Wellstar Orthopedics & Sports Medicine

Wellstar Cobb Medical Center is no stranger to using robotics in surgery yet a new system has catapulted its robotic capabilities to the next level.

Wellstar Cobb is the first hospital in the health system to offer a first-of-its-kind surgical technology through the new Da Vinci 5 robot (DV5), with surgeons Dr. Julie Chang and Dr. Stephen Odom performing the hospital’s inaugural procedures using the DV5 for gynecologic and general surgery.

The DV5 robot allows physicians to sense how much push-or-pull force they apply during surgeries, giving them greater control and data as they delicately maneuver the tips of the instrument. Wellstar Cobb is among the first hospitals in the metro Atlanta area with this innovative technology.

“The ability to sense hard and soft tissue during robotic surgeries is a game changer,” said Dr. Chang, a specialist in obstetrics and gynecology and the first surgeon to use the new DV5 robot at Wellstar Cobb. “Surgeries will be even more precise and efficient with this tool, which will further reduce post-operative pain and make recovery time faster.”

Surgeons can apply up to 43% less force on tissue by relying on the robot’s Force Feedback technology, according to preclinical data from Intuitive, the maker of the DV5 system. When using DV5, surgeons also benefit from improved dexterity and ergonomics, better 3D images and a wider range of motion compared to prior models.

This increase in precision and flexibility will help patients experience less blood loss and scarring, have lower risks of complications and spend less time in the hospital.

“We are committed to providing the highest standard of care—not only by building strong teams, but also by embracing cutting-edge technology,” said Eliese Bernard, president of Wellstar Cobb. “We are thrilled to offer this latest advancement to our patients and be among the first hospitals in the state to do so.”

The new system will primarily benefit general surgery, urology and gynecology patients. DV5 will assist with procedures ranging from repairing a hernia to more complex surgeries.

Wellstar Cobb has performed over 10,000 robotic surgeries, with 1,500 of those procedures occurring last year alone. With the help of various Da Vinci models, the hospital’s 30 robotic surgeons apply their expertise to general surgery, gynecology, urology, colorectal and bariatrics.

Their skill with robotic technology offers patients better outcomes, including during laparoscopies—during which surgeons insert a camera through a small incision, limiting the procedure's invasiveness. For instance, only 0.2% of Dr. Chang’s laparoscopies for benign hysterectomies have escalated to open surgeries, which require larger incisions and longer recovery times. By committing to high surgical standards, Wellstar Cobb physicians minimize patient complications and readmissions.

“Wellstar Cobb continues to lead the way in robotic surgeries,” said Dr. Jody Hughes, chief medical officer at Wellstar Cobb. “Not only do we offer best-in-class services through technology like the DV5, but we also support other communities by helping train the next generation of elite robotic surgeons.”

Wellstar Kennestone Regional Medical Center has also acquired its own Da Vinci 5 Robot.

Learn more about robotic surgery at Wellstar.

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin Miskewicz can.

According to the American Heart Association, more than 90% of people who experience an out-of-hospital cardiac arrest die. Those who survive often have permanent neurological disabilities. But Kevin’s story has an incredibly fortunate ending, thanks to the highly coordinated work of his medical experts at Wellstar.

Recovering from cardiac arrest is something Kevin will never forget. It lives forever as a piece of his health history—one that includes a dedicated healthcare team—and his wife, who was the first to save his life.

CPR to the rescue

Kevin woke up on Labor Day 2017 at 5:30 AM to take the dog out. Pausing to adjust the thermostat as he came in, he fell, knocking over a lamp.

He was in cardiac arrest.

With no symptoms and no known pre-existing condition, this was unexpected, but that didn’t stop his wife, Andrea, from jumping into action.

“If it weren’t for me knocking over a lamp when I passed out,” said Kevin, “she would have never woken up and saved my life.”

In addition to calling 911 and unlocking the door for the paramedics, Andrea performed CPR for 10 minutes.

“Kevin’s wife doing good CPR was critical,” said Dr. Arthur Reitman, the interventional cardiologist who was a vital part of Kevin’s treatment team at Wellstar Kennestone Regional Medical Center. “More than five minutes of poor blood flow to the brain can result in permanent irreparable injury from which a patient is unable to recover.”

Coordinating multidisciplinary care to save a life

When paramedics arrived at Kevin’s home, he had no pulse and was not breathing. As the paramedics performed their lifesaving work, he technically died two times.

The ambulance took him to Wellstar North Fulton Medical Center, where he was initially assessed and treated by Dr. David Jacoboff. The interventional cardiologist implanted an intra-aortic balloon pump to stabilize him. Then, he transferred Kevin to Wellstar Kennestone for highly specialized heart care.

When Kevin arrived at Wellstar Kennestone by helicopter, his heart function wasn’t strong enough to support his body. Dr. Reitman and a team of doctors including a cardiologist, a pulmonologist and critical care doctors worked in tandem to put Kevin on an advanced life support system called veno-arterial extracorporeal membrane oxygenation. Better known as VA-ECMO, it took the heart “offline” so it could heal. The technology removed unoxygenated blood from his body, oxygenated it and pumped it back in for the next three days.

“Very few places in the state—only four or five hospitals—have the technology and specialized training to put a patient on ECMO,” Dr. Reitman explained.