Archive for October, 2013

Study Finds Vitamin D Deficiency Risk Factor For POP, SUI

Monday, October 21st, 2013

By helping in bone development, strengthening of the immune system, aiding in weight loss, decreasing the risk of respiratory and cardiovascular diseases, cancer, osteoporosis, and diabetes, vitamin D has always been recognized by medical experts as a vital component in health maintenance. Vitamin D may also play a significant role in decreasing the risk of developing pelvic disorders such as pelvic organ prolapse (POP) and stress urinary incontinence (SUI) as reported by a recent study.

Women suffering from pelvic disorders were found to have low levels of vitamin D, according to a study conducted by researchers from SUNY Upstate Medical University in Syracuse, New York which was released in the medical journal Obstetrics and Gynecology. This connection was made after evaluating data from the 2005-2006 National Health and Nutrition Examination Survey involving 1,881 non-pregnant women over the age of 20 years.

Eighty-two percent of the participants were found to have vitamin D levels that were deemed deficient which in this case would be lower than 30 nanograms per milliliter. Of this number, 23 percent were reportedly suffering from one or more pelvic floor disorders and these women had significantly lower levels of vitamin D compared to the others in the group.

Those with higher levels of vitamin D had lower risks of pelvic floor disorders, according to researchers of the study. It was determined that the risk in older women, who were supposed to be strong candidates for these pelvic floor disorders, was 45 percent lower if vitamin D levels were within normal range.

Produced in the body as a result of exposure to sunlight or found in certain products or supplements, vitamin D is actually a group of fat-soluble prohormones that encourages the absorption and metabolism of calcium and phosphorous. Vitamin D is therefore very important in strengthening the bones and muscles including the pelvic floor muscles which may lead to incontinence and other pelvic floor disorders if these muscles become weak due to deficiency of this vitamin.  

The results of the study may suggest that addressing the deficiency of vitamin D may be beneficial to women who are at risk of developing pelvic floor disorders. Researchers, however, believe that further studies may be needed to validate these findings and to evaluate the role of vitamin D in the development of pelvic floor disorders. This becomes very critical in light of the rapid increase of these disorders which have already affected millions of people.

If indeed vitamin D may reduce the risks of getting POP or SUI, then this should be very welcome to the thousands of women who may develop these conditions. This may mean being spared the need for surgical procedures such as the vaginal mesh surgery which has been in the limelight recently for the injuries it has caused to thousands of patients. Numerous vaginal mesh lawsuits have been filed across the country as a result of the injuries suffered by women. For more information on this issue, you may refer to vaginalmeshlawsuitscenter.com.

References:

webmd.com

medicalnewstoday.com

 

Obesity An Important Independent Risk Factor In SUI, Study Shows

Monday, October 21st, 2013

Medical experts say, citing results of different clinical studies, that obesity has been acknowledged as a strong independent risk factor in the development of urinary incontinence. A 20 to 70 percent increase in urinary incontinence risk has in fact been shown as being linked to a five-unit increase in body mass index (BMI).

Various studies, on the other hand, have shown that significant improvements in the symptoms of urinary incontinence particularly stress urinary incontinence (SUI) were experienced after undergoing weight reduction. The use of surgical methods or the more conservative approaches have been found to be equally effective in achieving the reduction of weight. Health care practitioners and study authors are in agreement that this option should be considered as a first line treatment for this pelvic floor disorder.

A scientific research performed by Drs. Leslee Subak, Holly  Richter, and Steinar Hunskaar which was published in the Journal of Urology detailed the results of different studies conducted on this subject. These included published community-based prevalence studies where multivariate analysis were made on the association of urinary incontinence and obesity in women. Also taken into account were the longitudinal studies and randomized, controlled trials highlighting the effects of the different methods of weight reduction.

Involving 28,000 women as subjects, the Norwegian Epidemiology of Incontinence in the County of Nord-Tronelag study is one such research which associated urinary incontinence with increasing weight and BMI. A 20 to 70 percent increase in the risk of daily incontinence was reported for every five-unit increase in BMI. It was noted that urinary incontinence was prevalent in 60 to 70 percent in obese women who had a BMI of over 40 kg/m2.

