Summary Objective A credit card applicatoin was received to review the evidence on the ‘The Da Vinci Surgical System’ for the treatment of gynecologic malignancies (e. and management of these cancers. The demand for robotic surgery for the procedure and administration of prostate cancer has been increasing due to its alleged benefits of recovery of erectile function and urinary continence two important factors of men’s health. The potential technical benefits of robotic surgery leading to improved patient functional outcomes are surgical precision and vision. Clinical Need Uterine and cervical cancers represent 5.4% (4 400 of 81 700 and Rabbit polyclonal to Noggin 1.6% (1 300 of 81 700 respectively of incident cases of cancer among female cancers in Canada. Uterine cancer otherwise referred to as endometrial cancer is cancer of the lining of the uterus. The most common treatment option for endometrial cancer is removing the cancer through surgery. A surgical option is the removal of the uterus and cervix through a small incision in the abdomen using a laparoscope which is referred to as total laparoscopic hysterectomy. Risk factors that increase the risk of endometrial cancer include taking estrogen replacement therapy after menopause being obese early age at menarche late age at menopause being nulliparous having had high-dose radiation to the pelvis and use of tamoxifen. Cervical cancer occurs at the lower narrow end of the uterus. There are more treatment options for cervical cancer compared to endometrial cancer however total laparoscopic hysterectomy is also a treatment option. Risk factors that increase the risk for cervical cancer are multiple sexual partners early sexual activity infection with the human papillomavirus and cigarette smoking whereas barrier-type of contraception as UK-427857 a risk factor decreases the risk of cervical cancer. Prostate cancer is ranked first in men in Canada in terms of the number of new cases among all male cancers (25 500 of 89 300 or 28.6%). The impact on men who develop prostate cancer is substantial given the potential for erectile dysfunction and urinary incontinence. Prostate cancer arises within the prostate gland which resides in the male reproductive system and near the bladder. Radical retropubic prostatectomy is the gold standard treatment for localized prostate cancer. Prostate cancer affects men above 60 years of age. Other risk factors include a family history of prostate cancer being of African descent being obese consuming a diet high in fat physical inactivity and working with cadium. The Da Vinci Surgical System The Da Vinci Surgical System is usually a robotic device. There are four main components to the system: 1) the surgeon’s console where the surgeon sits and sights a magnified three-dimensional picture of the UK-427857 operative field; 2) patient side-cart which sits beside the patient and includes three device arms and a single endoscope arm; 3) detachable musical instruments (endowrist musical instruments and intuitive experts) which simulate great motor individual movements. The hands movements from the surgeon’s hands on the surgeon’s gaming console are translated into smaller sized ones with the UK-427857 robotic gadget and so are acted out with the attached musical instruments; 4) three-dimensional eyesight program: the camcorder device or endoscope arm. The primary advantages of usage of the robotic gadget are: 1) the accuracy from the device and improved dexterity because of the usage of “wristed” musical instruments; 2) three-dimensional imaging with improved capability to locate arteries nerves and tissue; 3) the surgeon’s gaming console which reduces exhaustion accompanied with regular laparoscopy medical procedures and permits tremor-free manipulation. The primary disadvantages useful from the robotic gadget will be the costs including device costs ($2.6 million in US dollars) cost per use ($200 per use) the expenses associated with schooling surgeons and operating room employees and having less tactile feedback using the trade-off being elevated visual feedback. Analysis Queries For cervical and endometrial malignancies 1 What’s the potency of the Da Vinci Surgical Program vs. laparoscopy and laparotomy for females going UK-427857 through any hysterectomy for the medical procedures and administration of their endometrial and cervical malignancies? 2 What exactly are the incremental costs from the Da Vinci Surgical Program vs. laparoscopy and laparotomy for females going through any hysterectomy for the medical procedures and administration of their endometrial and cervical malignancies? For prostate tumor 3 What’s the potency of.