da Vinci robot heart surgery???

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denobobeno

:confused: Hi, I'm new..my first question was in reference to numbness in extremeties. I went to my Cardiologist and he said I'm ready for surgery. (although he didn't think the numbness was due to my heart??). He is recommending the da Vinci method. The surgery is performed by a 'Robot' via the surgeon sitting at what looks like a video game and manipulating the Robot's 'hands'. The benefits are no open heart surgery, therefore, no huge scar, plus less bleeding, less time for recovery and more. I'm having a difficult time finding anything negative about the procedure. Has anyone heard of this and, if so, what are your thoughts?? I'm also looking for a Surgeon in Texas. Preferably in the Dallas area, for ease of my family. Thanks for your help.
If anyone had told me I was even thinking of having a robot do my heart surgery I would have said they were crazy!!!:eek:
 
sorry

sorry

PJmomrunner said:
Paul117 had a mitral valve repair via the Da Vinci robot. Six months later he had a re-op I'm afraid--not that this has any bearing whatsoever on what you will experience. There may be others, but he's the only one that comes to mind. Following is his initial post about the procedure:

http://valvereplacement.com/forums/showthread.php?t=14212&highlight=vinci
im sorry i dont have any answers 2 ur questions. ive stuck 2 the old fashion method nice beautiful slither down my chest way. wish u the best
 
I had robotic mitral valve repair

I had robotic mitral valve repair

last summer July 27, 2005. The procedure was entirely successful. I feel great! I highly recommend this surgery!!! I had severe mitral valve regurgitation and now I have a trivial leak seen only on the ECHO but unable to be heard on by stethoscope. I have lots of energy. I didn't know I had symptoms prior to surgery but since I have had it realize I did. I have posted about my surgery before and you can also private message me. I will be happy to answer any questions you may have. I was 55 at the time of surgery. The incisions are small, but they were painful for a while. They don't bother me at all now. In fact after reading posts here very few things bothered me. I did have the aura's of migranes without pain. I had some numbness which has disappeared. I did not have any pumpheadedness. I was back at work by 6 weeks and driving at the 3rd week although I was sore at that time. Immediately after surgery my heart was so quiet, no racing heart beats nothing - it was amazing!! I only take lipitor and lisinopril small dosages of both. The cardiologist said they like to keep blood pressure down so that the valve lasts longer. They expect it to last a lifetime, though there are no complete guarantees. I had my surgery in Atlanta and cannot give you information on Texas Dr's who perform it there. My Dr. was highly skilled and the hospital I went to, St. Joseph's does this surgery freguently. They now have 3 Da Vinci machines.
 
Wow! thanks for the info.. I'm so glad to hear from someone who has had this done. I really think it is the way that valve surgeries will be done. However, I'm concerned about the 'unknowns' that go along with groundbreaking techinques. Do you know of any complications that are unique to this surgery? I just want to really check it thoroughly before making a decision. Thanks, Deana
 
Deana:

Your info doesn't say where in Texas. I think Baylor University Medical Center near downtown Dallas does robotic surgery (there's a display at the Hamilton Heart Hospital that's part of BUMC). I'm sure it's down elsewhere in Dallas. Also, no doubt it's done at St. Luke's in Houston -- that's where the Texas Heart Institute is (Dr. Denton Cooley's "baby").
 
The only thing I have ever heard

The only thing I have ever heard

was what happen to Paul117 and I believe his annoplasty ring slipped out of place, but I am not positive of what happened. I think that he could have chosen robotics again, but did not.

I personally know of another woman who had this surgery, she is a school principal in her 40's had the same surgery I did at the same hospital, but different surgeon. She is doing great too! She was at work in 4 weeks and to my knowledge doesn't have any leaking in the valve. My leak I have been assured is minor. Prior to surgery I had severe regurgitation. My surgeron told me not to worry to be active I could not undo anything he had done. I had the leaflets & cords shortened and some added. I have a 34mm annuloplasty ring. If you're not squeamish, there are several websites where you can view the surgery being done. I find it fascinating!!

I know that there are some people who are not candidates for robotic surgery, but if you are and the surgeon is skilled, I think it is a great procedure. Having had it, I would definitely try the new rather than go by the old standby's just to play it safe! This is safe and my surgeon told me 96% successful!!! I was in the hospital 3 days, I was to be on coumadin for 3 months, but couldn't get it regulated so they put me on one full aspirin instead. I now take one baby aspirin daily. I was very lucky to have had no complications at all - I am currently training for a cancer walk and working up to the 20 miles a day required. I walked 9 miles on Saturday and felt fabulous!! Of course prior to surgery I didn't know I had symptoms!! Do you have any symptoms now?

Oh one other thing, first time you get up to walk it feels like 10,000 needles going down your leg. My friend experienced this also. It is from the heart-lung connection in the groin. It happens everytime you start to walk those first days and went away within a week. My scars are looking great too. I have one one inch scar, one about 2 and a half inches very close together under the arm. The larger is where the camera goes and then there are 3 strategically placed "stab wounds" used for the instrumentation of the robotic arms and drainage.

