Drs. Miklos and Moore are known internationally as pioneers and innovators in laparoscopic reconstructive vaginal surgery. They have been invited to lecture, teach and operate all over the world including: Russia, Chile, Argentina, Ecuador, Brazil, UAE, India, South Africa, Australia, New Zealand, Taiwan, Canada, England, Norway, Sweden, Portugal, and Italy.
Drs. Miklos and Moore helped develop many of the surgical techniques years ago and have more experience than any other physician in the world with laparoscopic pelvic floor reconstruction. They have performed more than 5000 laparoscopies in their career and have more experience than anyone in the United States, performing laparoscopic sacrocolpopexy, paravaginal repairs, bladder fistulas, Davydov neovagina and hysteropexy. They have a very limited complication rate with: less than a 1% bladder injury rate, less than a 1% bowel / colon injury rate, less than a 1 % ureteral injury rate, less than a 1% blood transfusion rate, less than 1 in 1000 chance of a large incision or chance of a conversion to a laparotomy. The average patient is released either the day of surgery or the day after.
Laparoscopic Surgery utilizes tiny “keyhole” incisions in the belly to allow a camera and instruments into the abdomen. Dr Miklos and Moore then operate using HD and 3D television monitors that magnifies the operating field and allows them to complete surgery safely and efficiently.
Robotic surgery is laparoscopic surgery except it utilizes a $1.5 million robotic arms to assist the surgeon. Robotic surgery is advertised as being safer, faster, more efficient, and has smaller incision and has less blood loss than other types of surgery. The fact is laparoscopy has smaller incisions, less pain is more efficient than robotic surgery. This has been proven by the Cleveland Clinic as well as Drs. Miklos & Moore’s own research. Below are the surgical times reported in their findings.
Some centers now are offering Robotic Assisted laparoscopic procedures. The robot is used to perform the same procedures Drs. Miklos and Moore perform and is used by surgeons that otherwise are not able to do the surgery laparoscopically. Drs. Miklos and Moore do not use the robot because it is not advantageous to the patient. Many studies report results that, use of the robot is actually more costly, creates more pain for the patient and actually increases the operative time.
In 2014, Drs. Miklos and Moore released an award winning surgical video titled, “The 26-minute Sacrocolpopexy, Do we need Robotic Technology?”
April 12, 2013
FDA is investigating a spike in reported problems involving da Vinci surgical robots, which were used in nearly 400,000 surgeries across the country last year.
So why don’t more surgeons do their procedures laparoscopically vs. robotically or through a large incision? Truth is, they just are not capable. They lack the training and the skill to perform the procedure safely.