A strong correlation between BMI and the onset of stress urinary incontinence was also revealed in a study conducted in the United Kingdom which involved 6,424 overweight and obese women. It was also reported in the American Nurses’ Health Study II which included 35,754 women that higher BMI was associated with higher odds of urinary incontinence. It was revealed that women with a BMI of 35 kg/m2, when compared with those with a BMI of 21 to 22.9 kg/m2, had odds ratio of 2.1 for at least a monthly incontinence, 3.85 for at least weekly incontinence, and 5.52 for severe urinary incontinence.

Several observational studies reported that obese women with BMI greater than 45 kg/m2 and who were diagnosed with incontinence experienced significant improvement after a weight loss of 45 to 50 kilograms through bariatric surgery. It was also revealed in a study involving 138 women that SUI decreased from 61 percent to 12 percent after stabilizing their weight in two to five years. A reduction of SUI prevalence from 67 percent to 37 percent in just 12 months was also reported in another study participated by 101 women.

The strong connection between excess weight and the incidence of urinary incontinence which makes obesity a prime risk factor of this condition is clearly supported by these studies. Providing encouragement to all the women who may be at risk of developing urinary incontinence, findings of related studies have shown that obesity is a modifiable risk factor.

Maintaining the ideal weight or losing excess pounds may not only prevent the occurrence of this very common pelvic disorder but may also spare them the possibility of undergoing vaginal mesh surgeries to treat this condition. Due to the severe complications attributed to vaginal mesh devices, the use of these implants has become very controversial. Thousands of women who sustained serious injuries have filed vaginal mesh lawsuits against different manufacturers. You may refer to vaginalmeshlawsuitscenter.com for more information on this matter.

Reference:

 

ncbi.nlm.nih.gov

Robotic-Assisted Heart Surgery

Monday, October 21st, 2013

Intuitive Surgical has manufactured and designed da Vinci surgical robotic system to overcome the limitations of traditional open and conventional minimally invasive surgeries. The da Vinci system features a magnified 3-D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. The other term of a robotic heart surgery is closed-chest heart procedure. The surgical instruments wristed on the robotic arms are controlled by the surgeon who is sitting at a specially designed computer console. Cardiac surgeons can effortlessly perform certain types of complex heart surgeries with the help of surgical robots with smaller incisions and precise motion control, offering patients with excellent outcomes. In robotic surgery, small incisions—less than two inches—are used, compared with the three to four inches incision used in traditional minimally invasive heart surgery.

Unfortunately, there is no guarantee in any forms of surgeries. As with any medical procedure, there are risks associated with heart surgery. Your surgeon may discuss all your treatment options and how you can potentially reacted to it. Below are some of the potential risks of robotic surgery:

Heart attack
Stroke
Infection
Death
Injury to the major blood vessels in the chest due to catheter placement
Unilateral pulmonary edema on the side of the operation
Chronic chest wall pain
Aortic dissection
Nerve injury from positioning
Bleeding

Before undergoing a robotic surgery, FDA tells patientsto talk to their respective doctor in order to determine if da Vinci is the best surgical procedure for them. The page on da Vinci lawsuit offers a more complete information regarding this matter.

References:

roboticheartsurgeon.com/faqs/faqs-what-are-some-of-the-complications-of-robotic-heart-surgery/
hopkinsmedicine.org/healthlibrary/test_procedures/cardiovascular/robotic_cardiac_surgery_135,11/
surgery.arizona.edu/center/minimally-invasive-heart-surgery-center/heart-bypass/benefits-risks
uchospitals.edu/specialties/heart/services/surgery/mis/

San Diego Orthodontist Acquiring Orthodontic Treatment For Dental Issues With The Orthodontists Help

Monday, October 21st, 2013

Orthodontist San Diego

Having straight teeth is important. Teeth that are crooked or out of place affect the way a person chews and talks and how their smile looks. Misaligned teeth are actually more prone in having cavity problems because of the difficulties in cleaning them due to its abnormal spacing. Sometimes it can cause pain and discomfort to some patients as it affects the jaw alignment. One effective method to treat this problem is by undergoing orthodontic treatment. Orthodontic treatment works by exerting a gentle pressure over time to straighten teeth that are growing, or have already grown, out of place. Orthodontics is a specific area of dentistry that specializes in diagnosing, preventing and treating dental and facial issues, the most common is straightening of crooked teeth which can be done by most orthodontists.

