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Brian Frederick, M.D., and the da Vinci® surgical team at King's Daughters Medical Center performed one of the nation's first da Vinci Single-Site™ hysterectomies Thursday, May 30. It was the first such procedure in Kentucky and the region. During the procedure, a patient's uterus was removed through one tiny incision in the belly button, making the procedure virtually scarless.

Dr. Frederick has performed da Vinci surgical procedures for many years, and was among the first in the nation to train for the single-site hysterectomy procedure. The Food and Drug Administration cleared the specialized single-site instruments for use with the da Vinci system in gynecology in February.

The KDMC da Vinci team that performed the procedure with Dr. Frederick included:
• Kristi Gresham, operating room technician
• Amanda Hall, nurse
• Curtis Knuckles, nurse
• Libbi Maddox, physician assistant
• Erin Valandingham, operating room technician

The team performed the hysterectomy using single-site instruments on a da Vinci system. The minimally invasive procedure is traditionally performed laparoscopically or robotically using multiple incisions, or by one large incision in an open surgery. Using robotic assistance, Dr. Frederick removed the uterus through an incision of approximately one inch.

"Neither robotic surgery nor single-incision surgery is new, but combining the two to remove the uterus requires additional training and special equipment," says Dr. Frederick. "To be one of the first hospitals to offer this technically advanced surgery demonstrates KDMC's leadership in providing patients with the most up-to-date minimally invasive surgical options."

Dr. Frederick is one of a small group of surgeons in the country who has received training to perform the surgery.

Potential benefits of single-site hysterectomy may include virtually scarless results, minimal pain, low blood loss, fast recovery, a short hospital stay and high patient satisfaction. The surgery can be performed with a typical hospital stay of less than 24 hours.

KDMC's da Vinci program

This is the second time KDMC's team has performed a state-wide first with the da Vinci surgical system. In April 2012, General Surgeon Eric Smith, D.O., performed Kentucky’s first single-site gallbladder surgery. 

King's Daughters Medical Center brought the da Vinci surgical system to this region in 2007. Since then many KDMC surgeons have used it to perform more than 1,500 minimally invasive procedures, including hysterectomies, prostate and open heart surgeries. 

Several other surgeons are trained in the da Vinci surgical system at KDMC:

• William Boykin, M.D., urologist

• Eric Bronstein, M.D., cardiothoracic surgeon

• Roderick Tompkins, M.D., general surgeon 

All OB/GYNs practicing at KDMC also are certified:

• Tony Dotson, D.O.

• Richard Ford, M.D.

• Brian Frederick, M.D.

• Kelsey James, M.D.

• Navita Modi, M.D.

About da Vinci procedures

During the procedure, the surgeon sits comfortably at a console, viewing a 3D, high-definition image of the patient’s anatomy. The surgeon uses controls below the viewer to move the instrument arms and camera. In real-time, the system translates the surgeon's hand, wrist and finger movements into more precise movements of the miniaturized instruments inside the patient.

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