Another Trinity Heath System First: Dr. Macedonia Performs Robotic-Assisted Surgery for Endometriosis Using Firefly Fluorescence Imaging

April 6, 2015 8:36 a.m.

On Tuesday, March 31, 2015, Patrick Macedonia, M.D., gynecologist at Trinity Health System performed a minimally-invasive, robotic-assisted surgery for endometriosis.  The surgery outcome was very successful and Dr. Macedonia was able to completely treat the endometriosis because of the capability provided through Firefly Fluorescence Imaging. Endometriosis is a disease in which the tissue lining that normally grows inside of the uterus grows outside of the uterus, often causing severe pain.
Firefly is a technology developed by Intuitive that enables gynecologists to more clearly identify endometriosis.  Firefly works with the da Vinci Surgical System to increase the surgeon’s range of vision during surgery through the use of a camera and a safe dye that’s administered, making areas and structures with blood flow appear fluorescent green.  This enables the surgeon to more precisely identify major arteries, vessels, ducts and soft tissue, therefore improving patient safety and outcomes.
Traditionally, with the laparoscope, the surgeon is able to see only the surface, but with Firefly he is able to see beyond the surface to identify internal structures.  With the visibility that Firefly provides, it increases the possibility of completely treating endometriosis.
“The patient’s diagnosis and treatment was for pelvic pain and endometriosis. She had a growth that appeared to be benign, but after Firefly was injected, I was able to identify the structure as endometriosis and completely remove all lesions,” said Dr. Macedonia.
This newly available technology provides surgeons with real-time imaging allowing them greater ability to view internal anatomical structures during surgery.  The advanced imaging capability aids in visualization of any surgery performed with the da Vinci Surgical System, produces even better patient outcomes, and increases overall success rates.
“Trinity Health System is among the first hospital in the region to utilize Firefly Fluorescence Imaging for robotic-assisted surgery. The ability to view such precise anatomical images through the Firefly camera is just another tool that helps Trinity’s surgeons to achieve the best possible patient outcomes”, says Fred Brower, President & CEO.
About the da Vinci Surgical System:

The da Vinci Surgical System is a state-of-the-art robotic platform that enables surgeons to perform complex surgeries through a minimally invasive approach.  It uses a robotic platform that consists of a computerized screen that allows the surgeon to view the surgical site as a highly magnified 3-D image, and a control panel to operate miniature robotic “wrists” to perform surgery that would normally be beyond human capabilities alone.  Incisions with robotic-assisted surgery can be as small as the diameter of a quarter and are virtually scarless.
Trinity Health System is leading the way by continuing to provide the most advance surgical technology in the region.

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