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Orthodontists perform the diagnosis and treatment of teeth and jaw alignment issues. If you are experiencing problems in these areas, it pays to see a specialist orthodontist. All orthodontists are considered well equipped dental professionals who were able to accomplished additional specialized trainings in orthodontics in order to qualify.  Just like a general dentist, they first have to obtain their doctorate in general dentistry. After that they can proceed to two to three years of graduate training in orthodontics.

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In most cases, dentists and orthodontists work jointly as one in providing holistic cure to most of their patients. If your family dentist thinks you need orthodontic work, they’ll refer you to a specialist orthodontist. But if you only need a simple tooth extraction or other cosmetic dental works the orthodontist may suggest that you see a dentist. The initial consultation with the orthodontist is typically a visual evaluation of the patient’s teeth and facial structure, with discussion to follow. Even if it is not a requirement to have a referral from a dentist, it would still be helpful to obtain one, right before choosing an orthodontist who you can work.

Among the conditions that can be treated by most orthodontists is crowding. Although some patient are considered to have an ideal bite, they may still experience some problems with crowding or spacing which is in connection with crooked bite. This is a state of teeth where it tends to overlap, rotate and in some instances grow in the wrong place in the mouth or in complicated issues, cause the tooth to become trapped in the bone. The use of dental arch that is too small or larger than the normal for an adult teeth will likely cause crowding. Crowding may also be caused by losing the primary or baby teeth early, or retaining them in the mouth longer than normal. Crowding makes it difficult to brush and floss the teeth correctly, possibly resulting in tooth decay or gingivitis. Other dental disorders such as hampered speech, jaw or temporomandibular joint pain, causing chewing and eating difficulties, sleep apnea caused by mouth breathing or snoring, constant grinding and gritting of teeth as well as other gum problems and tooth decay can also be treated with the help of orthodontic treatment.

Tips On Making Oral Care Simpler And More Relaxed

Sunday, October 20th, 2013

Having good teeth is critical, not just for looks, but also for your healthiness. You must learn all you can to keep your mouth in good shape. This paper will help you get the healthful mouth that you want.

Don’t wait to see a dentist. If you have started feeling even the smallest bit of agony in your teeth, arrange an appointment with a dentist. If you wait too long the issue could get worse. If you get in right away, you will only need a quick and simple treatment.

Always take at least two minutes to comb teeth. It takes that long to totally clean all of the crevices where plaque may develop. Make sure you give yourself enough time every morning and night to thoroughly crush your teeth properly so as to avoid any plaque buildup.

Remember that you are what you eat, and so are your teeth. If you smoke a lot and drink red wine often , your teeth do get discoloured. If you need whiter teeth, change what you eat. If it is dark going on your mouth, your teeth will get dark from it.

If you're having trouble with your teeth like chipping, or you are in lot of pain, getting to the dentist quickly is endorsed. Putting off a visit to your dentist could result in more significant problems. It is generally less expensive to look after the issue straight away.

Ensure you're not affected by dry mouth. Saliva is a natural defense against hole causing bacteria as well as periodontal illness. A few individuals suffer from dry mouth due to certain medication side-effects and others due to more serious issues. There are a number of products on the market to help you keep spit production going or help you replace the spit altogether.

If you want a great smile, look after your pearly whites. Flossing and brushing constantly is something you have to do to have strong teeth. When your diet is loaded in calcium and vitamin D, your teeth will stay strong all though your lifetime.

Remember that oral cleanliness is so much more than just white teeth and good breath. The mouth is the doorway to the remainder of your body. Bacteria and diseases that start here can spread to your heart and liver. A growing number of cancers and cardiac issues are being found to possess their origins in the mouth.

Hunting for another dentist? If this is so then make contact with your insurance firm immediately. Many reputable dentists can be recommended by your insurance provider. Research these dentists to find the best fit for you.

If you suspect something is wrong with your teeth, look after it straight away. Dental issues can be major ones. Some can be life-endangering. Be sure to take your dental health seriously. Don’t avoid the dentist. If something is obviously wrong, line up an appointment as fast as you are able.

You may have gingivitis if your gums look inflamed or bleed copiously. Poor dental cleanliness can lead to a gum disease called gingivitis. If you happen to spot your gums bleeding every time you clean your teeth, you could have gingivitis. If you see these symptoms, you should visit your dentist immediately; waiting will only worsen the condition.

