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Thursday, January 8, 2015
Understanding Hysterectomy
Hysterectomy is the surgical removal of the uterus. Doctors recommend the procedure for severe cases of endometriosis, uterine fibroids, or pelvic prolapse when lifestyle changes and other treatments do not ease symptoms.
If your doctor has recommended you have a hysterectomy, you may be able to choose from several surgical options:
Traditional Open Surgery
Open surgery is commonly used for gynecology procedures like hysterectomy. To perform the surgery, doctors make a long incision in the abdomen to reach the uterus. Open surgery allows doctor to see and touch your organs as they operate.
Vaginal Approach
In a vaginal hysterectomy, the surgeon removes the uterus through the vagina; no external incisions are required. A vaginal approach isn't possible in all cases, such as when the uterus is enlarged.
Traditional Laparoscopy
With minimally invasive laparoscopy, surgeons operate using long instruments inserted through a few small incisions in the abdomen. One of the instruments has a tiny camera at the end. The camera sends images to a monitor in the operating room to guide doctors during the operation. With minimally invasive surgery there are various options for removing the uterus. Your surgeon will recommend the option he/she thinks is best for you.
da Vinci® Surgery
Using the da Vinci System, surgeons operate through a few small incisions (similar to traditional laparoscopy). da Vinciprovides surgeons with a 3D HD view inside your body and special instruments that bend and rotate far greater than the human wrist. As a result, da Vinci technology enables surgeons to operate with enhanced vision, precision and control.
With minimally invasive surgery there are various options for removing the uterus. Your surgeon will recommend the option he/she thinks is best for you. If your doctor recommends you have a hysterectomy, learn about your options and ask about minimally invasive da Vinci Surgery, the #1 minimally invasive hysterectomy performed in the U.S.1
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| FIND A DA VINCI SURGEON |
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| WHY DA VINCI SURGERY? |
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 | Potential Benefits to You
Because of its advanced technology, da VinciHysterectomy offers potential benefits when compared to other surgical methods. |
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Compared to open surgery:
- Less blood loss2
- Fewer complications2
- Shorter hospital stay2
- Small incisions for minimal scarring2
Compared to traditional laparoscopy:
- Less blood loss3
- Lower conversion rate to open surgery3
- Shorter hospital stay3,4,5
- Less need for narcotic pain medicine6,7
Learn more about da Vinci »
Risks & Considerations Related to Hysterectomy for benign conditions (removal of the uterus and possibly nearby organs): injury to the ureters (the ureters drain urine from the kidney into the bladder), vaginal cuff problem (replaces cervix): scar tissue in vaginal incision, infection, bacterial skin infection, pooling/clotting of blood, incision opens or separates, injury to bladder (organ that holds urine), bowel injury, vaginal shortening, problems urinating (cannot empty bladder, urgent or frequent need to urinate, leaking urine, slow or weak stream), abnormal hole from the vagina into the urinary tract or rectum, vaginal tear or deep cut. Uterine tissue may contain unsuspected cancer. The cutting or morcellation of uterine tissue during surgery may spread cancer, and decrease the long-term survival of patients. |
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1 Inpatient data: Agency for Healthcare, Research and Quality (AHRQ). Outpatient data: Solucient® Database — Truven Health Analytics. da Vinci® data: Intuitive Surgical internal estimates. 2013.
2 Landeen L, Bell M, Hubert H, Seshadri-Kreaden U, Hassebroek J. A Comparative Study of Four Surgical Approaches for Hysterectomy at a Single Institution: Outcomes and Costs of Robot-Assisted, Laparoscopic, Vaginal, and Abdominal Procedures. Pending publication June 2011, South Dakota Medical Review.
3 Payne T. N. and F. R. Dauterive. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. (In this study, surgeons treated patients with benign conditions that included endometriosis resection.) J Minim Invasive Gynecol, 2008;15(3): 286-291.
4 Giep BN, Giep HN, Hubert HB. Comparison of minimally invasive surgical approaches for hysterectomy at a community hospital: robotic-assisted laparoscopic hysterectomy, laparoscopic-assisted vaginal hysterectomy and laparoscopic supracervical hysterectomy. J Robot Surg. 2010 Sep;4(3):167-175. Epub 2010 Aug 10.
5 Martino MA, Berger EA, McFetridge JT, Shubella J, Gosciniak G5, Wejkszner T, Kainz GF, Patriarco J, Thomas MB, Boulay R. A comparison of quality outcome measures in patients having a hysterectomy for benign disease: robotic vs. non-robotic approaches. J Minim Invasive Gynecol. 2014 May-Jun;21(3):389-93. doi: 10.1016/j.jmig.2013.10.008. Epub 2013 Oct 26.
6 Shashoua AR, Gill D, Locher SR. Robotic-assisted total laparoscopic hysterectomy versus conventional total laparoscopic hysterectomy. JSLS. 2009 Jul-Sep;13(3):364-9.
7 Betcher R MD, Chaney P MD, Otey S MD, Wood D DO, Lacy P MD, Lee M RN, Chi G PhD. A Retrospective Analysis of Post Operative Pain in Patients Following da Vinci Robotic Hysterectomy and Total Laparoscopic Hysterectomy. Oral presentation, Presented at: AAGL 2012.
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Individual surgical results may vary. Contraindications applicable to the use of conventional endoscopic instruments also apply to the use of all da Vinci instruments. Be sure to read and understand all information in the applicable user manuals, including full cautions and warnings, before using da Vinci products. Failure to properly follow all instructions may lead to injury and result in improper functioning of the device. Unless otherwise noted, products featured are available for commercial distribution in the U.S. For availability outside the US, please check with your local representative or distributor. Physicians should review all available information. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed. For Important Safety Information, indications for use, risks, full cautions and warnings, please also refer towww.davincisurgery.com/safety and www.intuitivesurgical.com.
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