“There cannot be a ‘One size fits all’ approach,” Dr. Mallya tells the RSC in regards to planning a procedure. “Each patient, each disease, and each anatomy is Unique.” He outlines steps surgeons need to take as they decide the course of each surgery. Neurovascular bundle preservation is a goal, because it leads to better continence outcomes, as does ‘ASURE,’ Anterior fascial SUpport REconstruction,… Read More »Interplay of Various Factors Impacts Return of Continence After RARP: Database Analysis
This video earned First Place in the KS Robotic Surgery Awards at the Robotic Surgeons Council of India meetings April 8 & 9, 2017. It was entered and produced by Dr. Ashwin Mallya, and features the surgery of Dr. Rajesh Ahlawat, Chairman of the Fortis Escorts Kidney and Urology Institute. In this award-winning video, the patient is a 43-yr. old female patient with a left renal… Read More »Robotic Kidney Tumor Surgery for a Difficult Paraganglioma
We present a case of simultaneous bilateral robot assisted pyeloplasty (RAP) with multiple large stone extraction from several calyces in the left kidney. We also aim to discuss the advantages the Robotic platform provides in this setting.
Dr. Mallya describes the differences (and problems) between anterior and posterior approaches for the RARP and some differences from other established techniques (Montsouris, Bocciardi). He explains key points in dissection with surgical examples plus he charts the cause/effect for the steps. Challenges that may come up are identified, as well as ways to overcome them with images and drawings.
Vattikuti Fellow Dr. Ashwin Mallya, working with Mentor Surgeon Dr. Rajesh Ahlawat at both Fortis Escorts and subsequently at Medanta, the Medicity shares multi-center research about improving robot assisted radical prostatectomy procedures. “There is no doubt that palpation of the gland and frozen resection helps.” Mallya reports. He cites several studies from around the world, including the Vattikuti Urology Institute and Vattikuti Foundation partners in the Lister… Read More »Mid Procedure Specimen Retrieval for Palpation and Biopsies During RARP