To maintain dental health, don't neglect correct flossing. If the floss you are presently using is too thin to adequately get between your teeth, try switching to a more solid kind, for example dental tape. Otherwise, you try doubling the strand of floss to achieve the specified thickness.

As formerly discussed within this text, your appearance and your health benefit from well looked after teeth. Correct information is the first step in getting a healthy mouth. This draft has given you a very important step in that direction.

Kaye Kwon is a contract writer and resident of Tokyo in Japan. If you're searching for a Tokyo dentist, Kaye implies that you find the guidance of family and friends, and also to take a look at the net reviews for dentists in Tokyo.

Fort Worth Cosmetic Dentist Health Secrets

Sunday, October 20th, 2013

Dentist Fort Worth TX

Millions of people love sweets and you too might be one of them. If you are used to eating sweets and sugar, then it is better that you start saving for you will need it to pay the doctors bills. Consuming refined sugar is increasingly becoming the epidemic leading to diseases in people. Today obesity and sugar happen to be your main enemies that can kill your health.The city life does very little to avoid sedentary lifestyle and promotes usage of refined sugars in day to day food. Incidence of Diabetes is increasing amongst the population in the world. Every individual over forty years of age stands to face the risk of diabetes. People do know about the ill effects of diabetes. People with diabetes can turn blind, suffer from heart attack as well as many other problems.It is also a fact that all organs of the body and the systems get affected due to diabetes.

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Sugar in refined form does not contain any proteins, minerals or fat but it amounts to calories in the form of carbohydrates.The body draws calcium, sodium and other minerals from the body system to digest sugar which means the body is deprived of the nutrition. 

Intake of sugars is also harmful for your dental health. Sugar by itself does not cause any damage to the teeth. The organic acids produced by sugar provide a fertile ground for the bacteria to feed and grow. The acids are strong on the teeth and destroy the enamel too. Children normally tend to neglect their oral hygiene.   Getting children to brush twice daily is a difficult task indeed. The system of gargling after eating food is unheard of in many cases. With such habits the children who gorge on fast food, aerated soft drinks, sweets and chocolates are likely to develop dental caries. There is an alarming increase of cases of cavities amongst children. There seems to be an increase the number of youngsters developing diabetes quite early in life too.

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There is an urgent need to increase the awareness of the dangers of sugar consumption amongst general public. If we are not able to reach across to the children then it is better to reach out to the parents who influence the children’s diet. We have got to teach the children about the need for maintaining dental health and how to follow good oral hygiene.Children always learn from the elders. Therefore the lifestyle and the habits followed at home have to change so that the children’s habits are impacted. Children generally do not like to read articles or listen to lectures on topics like dental health etc.Especially in case of prohibition on eating their favourite foods, they are unlikely to listen. So the burden of getting them to listen, understand and change falls with parents.

There is an urgent need for all to evaluate one’s lifestyle and see what changes are required to be made. Diet control and change of pattern of diet is the need of the day. We have got to do away with using refined sugar, refined flour, fat and friend food etc. Red meat too is better avoided for it is not good for your health.Instead it is advisable to switch over to natural fruits, vegetables and dairy products which are rich in fibre and minerals as well as dry fruits.Natural foods and salads are the best alternatives to keep disease at bay and make friends with good health.

Hammond Clinic Variation Among Emergency Rooms And Urgent Care Clinics In Providing Prompt Care

Sunday, October 20th, 2013

Hammond Clinic

When it comes to dealing with emergencies, some people are still having problems making up their minds whether they would rush to an emergency room or seek help from an urgent care clinic. Basically, emergency rooms are for designed for patients that requires immediate medical care for major illnesses and injuries which are considerably life-threatening. But if you simply want something to be checked by a doctor or having health problem, visiting one of the urgent care clinics near you would be a good choice. The medical staff there could determine how bad your problem is and where would be the best place to treat it. Most often for minor health issues they can be fixed in a clinical setting.

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Basically, the kind of service that you will be getting from an emergency room is different from the services being offered in most urgent care clinics. It is also necessary to have good understanding on the services being offered by each medical facility so that when emergency arise, you will know where to go. Urgent care clinics are great alternatives to the emergency room for several reasons. Among these reasons is that you would be provided the immediate care you needed because people who go there usually have problems that could be fixed in no time. The cost of going to an urgent care place is cheaper than the emergency room, and if you don’t have the greatest insurance, your best bet is to go to an urgent care clinic. Some examples of the minor health issues that are being catered here are flu, fever, colds, headaches and minor asthma attacks. They can also treat minor injuries like sprained ankles and minor burns. Lab tests like urinalysis, x-rays and CBC can also be performed here.

