Gynecologic Robotic Surgery

For patients, the benefits of da Vinci Gynecologic Surgery may include:

  • 4-6 dime-sized incisions with minimal scaring
  • Significantly less pain
  • Minimal blood loss and need for transfusion
  • Fewer complications
  • 1-2 days hospital stay
  • 1-3 weeks recovery time
  • Return to normal activities within days

This procedure is a breakthrough surgical platform which enables gynecologists to operate with unmatched precision, dexterity and control. By overcoming the limitations of both traditional open and laparoscopic surgery, da Vinci is revolutionizing gynecologic surgery for women.

da Vinci Gynecologic Surgery Indications

da Vinci Surgery is appropriate for a broader range of gynecologic conditions & patient situations compared to conventional laparoscopy

  • Cervical cancer
    • Conventional laparoscopy not widely accepted
  • Endometrial cancer
    • Conventional laparoscopy accepted, but technically difficult to perform
  • Vaginal or uterine prolapse
    • Conventional laparoscopic suturing not reliable
  • Endometriosis
  • Uterine fibroids
  • Obese patients

Goals of da Vinci Hysterectomy

  • Enable minimally invasive surgery (MIS) approach
    • Easier to learn & perform compared to conventional laparoscopic surgery
    • da Vinci (robotic-assisted) Surgery will enable:
      • More Gynecologists to perform minimally invasive surgery
      • Gynecologists to perform more advanced operations & more types of procedures using a minimally invasive approach
  • Provide benefits of MIS to hysterectomy candidates
    • Short hospital stay
    • Minimal pain & scarring
    • Quick recovery & return to normal activities

Goals of da Vinci Myomectomy

  • Enable minimally invasive surgery (MIS) approach
    • Most myomectomies performed through open incision
    • Conventional laparoscopy for myomectomy is very difficult to learn & perform
  • Enable women to retain their uterus*
  • Provide means for women to preserve their fertility
  • Provide benefits of MIS to myomectomy patients
    • Short hospital stay
    • Minimal pain & scarring
    • Quick recovery & return to normal activities

Goals of da Vinci Gynecologic Cancer Surgery

  • Traditional open approach resulted in large incisions
  • da Vinci enables minimally invasive surgery (MIS) approach
    • Conventional laparoscopy may fall short in adequately removing & treating gynecologic cancers
    • Conventional laparoscopic (minimally invasive) surgery is difficult to learn & perform
    • With da Vinci, Gynecologic Oncologists can perform more advanced operations using a minimally invasive approach
  • Provide benefits of MIS to cancer patients
    • Short hospital stay
    • Minimal pain & scarring
    • Quick recovery & return to normal activities

Procedures

Hysterectomy / Resection Pelvic Mass

The Condition: Early Stage Gynecologic Cancer

A wide variety of gynecologic cancers can affect a woman’s reproductive system, which consists of the uterus, vagina, ovaries and fallopian tubes. The uterus is a hollow, muscular organ that holds a baby during pregnancy. The fallopian tubes and ovaries are located on each side of the uterus. The most common types of gynecologic cancers are cervical, endometrial (uterine) and ovarian cancer. The specific type of cancer a woman has and how advanced it is, will determine her treatment options. Women with early stage gynecologic cancer are often treated with hysterectomy - the surgical removal of the uterus. In this procedure, the doctor may also remove the ovaries, fallopian tubes and/or select lymph nodes. Hysterectomy is the second most common surgical procedure for women in the United States, and an estimated one third of all U.S. women will have a hysterectomy by age 60.

If you have a gynecologic cancer - such as cancer of the uterus or cervix - hysterectomy may be your best treatment option. The type of hysterectomy you have will depend upon your medical history and health, as well as the extent of the cancer growth. Traditionally, hysterectomies for gynecologic cancers have been performed via open abdominal surgery, using a long vertical incision (from the pubic bone to just above the navel). Open abdominal hysterectomy can be painful for patients and involve heavy medications, risk of infection and significant blood loss during surgery. After surgery, a long recovery is necessary. For some patients, this may overlap with a secondary treatment – usually radiation or chemotherapy.

While hysterectomy is a relatively safe procedure, it may not be appropriate for all individuals or conditions. Always ask your doctor about all treatment options, as well as their risks and benefits.

da Vinci ®Hysterectomy: A Less Invasive Surgical Procedure

If your doctor recommends hysterectomy, you may be a candidate for da Vinci Surgery - the #1 surgical treatment option chosen by women facing gynecologic cancer. Using state-of-the-art technology, a daVinci Hysterectomy requires only a few tiny incisions. This minimally invasive approach may allow you to progress to secondary treatment, if needed, more quickly and get back to your life faster. da Vinci Surgery enables your doctor to perform a hysterectomy to treat cancer and other complex conditions with enhanced vision, precision, dexterity and control. da Vinci offers women many potential benefits over traditional surgery, including: Less pain, fewer complications, less blood loss, shorter hospital stay, Low risk of wound infection quicker recovery & return to normal activities. As with any surgery, these benefits cannot be guaranteed since surgery is unique to each patient.

The da Vinci Surgical System is designed to provide surgeons with enhanced capabilities, including high-definition 3D vision and a magnified view. Your doctor controls the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. Though it is often called a “robot,” da Vinci cannot act on its own. Instead, the surgery is performed entirely by your doctor. Together, da Vinci technology allows your doctor to perform complex procedures through just a few tiny openings. As a result, you may be able to get back to life faster without the usual recovery following major surgery. The da Vinci System has been used successfully worldwide in hundreds of thousands of procedures to date.

Pelvic Prolapse Surgery (Sacrocolpopexy)

If your symptoms from pelvic prolapse are severe and affect your lifestyle, your doctor may recommend surgery. Prolapse surgery is also known as sacrocolpopexy. During the procedure, mesh is used to hold the affected pelvic organ(s) in their correct natural position. The procedure is not the same was what occurs during transvaginal placement of mesh.

Sacrocolpopexy can also be performed after a hysterectomy and can provide long-term support for the vagina.

Why da Vinci Surgery?

If you are facing pelvic prolapse surgery, you may be a candidate for da Vinci Sacrocolpopexy. da Vinci surgeons make just a few small incisions instead of a large open incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your doctor to operate with enhanced vision, precision, dexterity and control.

As a result of da Vinci technology, da Vinci Sacrocolpopexy offers the following potential benefits when compared to traditional open surgery:

  • Less blood loss
  • Shorter hospital stay
  • Small incisions for minimal scarring

Additional potential benefits of da Vinci Sacrocolpopexy include:

  • Low rate of complications
  • High sexual function
  • Improved urinary, bowel, and pelvic symptoms

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

Related Links

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Dr. Stephens Dudley is a
robotic-certified gynecologic surgeon
at Saint Thomas West Hospital.
Find out more about Dr. Dudley

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