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“The Autonomy™ Laparo-Angle™ Instrumentation allows for precise placement of sutures posteriorly (5-6-7 o'clock) at the urethral side; precise placement of sutures at the bladder neck side at 11 and 1 o'clock; and easier tying of the suture with the deflectable tip.”


Julio M. Pow-Sang, MD, Genitourinary Oncology Program
H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL


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Urology: Single Port / Single Incision Urologic Surgery

Surgical treatments for diseases in the genitourinary tract (GU) carry a high degree of surgical difficulty and surgical skill. Reproductive and urinary organs are not only in close proximity to each other, they are surrounded by sensitive tissue and nerves. Since the slightest error may lead to incontinence or impotency, many urological procedures including prostatectomy, nephrectomy, pyeloplasty and colposuspension have traditionally been performed as open procedures.

With traditional instrumentation, the surgeon is highly dependent on precise trocar placement. Still, some spaces remain difficult to access laparoscopically regardless of trocar location, such as suturing at the 6 and 12 o’clock positions in urethrovesical anastomosis during a prostatectomy.

Single port surgery utilizes a single incision in the belly button, versus multiple punctures, significantly reducing pain and scarring.  Performing single incision procedures with straight laparoscopic instruments however often compounds the traditional challenges of visualization, access and control. With seven degrees of freedom, full articulation, a tip that rotates 360 degrees and a handle that can lock at any angle and rotate, Autonomy enables surgeons to overcome these types of challenges without compromise - and all with one hand.

 

Procedure Videos

Autonomy™ Laparo-Angle™ Instruments provide surgeons the access, positioning, control, and comfort needed to make it possible to perform more procedures laparoscopically.


Video Publications:

Woong Kyu Han, M.D. and Hwang Gyun Jeon, M.D.
Department of Urology, Yonsei University, Seoul, Korea
Jihad Kaouk, Georges-Pascal Haber, Raj Goel, Mihir Desai, Raymond Rackley, Courtney Moore, Jeffrey Palmer, Inderbir Gill
Cleveland Clinic
Benjamin R. Lee, Ugur Boylu, Mathew Oommen, Gordon Fifer, Raju Thomas
Department of Urology
Tulane University School of Medicine
Benjamin R. Lee, Ugur Boylu, Mathew Oommen, Raju Thomas
Department of Urology
Tulane University School of Medicine
Fernando J. Kim, Mario F. Chammas, Seok So Byun, Soren Carlsen, David Crawford, Adriano Campagna
Denver Health Medical Center and Tony Grampsas Cancer Center, UCHSC

 

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More Procedure Videos

Single Incision Laparoscopy

Traditional Laparoscopy

Single Port Nephrectomy

  • Autonomy Scissors
  • Dr. J. Kaouk, Cleveland Clinic

Radical Prostatectomy

  • Facilitates precise suturing of urethrovesical anastomosis
  • Facilitates intracorporeal knot tying

Single Port Transvesicle Prostatectomy

  • Autonomy Scissors
  • Dr. R. Sotelo, Dr. M. Desai

Radical Prostatectomy

  • Facilitates precise suturing of urethrovesical anastomosis
  • Dr. J. Powsang, Moffitt


Pyeloplasty

  • Facilitates precise cutting
  • Dr. R. Sotelo