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Robotic Myomectomy - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Robotic Myomectomy - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
If you are a woman and have uterine fibroids, your doctor may recommend robotic fibroid tumor removal, also known as robotic myomectomy. Your reproductive organs include your vagina, cervix, uterus, fallopian tubes, and ovaries. A uterine fibroid, also known as a leiomyoma, is a noncancerous tumor in your uterus. It begins with an abnormal growth of cells in your uterine wall. Uterine fibroids grow in place and don't spread or metastasize to other parts of your body. The four main types of uterine fibroids are intramural, which grows inside the wall of your uterus; subserosal, which grows on the outer wall of your uterus; submucosal, which grows in the inner wall of your uterus; and pedunculated, which grows on a small stock attached to the inner or outer wall of your uterus. The size and location of your uterine fibroids may cause symptoms such as heavy menstrual bleeding, irregular bleeding between periods, lower back pain, pain during sex, frequent urination, fullness and enlargement of the lower abdomen, and pregnancy complications. Before your procedure, an intravenous line, or IV, will be started. You will be given antibiotics through the IV to decrease your chance of infection. You will be given general anesthesia to put you to sleep and block pain during the procedure. A breathing tube will be inserted through your mouth and into your airway to help you breathe during the operation. Your surgeon will make a small incision in, or just above, your bellybutton and insert a tube called a port. Carbon dioxide gas will pass through this port into your abdomen. The gas will inflate your abdomen, giving your surgeon more room to see and move the surgical tools. After your abdomen is inflated, a high definition camera will be inserted into this port. Your surgeon will make additional port incisions for robotic instruments, as well as for instruments used by patient-side assistants. An assistant will insert all of the robotic tools through these ports. Unlike standard laparoscopic instruments, these tools can rotate 360 degrees and have more flexibility than the human wrist. Seated at a special console, your surgeon will operate the robotic arms and the camera with joystick like controls and foot pedals. A computer will translate the exact movements of your surgeon's fingers into precise movements of the surgical tools. At the same time, a high definition vision system will provide a magnified, three dimensional stereoscopic view of the surgical area. Your surgeon will locate your uterine fibroid and inject it with medication to reduce bleeding. Next, your surgeon will carefully cut around the edges of your fibroid and remove it. Your uterus will not be removed. The remaining edges of your uterus will be closed with sutures. At the end of your procedure, the tiny incisions will be closed with stitches, staples, surgical glue, or skin closure strips. After your procedure, your breathing tube will be removed, and you will be taken to the recovery area for monitoring. You'll be given pain medication as needed. You may be released from the hospital the same day or within one day after the procedure.

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What attorneys say about MLA and The Doe Report:
"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"Medical illustrations are essential during trial for any medical malpractice case. The people at MLA have the uncanny ability of creating medical illustrations that simplify the most complex of medical concepts and human anatomy to a lay audience. The exhibits of MLA allow experts to easily describe complex concepts and human anatomy in a manner that could not be done otherwise.

In addition, their custom illustrations show in great detail the extent of injuries suffered and the devastating effects they have had on the client's anatomy. These custom illustration can show, side by side, the body before and after a catastrophic injury. The effect of this juxtaposition is unmatched by any testimony that can be adduced at the time of trial.

Even jurors after trial have commented on the ease with which they grasp medical concepts and anatomy once the MLA exhibits were introduced and used by my experts. Even judges who have "seen it all" are thoroughly impressed by the detail and sophistication of the illustrations.

I would not want to try a case without them."

Lambros Y. Lambrou
McHUGH & LAMBROU, LLP
New York, NY

"I have a medical illustration created by Medical Legal Art at the beginning of every case to tell the client's story, usually before I depose the defendant doctor. The work product and cost-efficiency are outstanding. It is a situation where, as a trial lawyer, I don't leave home without it."

Rockne Onstad
Attorney at Law
Austin, TX

"For us, the defining feature of effective demonstrative evidence is whether, by itself, the piece will tell the story of the case. Medical legal Art provides our firm with illustrations and animations that are clear and persuasive. Their exhibits tell the story in a way that allows the jury to understand a very complex subject, very quickly."

James D. Horwitz
Koskoff, Koskoff & Bieder, P.C.
Bridgeport, CT













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