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Robotic Hysterectomies. Your Common Questions and Concerns Addressed.

Robotic Hysterectomies. Your Common Questions and Concerns Addressed.

A hysterectomy is an operation in which a woman’s uterus is surgically removed. This may be necessary as a form of treating cancer, uterine prolapse, or other dangerous diseases or medical conditions. Commonly, a laparoscopic hysterectomy is performed as a less invasive procedure using a lighted scope inserted through small incisions. Today, thanks to advances in modern medicine, an alternate form of laparoscopic surgery is available that in many cases speeds recovery and limits discomfort even more—and it involves, robotics.

What is a Robotic Hysterectomy

In robotic-assisted laparoscopic hysterectomy, a surgeon controls the surgical operating instruments using a computer located within the operating room. The benefit to computer-assisted operations is in the ability for all movements to be as steady and precise as possible. Robotics eliminate the possibility of human error, a possibility faced by even the most skilled and experienced surgeons. In addition, robotics allow surgeons to maneuver more precisely into tiny spaces, and with a better view of the area being operated on, again helping to improve accuracy and overall procedural success.

Robotic hysterectomies are typically done under general anesthesia. Commonly, three or four small incisions are made near the belly button. Gas is pumped into the belly to inflate the area and give the surgeon a better view of the interior region. The laparoscope is inserted into one of the abdominal incisions, while the surgical instruments are inserted into the others. Using the robotic controls, the surgeon cuts the uterus into pieces small enough to be removed through the abdominal incisions, or the uterus may be removed through the vagina. The entire procedure typically lasts between three and four hours.

When is a Robotic Hysterectomy Recommended?

Your surgeon may recommend a robotic hysterectomy for any of the following reasons:

  • It is a less invasive procedure compared to an open type of hysterectomy, requiring only small incisions.
  • It often produces less pain and results in a shorter hospital stay.
  • It typically results in an easier recovery.
  • There are fewer risks of complications such as excessive bleeding, or issues related to infection.

Are There Any Risks Involved?

As with any type of procedure, there are possible risks associated with a robotic hysterectomy. Talk to your OBGYN to understand the specific risk-factors that may impact you. In general, some of the risks associated with a robotic hysterectomy include:

  • A reaction to the anesthesia. Robotic-assisted laparoscopic surgery usually takes longer than open surgeries. As a result, you are under anesthesia longer, which may increase your risk of complications.
  • Abdominal, or internal organ damage.
  • Blood clots that may form in your legs and travel to your lungs.
  • Infection.
  • Bleeding.

Other Important Factors

Talk to your OBGYN if any of the following additional risk factors may apply to you:

  • You or someone in your family has ever had a negative reaction to general anesthesia
  • You smoke
  • You are taking any other regular medications

For more information about robotic, versus open hysterectomies, talk to your OBGYN. If you are a candidate for a hysterectomy due to a medical condition, your doctor will help you decide the surgical format that will offer the best results in treating your condition. And Chouchani, Sayegh and Bagnarello MD offers robotic assisted hysterectomies featuring the Da Vinci Surgical System. For more information call our office today.


Ask the OB-GYN – Is a robotic hysterectomy less invasive or painful?

What are some of the reasons women and their doctors may discuss hysterectomy options?

If a woman is suffering from endometriosis, heavy menstrual bleeding, fibroid tumors, pelvic prolapse or cancer, removing her uterus may be the only option for relief or an important part of achieving better health.

What are the four approaches to hysterectomy?

  1. Open hysterectomy. As the name indicates, this is an open surgery, where your uterus is removed through a large incision. The incision has to be large so your surgeon can see your organs and fit his/her hands and instruments inside your body.
  2. Vaginal hysterectomy. Your surgeon will make a cut in your vagina, operates through this incision and closes it with stitches once your uterus is removed.
  3. Laparoscopic Hysterectomy. Your surgeon will make two or three small incisions in your abdomen, then operate using long instruments and a tiny camera. The camera sends images to a monitor that the doctors will use to monitor their activity as they operate. Your uterus can also be removed through a single incision in you belly button.
  4. Robotic hysterectomy. Similar to a laparoscopic hysterectomy, a robotic hysterectomy allows your surgeon to operate through five small abdominal incisions, or one in your navel. The instruments used can bend and rotate far more than the human wrist can. This gives your surgeon improved precision, dexterity and control.

What are the benefits of robotic hysterectomy?

Because there is far less tissue trauma to the abdomen, patients who undergo a robotic hysterectomy may experience:

  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Less risk of infection
  • Less scarring due to small incisions
  • Shorter hospital stay and shorter recovery time
  • A faster return to normal daily activities

Every year, approximately 600,000 American women have hysterectomies. Should you be one of them? If you are suffering from one of the conditions mentioned above, ask your doctor what treatment alternatives might be available to you, or discuss the advantages and disadvantages of the different surgical methods—including cost and insurance coverage.

If you’re looking for a new OB-GYN practice we are accepting new patients? Make an appointment with Chouchani, Sayegh and Bagnarello today.