Robotic Surgery Now Available at
South Florida Baptist Hospital
South Florida Baptist Hospital is very excited about introducing its new robotics surgery procedures to folks in eastern Hillsborough County. As part of the BayCare Health System, the region’s leader in minimally invasive surgery, it was a natural certainty that SFBH would have its own robotic surgery team. Four experienced and highly qualified surgeons in a number of different specialties here look forward to serving our community with their expertise.
Interview by Cheryl Johnston Photography by Anthony Sassano
Seek Surgery Help FROM THE EXPERTS
Should surgery become necessary for you or your family member, don’t miss an opportunity to discuss the possibility of robotic surgery with one SFBH’s certified doctors. Investigating all your options is always a wise move.
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Continued from previous page Each of these doctors is an enthusiastic supporter of the new technology and especially Dr. Clinton Hall, M.D., a leading surgeon in the program. Hall describes the da Vinci® Robotic Surgical System as “fantastic,” noting that “doctors can have an added level of confidence because it provides better visualization and more precision with greater access to the affected area of the body.” For those unfamiliar, robotic surgery is a minimally invasive system which enables a technically trained surgeon, working from a state-of-the-art robotic platform, to perform even the most complex and delicate procedures with unmatched precision through very small incisions. The surgeon’s talent is enhanced by superior visualization and better access to the affected area because the robot’s design enables wrist movements impossible for human hands. Because the surgery is extremely precise, patients will experience reduced trauma to the body, less pain and scarring, minimal blood loss, fewer complications, shorter recovery time, shorter hospital stay, and a faster return to normal daily activities. In short, robotic surgery results in improved outcomes. Surgeons in the BayCare hospital system undergo extensive and specialized training to operate the highly sophisticated da Vinci® Robotic Surgical System, which provides an alternative to both traditional open surgery and conventional laparoscopic surgery. Dr. Stephen Butler, M.D. is also proud of the Plant City hospital’s recent technological additions and one of the forerunners on the local team. He said, “The availability of robotic assisted surgery at SFBH makes us current with the best surgical techniques and practices available in the Tampa Bay area.” With enthusiasm for its future, he added, “Robotic surgery is in its infancy and will with time and investment branch out in many directions to become even more refined and effective than it is already.” Dr. Carlos Lamoutte, M.D., another leading proponent of the new technology, can relate. He said, “The reason for this evolution is simple. Robotic surgery allows the surgeon to tackle routine as well as more challenging cases in a minimally invasive fashion. Cases you would normally have to approach in an open fashion due to conditions such as severe adhesions, endometriosis, and etc., now can be performed with the da Vinci robot. Robotic gyn surgery offers a less painful and quicker recovery for the patient and with less blood loss during surgery. All this translates to a quicker return to normal quality of life.” According to Dr. Jamil Rehman, another of the four robotic surgeon specialists at SFBH, “Any open or laparscopic surgery can be done much better with the robot.” In his book Robotic Surgery- A New Era of Minimal Access Surgery, he explains: “Many surgical procedures performed today using standard laparoscopic technique are being performed more quickly and easily using the da Vinci Surgical System. It allows complex surgical tasks with minimal fatigue due to their ergonomic interface, wristed instruments with seven degrees of freedom (enhanced dexterity), tremor filtering (enhanced precision), and three-dimensional stereoscopic visualization (enhanced surgical capabilities)…”
Robotic Procedures CURRENTLY AVAILABLE AT SFBH
Doctors continue to investigate the many ways they can use robotic surgery. While surgeons prefer a traditional approach for some procedures, the list performed using a robotic surgical system continues to grow. SFBH patients with the following conditions may be treated with a robotic procedure: Colorectal, Esophegeal, Gynecologic, and Urologic. General, Gastric and Colon Robotic Surgery: Diverticular disease, colon cancer, stomach cancer, gallbladder disease, and hernia repair Esophageal Robotic Surgery: Heller myotomy (to treat the swallowing disorder achalasia) and Nissen fundoplication (to treat reflux, heartburn and gastroesophageal reflux disease (GERD) Gynecologic Robotic Surgery: Uterine fibroids, endometriosis, menorrhagia or excessive bleeding, hysterectomy, removal of benign ovarian cysts/masses, re-section of endometriosis, and Salpingo-oopherectomy. Urologic Robotic Surgery: Prostate cancer, ureteropelvic junction (UPJ) obstruction, bladder and kidney cancer, vesicoureteral reflux, nephrectomy or partial nephrectomy (removal or partial removal of the kidney), prostatectomy, a removal of all or part of the prostate, and urinary obstruction (pyeloplasty)
Robotic Surgery EQUIPMENT AND BENEFITS
Surgeons control the procedure performed on a patient cart with four interactive robotic arms, which hold the surgical instruments and high-definition camera. The first step is to make tiny incisions and insert the instruments and camera into the operating site. In the same room a few feet away from the operating table, the surgeon sits at a console and directs the surgery. The console contains the screen, which shows the high-resolution, 3-D images of the operating site that offer greater visual capability.
