It consists in the extirpation of the nodes present in the retroperitoneum, usually by the extension of tumors from regional area and the testicle.
Malignant adrenal tumors and functioning benign tumors (example: pheochromocytoma) are treated by removal of the adrenal gland – Adrenalectomy.
It includes reconstruction techniques of the renal pelvis and the ureter; Uretero and Pyeloplastia, Partial Ureterectomy, or the opening of the ureter in the bladder – Ureter reimplant, with or without bladder flap and antireflux technique (Boari Technique).
In reconstructive surgery we perform procedures that allow us to derive urine; Ileal Conduct (Bricker Technique), or bladder replacement; Ileal Orthotopic or Heterotopic Neobladder, in cancer or chronic bladder disease, or expand it cases severe bladder capacity decrease.
It includes the surgical treatment of large diverticula of the bladder, complicated with tumors, calculations, etc, or uncomplicated – Vesical Diverticulectomy.
It also includes the treatment of very bulky prostate adenomas – Prostatic adenomectomy.
In case of large and complex kidney stones, which affect all or part of the renal pelvis and renal calyces, Coraliform or Hemicoraliform Calculi, we must remove the kidney stones by Robotic Surgery, avoiding open surgery much less accurate and more aggressive.
We use this type of technique in significant Pelvic Prolapses in conjunction with the gynecology service – Colposacropexy, Cervicosacroipexia
Prolapse of pelvic organs (P.O.P)
Colposacropexy (promontfixation with mesh)
Uterine cervical carcinoma – Conservative surgery: Radical trachelectomy (preservation of fertility), Wertheim Meigs Radical Hysterectomy, nerve sparing surgery, Sentinel lymph node selective biopsy (BSGC)
Endometrial tumors – Radical hysterectomy, Pelvic and lumbo-aortic lymphadenectomy, Fluorescence nodal localization (“firefly”)
Ovarian and tubal carcinomas – Staging surgery in stage I and II tumors, Conservative surgery in stage I tumors (preservation of fertility), Pexias of ovaries prior to pelvic radiation therapy
Surgery of deep endometriosis
Preservation and release of hypogastric plexuses
Surgical management of chronic pelvic pain
Treatment of Vaginal Agenesis (Mayer Rokitansky Kuster Hauser Syndrome)
Realization of Davydov (neovagina) assisted by robot (first and only cases reported in the world)
Experts in the vaginal reconstruction by the Davydov technique (neovagina) by Robotic Surgery (first and only cases reported in the world).