Tag: Surgery

hip replacement
Posted on / by western orthopaedics / in orthopaedic, Surgery, Technology

Computer-assisted Robotic Surgery

Across Western Orthopedics’ six clinics, orthopedic surgeon and specialist Dr Pavitar Sunner implements the latest in premier technology when performing Computer-assisted Robotic Surgery. Dr Sunner is able to greatly improve his patient’s surgical outcomes by utilising these advanced methods of surgical execution.

What is Computer-assisted Robotic Surgery?

The process allows a surgeon to simultaneously visualise two or three-dimensional views of a patient’s anatomy on a monitor. This type of surgery provides real-time, intra-operative views of surgical instruments whilst also showing the relative digital positioning of implantable devices.

How Does it Work?

Infrared sensors are fixed to the bone and surgical instruments. These sensors provide 3D data, which is generated into real-time images with the help of appropriate computer software. With assistance from 3D imagery, a surgeon is then able to resurface and cut the bone where needed whilst simultaneously fixing an implant precisely & accurately according to the pre-operative surgical plan.

Source: Minimally Invasive Surgery


Surgeons who use the robotic system find that for many procedures it enhances precision, flexibility and control during the operation and allows them to better see the site, compared with traditional techniques. Using robotic surgery, surgeons can perform delicate and complex procedures that may have been difficult or impossible using other methods. Often, robotic surgery makes minimally invasive surgery possible.

The benefits of minimally invasive surgery include:

• Fewer complications, such as surgical site infection

• Less pain and blood loss

• Quicker recovery

• Smaller, less noticeable scars

robotic surgery

When is it Performed?

It is not always an option for everyone. It is important to talk with your doctor about the benefits and risks of robotic surgery and how it compares with other techniques, such as other types of minimally invasive surgery and conventional open surgery. If you would like to find out more about Computer-assisted Robotic Surgery at Western Orthopedics please contact us today @ (02) 4731 8466 or make an appointment online here.

Posted on / by western orthopaedics / in Pain, Surgery

Managing Pain After Surgery

Whilst it’s completely normal that you will experience some pain after your surgery, Dr Sunner and his staff work on making sure you receive the proper care for your recovery.

Post-surgery, Dr Sunner and the Western Orthopedics team will discuss the type of discomfort that you will experience, and approximately how long this discomfort is expected to last for.

Before Surgery

Before surgery please inform Dr Sunner:

• Where you feel pain and how much you have
• What makes it better or worse
• What methods you are using to control it
• If you take medicines to manage your pain on a regular basis
• If you have any allergies or have had reactions to medicine
• If you are currently taking any natural products
• If you smoke
• If you drink more than two alcoholic drinks per day
• If you take illegal drugs


It is also important to learn about possible side effects of your medication, and what you can do to minimise them.

One of the problems with opioids, a commonly used class of post-surgery pain medications, is that they can have some overwhelming side effects. It should be your job to monitor if any occur side effects occur, as you know your body better than anyone.

You may also want to discuss with Dr Sunner and your GP about any regular medication you are taking pre-surgery, and how this might change after your procedure.

The range of medicine you need to manage your post-surgery pain may include non-steroidal anti-inflammatory drugs, opioid analgesics or local anaesthetics. You also need to be aware that if you have undergone a joint replacement you are at greater risk for developing a blood clot in a deep vein.

It is your responsibility as a patient to inform your GP about your post-surgery pain to ensure that your doctor can prescribe the right treatment for you and to avoid side effects.

painPain Management

Non-medical treatments also work in treating pain in the short run. These include after surgery treatment, such as:

• Hypnosis
• Acupuncture/ Massage
• Walking
• Rest & Relaxation
• Cold therapy
• Change in climate

Dr Pavitar Sunner

Dr Sunner will discuss your post-operation rehabilitation with you. You also may want to visit your physiotherapist a couple of times a week and repeat your physio exercises in your own time.

If you have questions, concerns, or side effects from the medicine, consult the doctor who prescribed the medicine, or call your primary care provider.

Dr Sunner can be contacted on (02) 4731 8466

Posted on / by western orthopaedics / in Information

Returning To Exercise After Surgery

Returning to an exercise routine after surgery is no easy journey. With prolonged bed rest after surgery, you may lose substantial muscle mass and strength.

Non-impact sports, such as cycling are highly recommended when gradually exercising in due time, and It’s important to ease into these activities and try to listen to your body.

It is strongly encouraged that after surgery, recovery time along with regular physiotherapy will assist with returning to a structured and beneficial training routine. Some patients may assume that they will never be able to return to their peak physical performance, but with patience and the right technique, it is possible.

The exercises you want to routinely perform should be planned out with your physio or GP. And after gaining confidence with gentle movement you can gradually increase the intensity of your fitness routine to where you feel comfortable.

Depending upon your surgery you may have up wait up to 6 months before undertaking any rigorous exercise. Therefore, in the first couple of months, you might have to avoid sprinting, heavy lifting, and jumping, as strenuous exercises may actually slow the healing process and possibly cause injury.

Post-surgery Exercise

Hydrotherapy is highly recommended after hip, knee and shoulder surgery. Along with hydrotherapy, it’s important to receive regular guidance from a physiotherapist before you begin self-managing your post-surgery exercises.

Hip Surgery

  • – Most patients start the road to recovery early with light strengthening and range of motion exercises while still in the hospital.
  • – Staying fit after undergoing a hip replacement is particularly important since excess weight can contribute to more pain, and make it difficult for you to retain your range of motion after surgery.
  • – The most important exercises to focus on after hip surgery should involve: stretching, strengthen and low impact training such as water aerobics.

Knee Surgery

  • – Stationary bikes can be a great tool if you are recovering from knee replacement surgery. This equipment can help you increase your range of motion and strengthen your entire leg.
  • – The treadmill will be the best start to getting back on the wagon. It can help you recover strength in the muscles you use for walking and balancing. Start your recovery treadmill exercises with no incline and at slow speeds.


Shoulder Surgery

  • – At 3 months’ post-operative, you should be at the point where you can introduce light resisted exercises.
  • – If you practice regular training with a focus on weight training, it is important to note that your training routine will need to be adapted post-surgery. Exercises that you once performed may be off-limits. Remember to talk to your physio regarding your routine.
  • – Using ice and compression to help accelerate the healing process and help your body recover after exercise is extremely important in the early months of returning back to fitness.

Be mindful that any type of movements you undertake after surgery should be talked through with your surgeon, doctor or physiotherapist. For more information on returning to workouts after surgery visit or contact Dr Sunner here.

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