Good luck to you and please poston about what you decide. Cindy
 
Feeling Better

Feeling Better

Thanks for all the info!! I feel much better about the da Vinci than I did. I know I still have to check it out for myself, but, I am glad to know that you had so much success. I'm glad you told me about the details of your different aches and pains. I think that helps to know in case it happens to me..then I won't panic and think something is wrong.
My symptoms are chest pain on excertion, laying down, and other times. I also have nightsweats (which could be hormones??), I have experienced some numbness in my extremeties but, my Doc doesn't think it's due to the valve? I have feelings of shorness of breath at times. I really still feel pretty good. I keep up with a small business and still excercise regularly at a low impact. I have always excercised, and even ran a marathon about 11 years ago before I knew I had a valve problem.
How long before you could excercise after the da Vinci? Did you feel yourself after a month? I'm moving my son (actually my husband will do the work) into TCU this Fall and my daughter will cheering this year in H.S. and so I'm trying to figure out how much down time to give myself. You said your friend went back to work after 4 weeks.. how did you feel after 4 weeks. I'm in good health otherwise..hopefully I'll recover quickly.. I'm not the best at doing things that require too much sitting. I make these crosses so I guess I'll still feel like doing that. I sit down while I'm doing that. Could you sit up for a very long time? Did you stay in bed alot at first? MILLIONS OF QUESTIONS! I'm sorry.. but any thing I know helps me to relax I think. Thanks so much! xxooDeana
 
Thanks to all who sent replies to the original post. I, too, will likely have the da Vinci procedure later this summer, so the info in the replies was useful to me, also. I will probably have Dr Gammie at Univ of Maryland. Some other posts on this forum said he is quite good (hope they're right!!)
Also, to the person who originally posted, if you are looking for the least invasive procedure, if you need mitral valve repair, you might want to look into the Everest Study. They are doing this at several leading medical centers across the US. If you qualify, they fix your mitral valve through a catheter! No incision in your chest at all. I went to Univ of Penn for tests to see if they could do this procedure in my case, but unfortunately they can't. Not everyone qualifies.
 
I fully expected to go back to work at 4 weeks and

I fully expected to go back to work at 4 weeks and

as it was so near labor day, waited. I worked a few half days and went back to fulltime quickly. I have to say I was very tired at first. I attribute some to healing, but I was placed on toprol-xl after surgery and then switched to lisinopril for the BP. I have felt much better ever since. My exercising has steadily increased over the recent months. You maybe in better physical condition than I and may not incur any problems with your energy levels once you initially heal. I read about the Everest Study after my surgery and thought wow, just think what the future is going to bring! If you qualify you may want to try this!

I think that after 4 weeks you'll be good to go, especially to cart around cheerleaders and sit at competitions etc. As for moving your son, I wouldn't lift anything, let the guys do it! You have an excuse - mine was "after all, I did just have heart surgery!" There were restrictions on lifting and the incisions will be sore for several weeks. Arms were sore too, I think from the position one is placed in for the surgery. Arm soreness didnt' last too long. Sleeping on the right side is difficult at first too. I could sit up just fine, laying on either side was uncomfortable at first and trying to get to sleep. The pain meds gave me weird dreams. I love to read but the auras from the painless migranes prevented that. I don't recall exactly what I did, rested a lot - probably got up in the morning, had breakfast, talked to family or friends; walked very little as it was so hot in Atlanta at that time, took a nap had lunch etc., napped - friends visited, brought meals!! Very nice, but the 4th & 5th week I was going to lunch out, writing thankyou notes, being on computer etc...that part was like a vacation! However, I did tire more easily.

I now know I had some shortness of breath, didn't know really till after surgery. I also had irregular heartbeats etc - which totally disappeared. Rarely did I have chest pain. When symptoms develop slowly over the years it's hard to tell what symptoms are. I did not have any numbness until after surgery---I had a numb spot near the heel of my right foot. Never knew why and it went away. Dr. had never had a patient with this, of course! My heart was not enlarged, only the volume of blood in my left atrium had increased from the last ECHO and the amount of valve leakage had increased. This evidently cued the cardiologist to send me to the surgeon. I was so frightened at the time of surgery, and I know much of that was the not knowing the outcome and whether valve would be repaired or replaced. However, all turned out well. I hope it will for you too! Cindy
 
PJmomrunner said:
Paul117 had a mitral valve repair via the Da Vinci robot. Six months later he had a re-op I'm afraid--not that this has any bearing whatsoever on what you will experience. There may be others, but he's the only one that comes to mind. Following is his initial post about the procedure:

http://valvereplacement.com/forums/showthread.php?t=14212&highlight=vinci
Thanks PJmomrunner for the info. I looked it up and it was very helpful!! When do you get to run again? From a fellow runner!
Thanks to all xxooDeana:)
 
Thanks for the help!!

Thanks for the help!!