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On the other hand, emergency rooms are the considered the best option when it comes to cases that require the use of standard equipments and facilities that can only be found in a hospital’s emergency room. Doctors working in the emergency rooms are considered experts and can perform surgeries and other medical procedures when needed. It is best for patients to be rush to an emergency room especially in cases where the patient already lost consciousness, have a heart attack, chest pain and allergic reactions. Other life-threatening situations includes bad car crashes, severe burns, near amputated parts, severe wound and bleeding, or anything that threatens your life, body part, or could have severe long-term effects on you just like paralysis.

Both emergency rooms and urgent care clinics are actually equipped with health care providers that provide compassionate care to many of their patients. They both have physicians and doctors that are always available. Also, using any of these facilities can be covered by your medical insurance provider. But both are also not capable of handling non-emergency cases nor chronic conditions. Patients with chronic issues such as depression or diabetes have to be handled by a primary care doctor. Whether you choose to receive care from any urgent care clinics near you or an emergency room, it is important to follow-up with additional treatments as necessary.

Pursue A Fit Lifestyle With These Fantastic Tips

Sunday, October 20th, 2013

Need a little bit of inducement to get you going on a smart fitness plan? We have put together these tips that will galvanize you to embark on a journey of sounder health and a better body. If you're prepared, let’s hit the ground running, and begin to reach our fitness goals!

Fitness is something plenty of people want, they life weights at home or the gym in their search for better fitness. Weights can help you get in better shape, but you can maintain body’s muscles with these easy exercises: pull up, push up, squats, leg raises, bridges and handstand push-ups.

Marathons used to be for significant runners only but now they have now become a popular goal for casual runners as well. Many people nowadays come to a point in their lives where they feel they want the issue of finishing a marathon. Conveniently there are many good training programmes now, to help casual runners get ready for more the 26.2 mile trek.

A technique to guarantee a safe fitness routine is to make sure that you have fully recovered from the previous day, before attempting your new workout. This may be done by measuring your morning resting heartbeat rate and comparing it to your ordinary resting heart rate. If it is considerably higher than normal, you want more rest.

Every time you do waist exercises, make certain to do back exercises also. If you do therefore you will not have back pain—too many abdominal muscle exercises may cause back pain and unhealthy posture. Don’t focus on one body area and neglect other areas, make sure to have a well-balanced workout.

Walk for approximately a half hour a couple of times a week. This can boost your bone density, which makes bearing weight simpler. That's useful for anyone who has to lift things all the time, as well as anyone that has started training with weights. Older people can gain advantage from bigger bone density also.

When you feel the burn, go back the next day for more! Exercising to the point that we feel it can make us truly sore for days. The most effective way to stop that, or at the very least to reduce it, is to exercise again the next day and the day following that. It could be provident to take it simpler but don't give up exercise all together.

If you are looking for a technique to save time and get an effective workout, for the whole workout don’t switch weights, keep the same one. Choose your weight based on your weakest exercise. Pick an amount you're able to lift only 6 to 8 times. Use this weight, and do your routine in a circuit.

When you're planning your gym regimen, make certain that you include cardiovascular as often as possible. An hour on the treadmill won't just aid you in toning your body, but can scale back the extraneous fat that you have on your gut, legs and arms. This could go a long way to enhancing your appearance.

These fitness tips should motivate you to have a quick look at your fitness efforts with a fresh eye, work on things that need improving, and ramp up the routines that are working for you. Your targets are in sight, now, you just have to stick to your plan. Good luck!

If you are looking for the best Crossfit Fort Lauderdale has to offer then you need to stop by Crossfit Muscle Farm. Our location is also convenient for those in search of Crossfit Pompano Beach, Crossfit Wilton Manors, Crossfit Deerfield Beach, or Crossfit Plantation. Come by today and see what you have been missing!

Keep Your Body In Excellent Health By Following These Fitness Tips

Saturday, October 19th, 2013

Everyone wants to get into shape but not everyone knows how to do it, this may be discouraging for the people who aren't sure what to do to get into shape. The easiest way to go about getting into shape and being fit is to learn as much as you can and applying that data, use this article as a place to get started.

