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Hy at best, and no evidence was available to indicate that any surgical method emerged as better than another for these side effects. So far, patient demand, not evidence, is the driving force behind the rise in robotic-assisted prostatectomy, according to report co-author diane robertson, director of health technology assessment services for ecri. Robertson says that the concept of minimally invasive surgery is highly attractive to patients, with many willing to travel for the robotic procedure, but she cautions that patients should choose based on surgeon experience and evidence on efficacy rather than just picking the latest technology. "if you have to choose between someone who hasn't performed many robotic surgeries and a person who has performed many open procedures -- take the open procedure," says peter g. discounted generic viagra
Schulam, m. where can i buy viagra in bangkok D. buy viagra online
, ph. D. viagra gold 800mg reviews , a urology professor at the david geffen school of medicine at ucla. Schulam routinely performs non-robotic laparoscopy, the more technically difficult of the minimally invasive surgeries. viagra canada online
Michael esposito, m. D. generic viagra quick shipping , a surgeon in hackensack, n. viagra pills
J. , who has performed about 425 robot-assisted surgeries, explains, "robotics is a modification tool that further refines laparoscopy. buy cheap viagra
" esposito says that robotics offers a three-dimensional view with much greater clarity, made possible with a binocular telescope held by one of the robotic arms. Robotics allows surgeons to work seated at a console a few feet away from the operating table, pushing a joystick and pressing foot controls to remotely manipulate the three robotic arms at the bedside. One arm positions a high-resolution camera, while the other two arms control the surgical instruments. "robotic [hands] are wristed instrument that can open, close, flex and rotate clxx degrees," esposito says. "they're so small and meticulous that you can scale movements and do extremely fine work. buy viagra without prescription
" robotics is meant to eliminate hand tremors, but some surgeons find the lack of contact with instruments disconcerting. Esposito says that, once experienced with robotics, "your vision becomes a surrogate for tactile feedback. viagra gold 800mg reviews " schulam says that both forms of minimally invasive surgery lead to shorter recovery and less pain "because there's no stretching of muscle, and possibly, less blood loss. viagra online uk only " also, "patients.