El Camino Women’s Medical Group offers the latest Minimally Invasive Solutions for gynecologic problems.   Drs. Amy Teng, Erika Balassiano, and Pooja Gupta, all members of AAGL (American Association of Gynecologic Laparoscopy) are highly trained and experienced in the field of Minimally Invasive Gynecgologic Surgery.   Dr. Erika Balassiano is also a graduate of the Minimally Invasive Gynecologic Surgery Fellowship at Stanford University, under the supervision of world-renowned Dr. Camran Nezhat.

Servicing Mountain View, Los Altos, Los Altos Hills, Atherton, Palo Alto, Redwood City, Burlingame, Saratoga, Cupertino, Sunnyvale, Los Gatos, Campbell, San Jose, Santa Clara, Silicon Valley, Milpitas, South Bay, East Bay, North Bay.

Important Information for Patients:

Seriouscomplicationsmayoccurinanysurgery,including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to one ormoreofthefollowing:injurytotissues/organs,bleeding, infectionandinternalscarringthatcancauselong-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.

Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one  or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.

Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information  on non-surgical and surgical options in  order  to  make an informed decision. For Important Safety Information, including  surgical  risks,  indications,  and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and   www.intuitivesurgical.com/safety.

All people depicted unless otherwise noted are models. © 2016 Intuitive Surgical. All rights reserved. All product names are trademarks or registered trademarks of their respective holders. PN 875067 Rev E 10/2016

Your doctor is one of a growing number of surgeons worldwide offering da Vinci® Surgery.

For more information and to find a da Vinci surgeon near you, visit: www.daVinciSurgery.com

1 Collinet P, et al. Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study. Surgical Endoscopy 28.8 (2014):2474-2479. Epub. 2 Nezhat, C, et al. The Role of the Robot in Treating Urinary Tract Endometriosis. Current Opinion in Obstetrics and Gynecology 25.4 (2013): 308-11. 3 Siesto, G., et al. Robotic Surgery for Deep Endometriosis: A Paradigm Shift. The International Journal of Medical Robotics and Computer Assisted Surgery 10 (2013): 140-46. 4 Bedaiwy, MA, et al. Robotic-Assisted Hysterectomy for the Management of Severe Endometriosis: A Retrospective Review of Short-Term Surgical Outcomes. JSLS, Journal of the Society of Laparoendoscopic  Surgeons 17.1 (2013): 95-99.     5 Ercoli, AM, et al. Robotic Treatment of Colorectal Endometriosis: Technique, Feasibility and Short-term Results. Human Reproduction

27.3 (2012): 722-26. 6 Dulemba, JF, et al. Retrospective Analysis of Robot-assisted versus Standard Laparoscopy in the Treatment of Pelvic Pain Indicative of Endometriosis. Journal of Robotic Surgery

7.2 (2013): 163-69. 7 Nezhat, CLM, et al. Robotic versus standard laparoscopy for the treatment of endometriosis. Fertility and Sterility, 2010.8Nezhat,CR,etal.Robotic-AssistedLaparoscopyvs Conventional Laparoscopy for the Treatment of Advanced Stage Endometriosis. JMIG 22.1 (2014): 40-44.

Considering

Endometriosis Surgery?

Learn  about  minimally invasive

da Vinci® Surgery

Surgery Options

Endometriosis occurs when  the  tissue  that  lines  your uterus also grows outside the uterus (called implants or lesions). Depending on how severe your  symptoms  are, your doctor may suggest lifestyle changes  and medicine  to control pain and  endometriosis  growth.  If  your symptoms  get  worse,  surgery  may  be suggested.

There are two common surgery options: endometriosis resection and hysterectomy. Endometriosis  resection involves removing all visible  implants  while  leaving  the uterus and other  organs  in place.  Endometriosis  resection is often  suggested  for  women  who want  to  get  pregnant in the future. Hysterectomy is the removal  of the uterus  and possibly other affected organs. It  is  suggested  for women  who  are  not  planning  a  future pregnancy.

Endometriosis resection can be done using  open surgery  or minimally invasive surgery using  traditional  laparoscopy or da Vinci Surgery (da  Vinci  Endometriosis  Resection or da  Vinci Hysterectomy).

Open Surgery: With open surgery,  a large  incision  (cut) is made in your abdomen – large  enough  for  your  surgeon to fit his/her hands inside your body. Open surgery allows doctors to  touch  your  organs  as they operate.

Minimally Invasive Surgery: Laparoscopic surgery is minimally invasive – meaning surgeons operate through a few small incisions. Your surgeon uses a tiny camera and long, thin instruments to operate. The camera sends images to a video screen to guide doctors during surgery.

There is another minimally  invasive  surgery option  which is robotic-assisted – da Vinci Surgery.

da Vinci Surgery:

A Minimally Invasive Surgical Option

With the da Vinci Surgical System, your doctor operates through a few small incisions. The da Vinci System has a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human hand. These features enable your surgeon to operate with enhanced vision, precision, and control.

Early clinical data suggest: da Vinci Endometriosis Resection may offer the following potential  benefits:

Surgeons are able to complete difficult dissections (separating of tissue)1,2,3

Low rate of complications1,3,4,5

Low rate of blood loss3,5,7,8 and blood transfusions3,5

Low rate of switching to open surgery (through a large incision)1,3,6,7

Open Surgery Incision

Laparoscopy Incisions

da Vinci Surgery Incisions

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing

the experience of surgery for people around the world.

Risks & Considerations Related to Endometriosis Resection (endometriosis surgery to remove implants): injury to the bowel, bladder (organ that holds urine) or ureters (the ureters  drain urine from the kidney into the  bladder).

El Camino Women’s Medical Group offers the latest Minimally Invasive Solutions for gynecologic problems.   Drs. Amy Teng, Erika Balassiano, and Pooja Gupta, all members of AAGL (American Association of Gynecologic Laparoscopy) are highly trained and experienced in the field of Minimally Invasive Gynecgologic Surgery.   Dr. Erika Balassiano is also a graduate of the Minimally Invasive Gynecologic Surgery Fellowship at Stanford University, under the supervision of world-renowned Dr. Camran Nezhat.

Servicing Mountain View, Los Altos, Los Altos Hills, Atherton, Palo Alto, Redwood City, Burlingame, Saratoga, Cupertino, Sunnyvale, Los Gatos, Campbell, San Jose, Santa Clara, Silicon Valley, Milpitas, South Bay, East Bay, North Bay.