Don’t rush your exercises. While working out faster may help you use more calories straight away, you can knock yourself out quicker and end up burning less over the long run. And, if you rush through any type of exercise you run a higher risk of hurting yourself while working out.

A lot of people put off exercising because they do not want to get sweaty. If you do not need to get sweaty, why not try swimming for your exercise? Swimming can be a great cardio workout. Try challenging yourself to swim an extra five laps every day. You will be in excellent shape before you know it.

One of the simplest techniques to complete your health targets is to have a fitness buddy. Find someone you are close to that's also looking to shed a little weight or tone some muscle. You will be able to support and incentivize each other making it better to reach both of your fitness targets.

Stretch those muscles. Your muscles have to get stretched for longer amounts of time as you get older. Aging causes muscle density to cut down, as well as a decline in pliability. Under 40 years of age? Hold stretches for approximately 30 seconds. Over 40? Stretch for about a minute. You’ll feel more flexible and limber this way.

Add music to your exercise routine. Listening to music on your iPod while working out will keep you going for much longer than if you're doing incessant exercises in a quiet area. Music will cause you to feel energized and help you in keeping pace by following the beat. Put together a particular fitness playlist, featuring songs that you know will keep you on track.

A good way to help you to get fit is to start doing compound lifts. Compound lifts are lifts like the bench press, squat, pull-up, and deadlift. These lifts are much better than isolation lifts because they use more than once muscle collection. Isolation lifts have a tendency to only use one muscle grouping.

Ideally, your workout sessions should follow the same order every time: first, work with dumbbells, which works smaller muscles. Next, switch to barbells. Eventually, move to the free-weight machines. You will have progressively engaged all the muscles in your body and therefore are more likely to see results in all varieties of size of muscles.

Hopefully with all of the info you've learned from this article you can start forming systems that work for you toward your fitness goals. If you believe the systems in this article can benefit an individual you know don’t hesitate to share the information you learned, who knows one day they might do the same.

If you are looking for the best Crossfit Fort Lauderdale has to offer then you need to stop by Crossfit Muscle Farm. Our location is also convenient for those in search of Crossfit Pompano Beach, Crossfit Wilton Manors, Crossfit Deerfield Beach, or Crossfit Plantation. Come by today and see what you have been missing!

Robotic Surgery Cost And Efficiency, Questioned

Saturday, October 19th, 2013

Da Vinci surgical robotic system is a noted minimally surgical option that is used in different complex surgeries. The Food and Drug Administration (FDA) has given da Vinci an approval in 2000 and since then, it has become popular to both healthcare providers and patients. However, one of the disadvantages of robotic surgery is that it costs about $1,300 more than the low-tech approach, known as laparascopy, in addition to the upfront cost to the hospital of the machine itself.

Shorter hospital stays, less blood loss and faster, less painful recoveries are some of the benefits offered by laparascopic surgeries compared to traditional open surgeries. The surgeon is able to perform a type of laparascopic procedure using da Vinci by operating on its mechanical arms and instruments using hand controls, foot pedals and a 3-D high definition display. Using a single da Vinci unit costs about $1.5 million and may perform a variety of minimally invasive procedures, especially for localized cancers in tough-to-access anatomic regions, including colorectal, prostate and head-and-neck procedures.

However, it has been reported that robotic surgeries do not significantly offer long-term benefits to a patient despite expensive costs. The median hospital cost for robot-assisted surgery was $8,868, compared with $6,679 for a laparascopic hysterectomy. After the surgery, no significant differences on other measures, such as complications and blood transfusion rates have been noted between two groups although study found that although patients who got robotic hysterectomies were less likely than laparscopic patients to be hospitalized for more than two days.

Patients who are planning to undergo da Vinci robotic surgery should consult the doctor to know if da Vinci is right for you according to your particular needs, says FDA. Da Vinci lawsuit center may be helpful to those planning to undergo da Vinci robotic surgery.

References:

medscape.com/viewarticle/802971
medpagetoday.com/MeetingCoverage/ACOG/38982
hhnmag.com/hhnmag/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/04APR2012/0412HHN_FEA_clinicalmanagement&domain=HHNMAG
beckershospitalreview.com/hospital-physician-relationships/da-vinci-robots-minimally-invasive-miracle-or-costly-conundrum.html