Alexis Dominguez MD is a Miami OB/GYN who received training in Minimally Invasive Surgery and the da Vinci Robotic System. He attended medical school in Costa Rica and in the United States.
Using the da Vinci Surgical System, says Alexis Dominguez MD, he is able to operate on a patient by making several small incisions, instead of open surgery. The da Vinci System features instruments that can bend and rotate like the human wrist, although with much greater range and flexibility. There is a 3-D, high definition vision system incorporated into the system, so that the surgeon operating it has greatly enhanced vision and control.
Alexis Dominguez MD
Alexis Dominguez MD says this is all a huge step forward in the discipline. “With the advent of robotic surgery – and not just robotic, but minimally invasive surgery as a whole – I think in our specialty we are offering the patient a less invasive form of obtaining procedures that are commonly performed now – days with, if not better results, then equal results to what the standard of care is, with added benefits, such as less pain, less days in the hospital.”
He adds that some patients are skeptical of robotic surgery because it seems that the surgeon is not in total control of the procedure. But nothing, he explains, could be further from the truth. He says when he is using the da Vinci Robotic System he is in complete control of the surgery. The da Vinci system has been used successfully an estimated 1.5 million times in surgeries around the world, in a variety of different types of operations.
Alexis Dominguez MD is an Obstetrician and Gynecologist who practices medicine at the offices of Anthony Cardella, MD, in Miami, Florida. He is specially trained in Minimally Invasive Surgery and the Da Vinci Robotic System, which is designed to leave patients with minimal scarring and allow for faster recovery times.
He has performed numerous surgeries with the Da Vinci Robotic System, in particular hysterectomies, which he defines as the removal of the uterus. “The surgery is performed robotically,” says Alexis Dominguez MD. “We enter the abdomen with a trocar, which is essentially a sheath, which allows us to place the instruments, via the trocars. We use one trocar in the umbilical site, and then some accessory points about the area. It helps us triangulate a visual field, so that we’re able to see everything in 3-D. We have a better visualization of the procedure; of the actual anatomy around the area. A better visualization of the pelvis, and the structures that are within the pelvis.”
The recovery time for a hysterectomy performed robotically is usually about four to six weeks, says Alexis Dominguez MD. That is about the same, or sometimes a little faster, than hysterectomies that are not performed with minimally invasive surgery.
Minimally invasive surgery is becoming more common, as Alexis Dominguez MD knows, and he says this is a good thing. Not all types of surgeries, however, can be done with minimally invasive surgery techniques, such as the removal of cancerous tumors, which are usually best treated through conventional open surgery.