THE DA VINCI ROBOT

COVENTRY OCONNERBRYANT & STRATTON COLLEGEMIBC 250 – CODING IMRS. PHYLLIS JAMES DECEMBER 10, 2015

Da Vinci Robot

HISTORY

2000 – Becoming the 1st robotic surgery system approved by the FDAPredecessors relied on using endoscopes and surgical assistant 3 dimension magnify screen allows surgeon to view area Less contact between expose interior tissueGreatly reducing the risk of infectionDa Vinci system been approved by the FDA

I. Urological II. Laparoscopic III. Non-cardiovascular thoracic IV. Thoracospically –assisted cardiology procedures

Disease Urolithiasis – Describe stones occurring in the urinary tract . Code N20.9 Nephrolithiasis – medical term for presence of stones.Code N20.0

https://www.youtube.com/watch?v=KNHgeykDXFw

Patient a 43 year old women with a history of kidney stones was seen at the urologist office complaining of nausea, temperature 103.0 and extreme lower right flack pain radiating to the lower back. Doctor sent patient to get x-rays .Determined that the patient had a stone and severe scar tissue wrapped around the ureter and the kidney.Upon the doctor earlier examination of previous kidney infections and multiple laser lithotripsy, the patientWas sent to a specialist who handles the Da Vinci robot.

The specialist who performed the surgery he had made 3 incisions, cut 1 inch of the ureter out because of constriction due to scar tissue on the ureter, placed a stent and a drainage bag to make sure that the kidney was draining properly. Discharge after 2 days in hospital. 1 week follow up X-rays performed Stent placement for 2 months

https://www.youtube.com/watch?v=nYL8cL3oQq0

The picture shows the ureter going into the kidney. Where scar tissue can form and cause Blockage from the passing of urine in most cases where infection and kidney stonesCan either cause permeant damage if not treated .

Diagnosis:

Urine test Imaging of stone Analysis of passed stone

Treatment: Drink plenty of clear liquids Pain relievers Medical therapy Electronic sound waves Surgery scope to remove stone

Prevention : Drink plenty of water Choose a low salt diet Eat calcium rich foods Get plenty of rest Plenty of exercise

Questions

References https://www.youtube.com https:// www.web.md.com https://www.bing.com ICD-10-CM Professionals for Physicians.(2015).Optuminsight,inc