The endowrist instruments worn on the surgeon’s wrist and hands allow for 360° rotation with precise response, inside the patient and in real time, to the surgeon’s actual hand movements.
Dr. Butler explained, “It is important to understand that like any newer technology, the robot is not an appropriate choice for every operation. It is a tool, however, that when properly used, very favorably influences the course and outcome of the procedure.”
Benefits of a robotic procedure versus a laparoscopic procedure include superior dexterity (because robotic instruments can fully rotate and have more flexibility than a human hand), enhanced visualization (because the console’s screen magnifies the image of the operating site), and incomparable access (since the robot can access areas a human cannot).
Surgeons at SFBH have expertise in performing all types of surgery—traditional, laparoscopic and robotic. With the patient’s best outcome and shorter recovery in mind, the medical team helps to select the best surgical approach for each situation.
No matter what type of surgery the doctor performs, the goal is to treat the condition and get the patient back to his or her daily routine, pain-free and as quickly as possible. Dr. Hall explained why he is such a strong proponent of the da Vinci® Robotic Surgical System. “Operations are safer because visualization is so much better. It offers the least invasive way to do surgery and patients recover quickly.”
Benefits to patients of robotic surgery include less blood loss and need for transfusion, less risk of infection, shorter hospital stay and recovery, and smaller, less visible scars.
SFBH Robotic Surgeons
Clinton R. Hall, M.D., General Surgery
Carlos Lamoutte, M.D., OB/GYN
Stephen Butler, M.D., General Surgery
Jamil Rehman, M.D. Urology
HealthPoint Medical Group 1601 W. Timberlane Dr., Suite 300 Plant City, FL 33566-0957 Phone: 813.708.1312 www.sjbhealth.org
Women First Center 1601 West Timberlane Drive, Suite 600 Plant City, FL 33566 Phone: 813.719.3380 www.sjbhealth.org
1602 West Timberlane Drive Plant City, FL 33566 Phone: 813.754.9890 www.stephenmbutlermd.com www.sjbhealth.org
Florida Urology Oncology and Urogynecology, LLC 205 South Moon Avenue, Suite 103 Brandon, FL 33511 Phone: 813.653.3737
Clinton R. Hall, M.D. is one of our own born at South Florida Baptist Hospital and a graduate of Plant City High School. He returned to the University of South Florida College of Medicine to earn his Doctor of Medicine following a Bachelor of Science degree in biology, graduating Suma Cum Laude, received from Cumberland College in Williamsburg, Kentucky. He completed internship and residency as Chief Administrative Resident at the Ohio State University Medical Center in Columbus, Ohio, before continuing as Assistant Professor of Surgery, where he also completed a Fellowship in minimally invasive, bariatric and robotic-assisted surgery.
The bi-lingual Dr. Carlos Lamoutte, M.D. joined the SFBH staff in 2000. He is also a volunteer physician with the San Jose Mission and serves on the board of the Pregnancy Care Center.
