394

| The Surgical Technologist | OCTOBER 2016 456 bles are observed, then the colon will be deflated and the scope will be removed. The robotic instruments then will be removed and the abdomen will be deflated. The fascia will be closed with 0 polydioxanone suture followed by 4-0 poliglecaprone 25. Steri-strips will be applied with adhesive bandages covering them. The patient will be extubated and transferred to the postoperative recovery unit. C O M P L I C A T I O N S A N D P O S T - O P C A R E Complications for this procedure include ileus, anastomotic leak, bladder/ureter damage and nerve damage. The typical stay for a patient in the hospital is two to three days, which is significantly less than an open procedure. The patient will be monitored for potential complications, and the patient’s diet will gradually advance to allow for proper healing of the colon. The patient will be monitored for any leaks in the anastomosis. Normally, wound care would be a part of the observation, but with the use of natural orifice specimen retrieval this portion of the observation has been simplified. This method has proven a significant decrease in post-op ileus and a drastic decrease in post-op pain. A U T H O R A C K N O W L E D G E M E N T S Special thanks to Dr Patricia Auty for help with this article. A B O U T T H E A U T H O R Jesse Cheney, CST, CSFA, specializes in general surgery robotics. He graduated from Great Bay Community College in Portsmouth, New Hampshire, with an associate degree in surgical technology. He gained his first assistant certification from Meridian Institute of Surgical Assisting. Jesse would like to give thanks to the hard work and dedication of the operating room staff at Wentworth Dou- glass Hospital. It was at WDH that he gained most of his knowledge and skill in the general surgery field. He would also like to give special thanks to the surgeons that have spent so much time and effort training him in the field of general surgery, Dr David Coppola, Dr Patricia Auty and Dr Joseph Rodriguez. Without their guidance and mentoring he would never be where he is today. He would also like to thank his wife Stephanie because without her support, encouragement and understanding he would have never even entered into the field of health care. Jesse currently works at Seacoast General Surgery in Dover, New Hampshire as a private CSFA. He will be attending Franklin Pierce University in the fall to further his educa- tion and become a physician’s assistant. R E F E R E N C E S 1. Bedirli, A; Salman, B. (2015). Robotic surgery for rectosigmoid junction tumor with ovarian metastases. J Min Access Surg , 11(1), 99. http://dx.doi. org/10.4103/0972-9941.147720 2. Colon Resection Technique: Approach Considerations, Laparoscopic Left and Sigmoid Colectomy, Low Anterior Resection, and Abdomino- perineal Resection, Laparoscopic Right Colectomy. (2016). Medscape. Accessed July 27, 2016. http://emedicine.medscape.com/article/1891505- technique#c2 3. Diverticulitis Causes, Symptoms, Treatments, Prevention. WebMD. Accessed March 12, 2015. http://www.webmd.com/digestive-disorders/ tc/diverticulitis-topic-overview. 4. Egger, B; Peter MK; and Candinas, D. Persistent symptoms after elective sigmoid resection for diverticulitis. Dis Colon Rectum . (2008). Accessed March 21, 2015. http://www.ncbi.nlm.nih.gov/pubmed/18449609 5. Klarenbeek, BR; Samuels, M; van der Wal, MA; van der Peet, DL; Meijer- ink, WJ; Cuesta, MA. Indications for elective sigmoid resection in divertic- ular disease. Ann Surg. (2010). US National Library of Medicine. Accessed March 21, 2015. http://www.ncbi.nlm.nih.gov/pubmed/20224374. 6. Sigmoid Colon, Anatomy. Encyclopedia Britannica Online. Encyclope- dia Britannica. March 12, 2015. http://www.britannica.com/EBchecked/ topic/543687/sigmoid-colon.Sigmoid Colectomy Your Operation Explained. Stepping Hill Hospital. Stockport, GB: Stepping Hill Hospital. 2014. http://www.stockport.nhs.uk/documents/PIL/33482_SUR90.pdf An elective sigmoid colectomy uti- lizes thesurgical robot,whichallows for retrievalof thespecimenthrough a natural opening of the body, thus resulting in four small incisions and a greatly reduced hospital stay.