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Table of Contents
Section I: Dr. Randy Fagin
Why Choose Dr. Fagin for Your daVinci Surgery
Dr. Fagin’s International Recognition
Your daVinci Team
Intuitive Surgical Letter
Dr. Fagin’s Resume
Section II: Davinci Robotic Surgery
Overview of daVinci Robotic Prostate Surgery
The A.R.T. of Prostate Cancer Surgery
Frequently Asked Questions
Information for Making your Decision
Section III: Before and After Surgery
Pre-Operative Instructions
Post-Operative Instructions
Caring for your Foley catheter
Urinary Control Rehab Program
Sexual Function after daVinci Surgery
Erectile Rehabilitation Program
Section IV: Accommodations
Out-of-Town Guests
Concierge daVinci Experience
Section V: Misc.
Prescriptions
   
 
HOW DOES THE ROBOT WORK?
 
     
 
The daVinci Surgical Robot allows Dr. Fagin’s hand movements to be scaled, filtered and translated into more precise movements of micro-instruments. A larger hand movement by Dr. Fagin is translated into a smaller robot movement, and smaller movements can then become micro- precise. By replicating and scaling Dr. Fagin’s movements in real time the robot allows Dr. Fagin to more precisely perform the operation improving outcomes for patients. The robot cannot be programmed nor can it make decisions on its own. It is under the complete control of Dr. Fagin at all times. Use of the robot also significantly reduces surgeon fatigue by allowing Dr. Fagin to remain seated in a natural, comfortable position while operating.
 
 
3-DIMENTIONAL OPTICS
 
Standard laparoscopic surgery uses one single camera and limits a surgeon's vision to a 2-D view similar to watching your television. The daVinci robotic camera consists of two high resolution fiber optic cameras which, like your eyes, produce a true 3-dimensional color picture available to the surgeon seated at the daVinci console. Magnification of up to 12x can be achieved with these cameras whose position is precisely controlled by Dr. Fagin using a central robotic arm.
 
ROBOTIC MICRO-INSTRUMENTS
Although visually similar to standard laparoscopic instruments, the robotic instruments have the additional advantage of being articulated. This means the instruments not only open and close but also fully turn and twist, allowing 7 degrees of motion. Unlike standard open surgical instruments these instruments are much smaller. Many of the jaws of the tools are shorter in length than your fingernail and about as thin as the edge of a half dollar. This allows very small and precise movements and surgical cuts to carefully dissect out the prostate.
 
  
 
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