St. Clair Hospital HouseCall Vol III Issue 2
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Transcript of St. Clair Hospital HouseCall Vol III Issue 2
VOLUME II, ISSUE 2
I N S I D E T H I S I S S U E
ASK THE DOCTOR
da VINCI Si SURGERY PATIENT PROFILE
ST. CLAIRS OUTPATIENT LOCATIONS
ER RANKED AMONG BEST IN U.S.
ST. CLAIR DOCTORS RECEIVE TOP RATINGS
CONTINUED ON PAGE 7
VOLUME III, ISSUE 2
Surgeons at St. Clair Hospital are now using state-of-the-art robotic technology,the da Vinci Si, to provide the benefits of minimally invasive surgery to agrowing number of patients.
Named after the famous Italian engineer, mathematician and scientist Leonardo
da Vinci, the da Vinci System uses the most advanced technology to enable surgeons
to perform delicate and complex operations through a few tiny incisions with
increased vision, precision, dexterity and control.
Raye J. Budway, M.D., a 2011Pittsburgh Magazine Top Doctor, relocated her practice to St. Clair in April.
Dr. Budway specializes in general and
breast surgery and will lead St. Clairs
Breast Care Center.
As a participating surgeon in the recent
National Surgical Adjuvant Breast and
Bowel Projects (NSABP) clinical trials, her
work has contributed to changes in the
treatment protocols for breast cancera
disease which affects more than 200,000
women each year. The NSABP, which is
supported by the National Cancer Institute,
has published studies that have led to the
establishment of lumpectomy with radiation
over radical mastectomy as the standard
surgical treatment for breast cancer, and
DRS. ARTHUR THOMAS and KEVIN BORDEAU are among a growinggroup of surgeons at St. Clair Hospital using the da Vinci Si, theworlds most advanced robotic-assisted surgery system.
CONTINUED ON PAGE 2
Next generation surgery using the da Vinci Si
LEADING TEC NOLOGY
CONTINUED GROWTNew surgeon bolsters St. Clairsbreast surgery program
shorter hospital stay, and quicker recovery and return to everyday
life. And, in men who have their prostates partially or fully
removed, robotic-assisted surgery also can mean a faster
return to urinary continence, lower rates of urinary pain, and
From the surgeons perspective, the benefits of robotic-
assisted surgery start with the ability to see inside the human
body at 10 times magnification. Moreover, the da Vinci Sis endo
wrists enable the surgeon to sew sutures more precisely than by
hand. Robotic-assisted surgery is more beneficial over traditional
laparoscopic surgery in anything that requires sewing, Dr. Thomas
Dr. Bordeau says a key to the success of the robotic-assisted
program at St. Clair is the operating room personnel who have
undergone extensive training with the da Vinci Si system.
Several teams have been trained.
Dr. Bordeau says those teams, and he and the other surgeons
performing robotic-assisted surgery, will benefit from having the
newest and best system and the added advantage of learning
from the best practices.
Y o u n g b a s e b a l l a n d s o f t b a l l p i t c h e r s a r e s u f f e r i n g
Arthur D. Thomas, M.D. earned his medical degree at the University ofPennsylvania School of Medicine and completed a residency in urologyat the Hospital of the University of Pennsylvania. Dr. Thomas is boardcertified by the American Board of Urology and practices as part of TheCenter for Urologic Care, P.C.
Kevin P. Bordeau, M.D. earned his medical degree at Tufts UniversitySchool of Medicine in Boston and completed a residency in urology atthe Eastern Virginia Medical School. Dr. Bordeau is board certified bythe American Board of Urology and practices as part of Sholder & BordeauUrologic Associates.
LEADING TEC NOLOGYCONTINUED FROM PAGE 1
The da Vinci is currently being used at St. Clair for urology
procedures, such as prostatectomies (removal of the prostate
gland, most often due to cancer), but the system is also designed
for gynecology, cardiothoracic, head and neck and general
surgery procedures. Gynecological surgeons at St. Clair are
expected to be the next users of the new system.
The da Vinci Si consists of four interactive robotic arms that
are controlled by a surgeon who is seated at a console in the
operating room. Three of the arms are for tools, such as a
grasper and scissors, the fourth holds an endoscopic camera
with two lenses that give the surgeon a 3-D image (at 10 times
magnification) during the procedure. The system seamlessly
translates the surgeons hand, wrist and finger movements into
precise, real-time movements of surgical instruments. Every
surgical maneuver is under the direct control of the surgeon.
Repeated safety checks prevent any independent movement
of the instruments or robotic arms.
St. Clair urological surgeons, Arthur D. Thomas, M.D. and
Kevin P. Bordeau, M.D., both of whom have years of experience
with the da Vinci system, completed the Hospitals first robotic-
assisted surgeries in April, performing radical prostatectomies
on area men suffering from prostate cancer.
Dr. Thomas says that in the last two years, robotic-assisted
laparoscopic radical prostatectomies have become the No. 1
treatment choice for localized prostate cancer, supplanting open
surgery and various radiation options. The benefits of this
minimally invasive surgery include less pain and blood loss, a
Please see Patient Profile on Page 4.
m o r e i n j u r i e s f r o m o v e r u s e a n d i m p r o p e r t e c h n i q u e .
Q:Im hearing more stories of youngbaseball and softball pitchers sufferingshoulder and elbow injuries. What is causing this jump in injuries?
A: Travel and instructional teams have recently becomepopular in baseball and softball. In addition to their school
and summer teams, some boys and girls are playing more
baseball and softball than ever. More play may result in
better performance. But for some, more play means more
injuries, especially at the shoulder and elbow.
Pitch count is very important. Most professional starting
pitchers throw only 100 balls a game, then rest for five days.
But some Little Leaguers throw many more, especially if they
are the best pitchers on their respective teams. And while the
windmill pitch used in softball may be somewhat safer than
the overhead baseball pitch, I am seeing more girls with injuries
after pitching several games in a week.
Many dont know that pitching effectiveness comes from
pitch placement and variation in pitch speed as much as simply
bringing the heat. Effective starting pitchers in the big
leagues rarely throw as hard as they can. Pitching mechanics
are also very important to minimizing injury and several hours
with a good pitching instructor is often time well spent in
effectiveness and in avoiding or limiting injury.
Throwing a ball causes huge forces at the shoulder and
elbow that can easily cause injury. Anterior instability is the
ball of the shoulder sliding out the front from its normal
position. It can occur when the shoulder is placed beyond the
limit of its normal range of motion. This may occur when a ball
player reaches back to throw really hard. Throwers with
anterior instability will report pain and sometimes a sensation
ASK THE DOCTOR
of the shoulder
Achy pain that
or days after
of the elbow
can also be
ligament is on the inside of the elbow and injury initially results
in pain with hard throws. Pitch velocity is lost. A pop with
immediate sharp pain is felt on the inside of the elbow if the
MCL tears. Fortunately, this is uncommon and most patients
have mild shoulder and elbow injuries. Then, a proper
rehabilitation program and rest for a few weeks to a few
months is often effective as first
treatment. If this does not
work, their evaluation by
an orthopedic surgeon
with expertise in shoulder
and elbow problems is the
next best step.
DR. PATRICK MCMAHON
Please see Dr. McMahonsbiography on Page 8.
St. Clair HospitalMt. Lebanon
St. Clair HospitalOutpatient CenterVillage Square
St. Clair HospitalMRI Center
St. Clair HospitalOutpatient LabChartiers ValleyShopping Center
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