous activity and exercise or heavy lifting for 4 to 6 weeks
after the procedure. Your doctor will remove the surgical staples in your
incision at your first office visit following your discharge from the
hospital. This is not painful and only takes a few minutes. It is usually OK to resume your blood-thinning
medication the day after your procedure, but check with your doctor to
be sure. Take all the medications prescribed by your doctor (including any
antibiotics and pain medications), and schedule an appointment to follow
up with him within the first 2 weeks after the procedure (ask your doctor
if you are unsure when to follow up). Make arrangements for someone to drive you home on the day of your
discharge from the hospital. LAPAROSCOPIC RETROPERITONEAL OR PELVIC LYMPH NODE
REMOVAL About the Procedure: In some men with testicular or prostate cancer, the lymph nodes in the abdomen or
pelvis may need to be removed. This can be done in a minimally invasive
fashion during a laparoscopic retroperitoneal lymph node dissection, which
helps avoid a large incision, a long hospital stay, long recovery time,
and offers more cosmetically appealing results. This is usually done
through 4 to 5 dime-sized incisions on the abdomen. The procedure usually
takes about 3 to 4 hours and you should expect to spend at least 1 night
in the hospital. Preparing for the Procedure: Take only clear liquids on the day prior to the procedure. Acceptable
liquids include tea or coffee (no milk or cream), water, apple juice,
Gatorade or other sports drinks, popsicles, italian ice, or chicken
broth. Drink five ounces of citrate of magnesium at 4:00 pm the day before the
procedure. If this does not produce a bowel movement by 7:00 pm take an
additional 2 ounces of citrate of magnesium. This is available over the
counter in the laxative section of your pharmacy. Remember to drink plenty
of clear liquids to stay hydrated while preparing for your
procedure. Do not eat or drink anything after midnight the night before the
procedure. You should take your usual medications as you normally would
the morning of your procedure with a small sip of water only (avoid juice,
milk, coffee, etc.). Starting 5 to 10 days prior to your procedure (ask your doctor for a
specific time), it is important to stop taking medications that might
increase your risk of bleeding. For a list of blood-thinning
medications that should be avoided, click
here or ask you doctor. After the Procedure: There will be a dressing on the incision that can be removed on the
second day after the procedure. After that, it is OK to shower (let soap
and water run over the incision, then pat dry), but baths and soaking in a
tub should be avoided for 2 weeks after the procedure. The incision should
be kept clean and dry to allow it to heal, so it is important to shower
once a day. The incision generally heals in five to seven days, but avoid
any strenuous activity and exercise or heavy lifting for 4 to 6 weeks
after the procedure. Your doctor will remove the surgical staples in your
incision at your first office visit following your discharge from the
hospital. This is not painful and only takes a few minutes. It is usually OK to resume your blood-thinning
medication the day after your procedure, but check with your doctor to
be sure. Take all the medications prescribed by your doctor (including any
antibiotics and pain medications), and schedule an appointment to follow
up with him within the first 2 weeks after the procedure (ask your doctor
if you are unsure when to follow up). Make arrangements for someone to drive you home on the day of your
discharge from the hospital. |
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MINIMALLY-INVASIVE SURGERY
