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Minimally Invasive & Robotic Procedures Routinely Performed at Baystate Medical Center

This list indicates minimally invasive procedures routinely performed at Baystate Medical Center. They are grouped by medical specialty. Minimally invasive surgery usually involves very small incisions (1/8 to 1/4 of an inch) that results in: Shorter hospital stays Less pain and scarring Less risk of infection and blood loss Speedier healing and recovery than conventional open surgery. Procedures appearing in boldface orange are robotic surgery procedures that utilize state-of-the-art da Vinci^® technology that gives the surgeon more control over precision and ensures patient safety. Procedures appearing in boldface teal are robotic surgery procedures that Baystate Medical Center will offer in the near future.
Cardiac	Endoscopic Radial Artery Harvesting Atrial Septal Defect Repair** Mitral Valve Repair* TECAB - Totally endoscopic coronary artery bypass**

General	Complex Gall Bladder Surgery Adrenal Gland Surgery Bile Duct Exploration Gastric Bypass* Weight Loss Surgery Anti Reflux Surgery Complex Abdominal Wall and Hiatal Hernia Surgery

Gynecology Learn more about minimally invasive gynecologic surgery	Minimally invasive vaginal surgery Transvaginal hysterectomy Transvaginal urinary slings for incontinence Transvaginal pelvic support procedures for uterine, vaginal and rectal prolapse Minimally invasive transcervical surgery Hysteroscopic Tubal Occlusion for permanent sterilization Hysteroscopic Endometrial Ablation to treat heavy menstrual bleeding Hysteroscopic Polypectomy and Myomectomy Minimally invasive laparoscopic gynecologic surgery Laparoscopic Total Hysterectomy (removal of uterus and cervix and closure of the vagina with laparoscopic suturing) Laparoscopic Assisted Vaginal Hysterectomy (LAVH) (removal of the uterus and cervix with part of the procedure completed through vaginal surgery) Laparoscopic Sub-total (Supracervical) Hysterectomy (removal of top or body of uterus with uterus removed through the laparoscopic ports. Laparoscopic Adnexal Surgery(removing tubes, ovaries, cysts, ectopic pregnancies) Laparoscopic Myomectomy (removal of uterine fibroids) Laparoscopic excision or ablation of endometriosis

Neurosurgery	Endoscopic Vascular Surgery Endoscopic Spinal Surgery Resection of Pituitary Tumors Spinal Surgery - transforaminal lumbar interbody fusion (TLIF) Treatment of Hydrocephalus Treatment of Arachnoid Cysts

Ophthalmology	Vitrectomy

Otorhinolaryngology	Sinus Surgery Endoscopic sinuplasty - an endoscopic technique involving smaller septal incisions and less pain, bleeding, and need for nasal packing. Endoscopic control of epistaxis - an endoscopic technique that involves ligation of the major nasal arteries inside the nose (sphenopalatine and anterior ethmoidal arteries) rather than major facial or intraoral incisions or the use of major nasal packing or embolization--more invasive techniques requiring hospitalization and prolonged recovery. Endoscopic frontal sinus obliteration surgery -an endoscopic technique of treating severe frontal sinus disease through a small brow-edge incision rather than a large gull-wing facial incision or a large coronal scalp incision. Endoscopic frontal recess surgery (Draf I procedure) - an endoscopic technique to widen the frontal sinus opening in the case of extensive mucosal disease at the frontal sinus opening. Endoscopic frontal sinusotomy (Draf II procedure) - an endoscopic technique to widen the frontal sinus opening and remove sinus disease from the adjacent ethmoid sinus and lateral nasal wall. Modified Lothrop procedure (Draf III procedure) - an endoscopic technique to widen the frontal sinus opening, remove the intrasinus septum, remove the anterior ethmoid sinuses, and to remove the superior septum and lateral nasal wall in the case of severe or recurrent frontal sinus disease. Cochlear Implant Surgery

Pediatric	NUSS Pectus Excavatum Repair Malone Antegrade Continence Enema/MACE Procedure Fundoplication and Repair of Hiatal Hernia Orchiopexy; Orchiectomy; Oophorectomy Meckel’s/Small Bowel Resection Cysto Management of Bowel Obstruction Resection of Intestinal Duplication Ladd’s Procedure Cholecystectomy; Intraoperative Cholangiography Bronchoscopy; Thoracoscopy Thoracoscopic Lung Biopsy, Thoracoscopic Lobectomy, VATS Tumor Biopsy/Resection Fenestration/Distal VP Shunt Revision Laparoscopic and Thoracoscopy Esophageal Myotomy, Heller Myotomy Nephrectomy, Cystectomy, Cystoscopy, Endoscopic Repaired Urinary Reflux Pylormyotomy Appendectomy, interval appendectomy Adrenalectomy Exploration for abdominal pain

Thoracic	Video-Assisted Thoracic Surgery (VATS) Decortication First Rib Resection (for throracic outlet syndrome) Mechanical & Chemical Pleurodisis Mediastinoscopy Zenker’s Diverticulectomy Bullectomy Thorascopic Resection of Mediastinal Masses Esophagectomy Lobectomy Lung Biopsy Thoracic Sympathectomy Thymectomy Anti-reflux Surgery Hiatal Hernia Surgery

Transplant Surgery	Donor Kidney Removal for Transplantation

Urology	Nephrectomy/Partial Nephrectomy* Prostatectomy* Ureter Harvest Radical Prostatectomy Pelvic Lymph Node Dissection Incontinence Surgery Pyeloplasty*

Vascular	Endovascular Peripheral Vascular Surgery Endovascular Aortic Abdominal Aneurysm Repair Vena Cava Tumor
	* Current Procedures that can also be performed robotically with the da Vinci^® Surgical System. ** Procedures that will also be performed with the da Vinci^® Surgical System in the near future.