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Robotic Surgery

The most modern and innovating surgical technique today

Hospital Nove de Julho has a Robotics Center specialized in minimally invasive surgeries, performed through a Da Vinci robot, the most modern and innovating surgical technique of our time, present in few hospital centers in the Country.  
Since 2012, with the acquisition of the first Da Vinci robot (Nove de Julho currently has two robots) it performs robotic surgeries in the following areas: 

  • Gynecology - Hysterectomies, oophorectomy, severe endometriosis, and cervical and ovarian tumors; 
  • Urology - Radical prostatectomy for treatment of prostate cancer, Partial or total nephrectomy; 
  • Oncology - Rectosigmoidectomy, pancreatic and esophageal tumors and Colectomy; 
  • General Surgery - Abdominal hernias and cholecystectomy; 
  • Bariatric Surgery - Gastrectomy (Sleeve and Bypass); 
  • Head and Neck - Thyroidectomy. 

Advantages of Robotics  

For the patient, robotic surgeries - being minimally invasive - reduce blood loss, offer a lower risk of infection, which provides a faster recovery and the patient's return to normal activities in a shorter period of time.  
For physicians, the technology allows a more precise and safe operation for the surgeon, as it offers Full HD images in 3D, which are essential to give the dimension in depth, in addition to total safety in handling the instruments, since the equipment has safety devices in front of the console command. The tweezers used are much smaller than those used in video-laparoscopy and allow rotation movements of up to 360°, allowing the surgeon to reach structures that no other surgical modality offers. 

Robotic Smart Room 

Nove de Julho has the Robotic Smart Room, a pioneer in the country, which allows the physician to dislocate rapidly between two operating rooms, streamlining the execution of procedures in sequence. That is a large environment, subdivided in two operating rooms. Separating them is a polarized glass that can become opaque or transparent when activated by surgeons.  
While surgery is taking place in the first room, the glass becomes opaque to preserve the patient's privacy. When the surgery ends and the patient in the next room is already anesthetized, the glass becomes transparent, so the surgeon is able start the next surgery, without having to leave the console (station wherefrom the commands are sent to the robotic arms). 

Smart Room Differential  

The major differential is the reduction of time for surgical processes. The surgical team manages to optimize the time that would be invested in the transition between two surgeries in up to 1 hour and 30 minutes. As the doctor does not need to switch between consoles, the time spent by the team is allocated to cleaning, changing tweezers and preparing the next patient, which is usually very quick. In addition, there is an exclusive inpatient unit for patients at the Robotics Center. ​ 

Digital Age in Medicine 

Robotics is evidence of the future in Medicine. Open surgery does not have technology involved and video-laparoscopy has some limitations, such as the impossibility of bringing the image closer (zoom), in addition to the rigidity of the forceps.  
In robotics, the doctor has, through the console, the possibility of simulating the movement of the hands and wrist, with a 360-degree view. "The digital age has arrived in medicine. The robot is an evolution and a revolution in surgeon training. That is the greatest respect the patient can receive", says Dr. Rafael Coelho, surgeon specialist in robotics. 

Watch the video below: 

Robot numbers at the H9J 
75% of surgeries were performed in male patients, with the main procedures being removal of prostate cancer (prostatectomy) followed by removal of kidney cancer (nephrectomy); 
25% of robotic procedures were performed in different specialties and in both genders. The highlights are related to the increase in gynecology cases, such as endometriosis, hysterectomy and myomectomy. Then, general surgery procedures (gastroplasties, colon surgery, esophagus, pancreas and abdominal hernias) follow; 
The age group with the greatest adherence to this robotic technology is 41 to 60 years-old (54%), followed by 20 to 40 years-old (32%) and above 61 years-old (14%). 

Complete platform for robotics training 

Nove de Julho was the first hospital in Latin America to acquire the complete robotic surgery training platform, composed of Robotix Mentor and Lap Mentor Express, capable of training the surgeon and the assistant at the same time.  
One of the advantages of this new simulator is that it is portable and can be attached (like a suitcase) to the robot's console and its great advantage is that it actually simulates the surgical processes, such as suturing, cauterization, etc. Imported, the investment was US$ 150,000.  

To schedule consultations and exams, call 11 3147-9430. ​