da Vinci Surgery
 

da Vinci® Mitral Valve Repair

If you have been diagnosed with mitral valve disease, your doctor may recommend surgery. If you are facing mitral valve surgery, ask your doctor about minimally invasive da Vinci Surgery.

Mitral Valve Repair Comparison

Why da Vinci Surgery?

Instead of a large chest incision used in open heart surgery, da Vinci surgeons make a few small incisions between your ribs - similar to thoracoscopic (minimally invasive) surgery.

The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. These features enable your doctor to operate with enhanced vision, precision, dexterity and control.

As a result of da Vinci technology, da Vinci Mitral Valve Repair Surgery offers the following potential benefits compared to open surgery:

  • Less blood loss and need for transfusions1
  • Less time in intensive care2
  • Shorter hospital stay1,2,3,4,5
  • Lower rate of atrial fibrillation after surgery (rapid/irregular heartbeat)4
  • Lower rate of pleural effusions after surgery (excess fluid around the lung)4
  • Faster recovery and return to normal daily activities,2 including work6
  • Faster improvement of physical & mental health following surgery6
  • Small incisions for minimal scarring

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.

Risks & Considerations Related to Mitral Valve Repair Surgery:

Potential risks of mitral valve repair surgery include:

  • Heart attack or stroke
  • Heart rhythm problems
  • Infection in the kidneys, chest, valves or bladder
  • Fever and chest pain (together called post-pericardiotomy syndrome)
  • Memory loss and/or loss of mental clarity

In addition to the above risks, there are risks related to minimally invasive surgery, including da Vinci Mitral Valve Repair Surgery, such as damage to nearby organs or nerves.7,8

  1. Woo YJ, Nacke EA. Robotic minimally invasive mitral valve reconstruction yields less blood product transfusion and shorter length of stay. Surgery 2006;140 (2):263-67.
  2. Kam JK, Cooray SD, Kam JK, Smith JA, Almeida AA. A cost-analysis study of robotic versus conventional mitral valve repair. Heart Lung Circ. 2010 Jul;19(7):413-8. Epub 2010 Mar 30.
  3. Folliguet T, Vanhuyse F, Constantino X, Realli M, Laborde F. Mitral valve repair robotic versus sternotomy. Eur J Cardiothorac Surg. 2006 Mar;29(3):362-6. Epub 2006 Jan 19.
  4. Mihaljevic T, Jarrett CM, Gillinov AM, Williams SJ, DeVilliers PA, Stewart WJ, Svensson LG, Sabik JF 3rd, Blackstone EH. Robotic repair of posterior mitral valve prolapse versus conventional approaches: potential realized. J Thorac Cardiovasc Surg. 2011 Jan;141(1):72 80.e1-4. Epub 2010 Nov 19.
  5. Felger JE, Chitwood WR Jr, Nifong LW, Holbert D. Evolution of mitral valve surgery: toward a totally endoscopic approach. Ann Thorac Surg. 2001 Oct;72(4):1203-8; discussion 1208-9.
  6. Suri RM, Antiel RM, Burkhart HM, Huebner M, Li Z, Eton DT, Topilsky T, Sarano ME, Schaff HV. Quality of life after early mitral valve repair using conventional and robotic approaches. Ann Thorac Surg. 2012 Mar;93(3):761-9.
  7. National Institutes of Health. Mitral Valve Surgery. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/007411.htm
  8. National Institutes of Health. Mitral Valve Surgery, Open Surgery. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/007412.htm
PN 1002218 Rev B 06/2013

The clinical evaluation of the da Vinci Surgical Systems (Models (S1200, IS2000, IS3000) supporting its use for mitral valve repair was not performed totally endoscopically. Introduction and manipulation of the endoscopic instruments were controlled by the da Vinci Surgical Systems through port incisions (< 1 cm) while accessory technologies, e.g., atrial retractor and cardioplegia line, etc, were introduced through a mini-thoracotomy. Performance characteristics for conduct of totally endoscopic mitral valve repair using the da Vinci Systems have not been established.

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures.  Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions.  If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary.  Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.

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Mitral Valve Repair