I feel so 'high maintenance'!! But I want to thank all of you for all the responses. Each one has helped in some way. It also helps so much to know your not the 'Lone Ranger' in this! I'm checking out different options..I am not sure I'll be a candidate for the da Vinci, I'm hoping for the minimally invasive at least. However, I really JUST want the safest, best one. Don't we ALL!!
I'm really looking for a Surgeon in the DFW area that has mucho experience in valve replacements. If anyone knows of one-- holler back!!
xxooDeana
 
I don't think you can do better than Dr. William Ryan in the DFW area. He operates at Presbyterian. My research and experience (he did my aorta and root) showed he was the best in the area at valves. In addition to being an excellent surgeon at the peak of his career, Dr. Ryan personable and great to deal with as your doctor. He is well known for the Ross procedure (a difficult operation), so you nkow he is very good. I don't know whether he does the da Vinci.
 
Thanks I am going to definitely check him out!!!! Sounds like he knows what he's doing!! Thanks, Deana
 
I think my docs would like to do the Da Vinci on me as I recall several talks concerning my pending valve re-do. About 7 years ago when the initial topic was brought up, several of the docs in their pow wow regarding me wanted to wait until the technology was at it's best so that they wouldn't have to open up the sternum and could go in between a rib with tools. I had no idea what he was talking about. ( shock) One doc wanted to do it pronto, but the guy who deals with my pacer, and who knows my case to the detail ( he has about 8 HUGE-busting-at-the-seams files on me! :eek: ) He is the same guy who was the lead doc on all my pacer changes and caths. He keeps holding out as long as he can, and he just measured my valve pressures during an eblation in Nov. and said they were fine, thus we have set no date as of yet.

One complication with me is that I have stenosis on my vocal chords as a result of many intubations so that complicates any surgical proceedure that lasts a long time. I have been to the top throat specialist in Boston who wanted to do a total reconstruction on my throat, but could not say if I'd have a voice or wouldn't have to have a tube in my throat ( name escapes me). I declined. His partner said several years back that if this was to happen in anyway, mine happened in the best way; I still have a voice, and the scar tissue won't change. They would have to have a throat specialist along side in the OR and keep a close eye on any swelling of my throat during proceedure. They would also have to keep me on a lot of steroids to prevent swelling. Scarry. I think the shorter OR time is a big plus in thier book for having less invasive surgery and shorter recovery time.

I will have to ask him if this was what they were talking about when I see him this month. I hope so and I hope I'm a good candidate for it! :D

Oh, I love that it was named after Da Vinci! I study, and teach Italian Renaissance art and his mechanical designs are sublime. He loved making robotic devices, so he would have loved the concept of the Da Vinci robot to do surgery. Actually we can probably credit Da Vinci in some manner for it. :D How appropriate! :D
 
:eek: Wow Lady Blue it sounds like you have been through the ringer!! Your positive attitude is an inspiration. :) You could be 'woe is me' but you seem to have a wonderful spirit that shines through in your messages. Good luck to you! I hope you can have the 'da Vinci' too. If you want to look it up here's the address:

www.intuitivesurgical.com

sorry, I don't know how to make it so that you can click and go??
xxooDeana:D :D
 
denobobeno said:
:eek: Wow Lady Blue it sounds like you have been through the ringer!! Your positive attitude is an inspiration. :) You could be 'woe is me' but you seem to have a wonderful spirit that shines through in your messages. Good luck to you! I hope you can have the 'da Vinci' too. If you want to look it up here's the address:

www.intuitivesurgical.com

sorry, I don't know how to make it so that you can click and go??
xxooDeana:D :D


denobobeno,

Thanks...:eek: hehe It's no use to have a woe -is -me attitude. I've been dealing with heart issues since birth, and each step of the way I have adapted pretty well. From age 6 -29 my life was very normal. I rode horses, jogged 2 miles a day, travelled alot ( lots of walking), so I didn't have to really think about my heart at all. At 29, when they found the heartblock and put in the pacer, I was fine for years, even with the changes. My life was very normal. In the last 5 years is when I heard about the valve re-do stuff, and recently after under going an eblation for a long term ( long term..3-4 months undetected by me) that heart issues have been more to the forefront of my head. I feel very naive about all the terminology and coumiden stuff and started to learn so much on this forum. Even tho my valve replacement isnt even set up on the calender yet, I am learning so much about my options and what's out there for me. I do believe, that thinking back on conversations with docs, they are thing Da Vinci for me. I hope I'm a good candidate for it tho!:D

I think if you are a good candidate for Da Vinci, I say great! It's good that we can come here and learn about these things huh?

Thanks for the links. The Jane Robodot video is amazing! That inspires me and gives me great hope! :) Good luck with your heart surgery! Keep me posted! I want to hear everything !!

LB
 
Thanks for the help and support everyone. I am seeing the Surgeon on Monday that does the da Vinci in my area. I'll keep you posted. I'm hoping that I can put off surgery until August..we'll see what he says.
Thanks, Deana
 
I had my surgery done almost a year ago in Dallas. My surgeon, Dr. Rick Hebeler, was amazing. He is not only a great surgeon, but he had a great bedside manner. He made me feel very comfortable that everything was going to be ok. I would have no problem recommending him. You can check him out at www.drhebeler.com. I hope this helps, and please let me know if you have any questions.
 
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