Innovative Technology for Hysterectomies Provides Women a Quicker Return to Normal

When other therapies have failed, a hysterectomy is often the best solution for women suffering any number of gynecologic conditions.

A hysterectomy – the surgical removal of the uterus – stops menstruation and prohibits women from getting pregnant. But it can also provide relief for women experiencing a variety of unpleasant side effects.

There are many reasons you might need a hysterectomy, but one of the most common is abnormal bleeding. This can be bleeding that’s heavy, spotty, consistent or unpredictable – and it wreak havoc on your quality of life.

Other reasons your doctor might recommend a hysterectomy include:

• Uterine fibroids
• Uterine prolapse
• Endometriosis
• Adenomyosis
• Cancer of the uterus, cervix or ovaries
• Pelvic inflammatory disease
• Chronic pelvic pain

Types of Hysterectomies

There are two types of hysterectomies:

• A total hysterectomy removes the uterus and cervix.
• A radical hysterectomy – which is usually only done when cancer is present – removes the uterus, tissue on the sides of the uterus, the cervix and the top part of the vagina.

The ovaries and/or fallopian tubes may be removed with the uterus, depending on the patient’s age and other clinical factors.

Robotic-Assisted Technology

There are several ways to perform a hysterectomy. Minimally invasive methods are usually attempted whenever possible because they tend to:

• Decrease the risk of complications
• Reduce recovery time
• Shorten the length of a patient’s hospital stay

One of the most technologically advanced methods available is robotic-assisted laparoscopy, using the da Vinci® Surgical System. This minimally invasive computer-assisted technology provides surgeons with enhanced vision, precision, dexterity and control. With just a few small incisions, patients can expect less pain and a quicker recovery.

While referred to as a robot, the da Vinci® system – which is available at all Methodist hospitals – performs no surgical maneuvers of its own. Each surgical movement is performed by a surgeon seated at the control unit, which provides a 3D view and high level of detail of small blood vessels and other anatomy.

The unit’s instruments are jointed – which allows maneuverability in and out of small places – and the controls are made to mimic the hand motions of the surgeon in real time.

Individualized Care

Other minimally invasive hysterectomy options include:

• Vaginal, which involves a small incision at the top of the vagina
• Laparoscopic, which involves the use of a laparoscope (small camera) and small incisions in the abdomen

As with any surgical method, a thorough evaluation by your provider is necessary to determine which hysterectomy option is best for you. Methodist is home to surgeons who are especially skilled at a variety of hysterectomies – and they’re trained to educate you on each.

When it comes to such a life-changing procedure, your preference matters. Ask questions. Be your own advocate. You are an important part of your care team, working toward a better quality of life – and a hysterectomy can serve as the bridge to get you there.