A South Florida Baptist Hospital affiliate since 1992, the board-certified surgeon Dr. Stephen Butler, M.D., has been a pastpresident of the hospital medical staff and has served on every major medical staff committee. Dr. Butler practices general and vascular surgery, with a special interest in laparoscopic surgery, robotic and minimal access surgery. He is a consultant surgeon for Ethicon Endosurgery and a faculty member of Nova-Southeastern University. His medical and surgical training was completed at the University of MissouriKansas City School of Medicine with a general surgical residency at St. Luke’s Hospital. He also participated in the Endoscopy Fellowship at Case Western Reserve University in Cleveland, Ohio.
In addition to medical and surgical training at King Edward Medical College, Punjab University in Lahore, Pakistan, Dr. Jamil Rehman, M.D. completed residency work in General Surgery from England, UK, North General and Mount Sinai Hospitals and School of Medicine in New York, as well as a Urology residency from Montefiore Medical Center, Albert Einstein College of Medicine, New York.
The doctor holds memberships or positions in the following organizations: Diplomate and Recertified by American College of Surgeons, Florida Chapter of American College of Surgeons, Fellow of the America College of Surgeons, and Chairman of the Board of St. Benedict Education Foundation.
Dr. Rehman practices urologic surgery with a special interest in robotic, laparoscopic, and pelvic reconstructive surgery. He has extensive experience in surgical procedures for the prostate, bladder, kidney, ureter, adrenal gland, female pelvic surgery (Incontinence and Genital/Pelvic organ prolapse) and urethrogenital reconstruction.
Dr. Hall’s clinical interests include laparoscopic and general surgery including bariatric surgery, application of the da Vinci robotic system in anti-reflux, diverticulitis, gall bladder and colon procedures, as well as laparoscopic complex abdominal hernia repair. As for the robotic surgery, Dr. Hall has been a console surgeon since he was certified in 2009 at OSU during which time he performed 20 da Vinci procedures. After completing his fellowship there he launched the da Vinci program in Melbourne and performed Brevard County’s first general surgery before settling in Plant City. Dr. Hall operates at both South Florida Baptist Hospital and St. Joseph’s Hospital. Professional memberships include the American College of Surgeons, American Society of Metabolic and Bariatric Surgery, and the Society of the American Gastrointestinal and Endoscopic Surgeons.
Dr. Lamoutte received his medical degree from Louisiana State University School of Medicine and is board-certified by the American College of Obstetrics and Gynecology. As it is with SFBH, patient care is a top priority for Dr. Lamoutte. He offered, “My wife- Dr. Verdeja, and I have been in private ob/gyn practice in Plant City for the last 12 years where we have developed deep roots. We love practicing in a hospital setting where there is strong support from the community in every aspect pretty much all year round. With a smaller patient population, we can get to know our patients and provide better and more personalized care. We appreciate that SFBH strives to always offer stateof-the-art / cutting-edge and up-to-date technology, such as robotic surgery, in an effort to provide great care and maintain superior patient outcomes.”
He is board-certified by the American Board of Urology from the USA, the European board of Urology and the General Surgery board from the UK. He has also authored more than 100 peer-reviewed articles in various medical journals in addition to book chapters, along with 10 recent articles on robotic prostatectomy and urinary diversion.
Before coming to Florida. Dr. Rehman served as an Assistant Professor of Urology and Director of Laparoscopic Surgery, Laparoscopic Oncology, and Laparoscopic Female Pelvic Reconstruction at SUNYStony Brook University in NY for seven years, where he also founded the laparoscopic live donor nephrectomy program. Dr. Rehman holds memberships in the Fellow American College of Surgeons, American Urologic Association (AUA), European Urology Association (EAU), and Association of Clinical Urologists, Society of Endourology, American Association of Gynecological Laparoscopic Surgeons (AAGL) and the American Association of Prosthetic Surgery.