Brinkmann Gynaecology

Robotic surgery for gynaecology at Queen Alexandra Hospital

Robotic surgery is an upgraded form of minimally invasive (keyhole) surgery and is associated with major patient benefits. 

Robotic surgery for gynaecology

Mr Brinkmann is the clinical lead for gynaecological cancer in Portsmouth and has led the implementation of robotic surgery for gynaecology at Queen Alexandra Hospital. He uses the robotic system for complex, minimally-invasive operations for malignant female pelvic conditions, such as cancer of the uterus and cervix.  Whenever possible, he operates with the robot to reduce patient discomfort, promote more rapid healing and minimise the impact of surgery on cancer patients.

After robotic surgery, many patients experience less post-operative pain, reduced scarring, fewer complications, fewer requirements for blood transfusion, fewer instances of infection and a faster return to normal activities compared with other surgical approaches.  Reduced pain medication is required after robotic surgery because there is less tissue trauma during the operation.  

It also has the enhanced benefit of offering fertility preserving surgery for certain patients who still want to have a family after treatment.  This was often not possible before.  

Also some women who aren't candidates for open or standard laparoscopic surgery may be candidates for robotic surgery.  This is particularly true of larger women who are often not considered suitable for laparoscopic surgery due to their size.

Robotic versus open surgery

The majority of women with cancer in the UK are treated with open surgery, which inherently has increased wound complications and a significantly longer recovery time. 

Currently patients with womb cancer take about two to three months to recover from an operation.  After robotic surgery a patient can leave hospital the day after her procedure. 

Most women with cervical cancer still have an open operation but this complex surgery is well suited to the robotic approach and we have had excellent patient outcomes in this area.

The robotic operation is more precise than conventional surgery and it allows a patient to return to normal activities much more quickly. 

Less invasive, more precise, faster recovery

In robotic surgery, Mr Brinkmann operates through small incisions using the surgical robot.  It allows him to perform many complex procedures with more precision, flexibility and control than standard open surgical and laparoscopic techniques.  The robotic instruments are more flexible and offer a greater range of movement than standard laparoscopic tools.  Also the visual enhancement offered by the robot technology is significantly better so it becomes possible to execute delicate and complex procedures that may have been difficult or impossible with other techniques. 

Queen Alexandra Hospital is the first hospital in the UK to launch the surgical robot across five specialities.  This means there is a strong possibility that Portsmouth may become a European training centre for the da Vinci robot and a United Kingdom Centre of Excellence.  This has enormous benefits for patients, hospital staff and our community.  

It is a great privilege to be part of such a visionary hospital.  When all is said and done many hundreds of patients on the South East coast and Channel Islands can experience the significant benefits of this ground-breaking surgery and the life-changing transformations it offers.

Please support the Rocky Appeal if you can to ensure this cutting edge technology continues to benefit our wider community.