There are various types of hysterectomy that are performed depending on the patient’s diagnosis. All hysterectomies involve removal of the uterus. What can vary are which additional reproductive organs and other tissues that may be removed. Types of hysterectomy include:
Surgeons perform the majority of hysterectomies using an "open" approach, which is through a large abdominal incision. An open approach to the hysterectomy procedure requires a 6-12 inch incision.
A second approach is vaginal hysterectomy, which involves the removal of the uterus through the vagina, without any external incision or subsequent scarring. Surgeons most often use this minimally invasive approach if the patient’s condition is benign, when the uterus is normal size and the condition is limited to the uterus.
In laparoscopic hysterectomies, the uterus is removed using instruments inserted through small tubes into the abdomen, resulting in 3-5 small incisions in the abdomen. One of these instruments is an endoscope – a small miniaturized camera – which allows the surgeon to see the target anatomy on a standard 2D video monitor. A laparoscopic approach offers surgeons better visualization of affected structures than either vaginal or abdominal hysterectomy.
You may encounter shorthand abbreviations describing different approaches to hysterectomy. Some of these are as follows:
While minimally invasive vaginal and laparoscopic hysterectomies offer important potential advantages to patients over open abdominal hysterectomy – including reduced risk for complications, a shorter hospitalization and faster recovery – there are inherent drawbacks. With vaginal hysterectomy, surgeons are challenged by a small working space and lack of view to the pelvic organs. Additional conditions can make the vaginal approach difficult, including when the patient has:
With laparoscopic hysterectomies, surgeons may be limited in their dexterity (since the instruments are straight and rigid) and by 2D visualization, both of which can potentially reduce the surgeon's precision and control when compared with traditional abdominal surgery.
One in three women in the U.S. will have a hysterectomy before she turns 60.1 While no woman wants to face surgery, today the vast majority of gynecologic conditions - from endometriosis to uterine fibroids, heavy menstrual bleeding to cancer - can now be treated effectively without a big incision. With da Vinci ® Surgery, a hysterectomy requires only a few small incisions, so you can get back to life faster - within days rather than the usual weeks required with traditional surgery.
da Vinci Surgery enables gynecologists to perform the most precise, minimally invasive hysterectomy available today. For most women, da Vinci® Hysterectomy offers numerous potential benefits over traditional open surgery, including:
Surpassing the limits of conventional laparoscopic surgery, da Vinciis revolutionizing gynecologic surgery for women.
No wonder more and more women are choosing da Vinci Surgery for their hysterectomy.
If you have been putting off surgery to resolve a gynecologic problem, it may be time to ask your doctor about da Vinci Surgery.
Learn why da Vinci Hysterectomy may be your best treatment option.
While clinical studies support the effectiveness of the da Vinci Surgical System when used in minimally invasive surgery, individual results may vary. There are no guarantees of outcome. All surgeries involve the risk of major complications. Before you decide on surgery, discuss treatment options with your doctor. Understanding the risks of each treatment can help you make the best decision for your individual situation. Surgery with the da Vinci Surgical System may not be appropriate for every individual; it may not be applicable to your condition. Always ask your doctor about all treatment options, as well as their risks and benefits. Only your doctor can determine whether da Vinci Surgery is appropriate for your situation. The clinical information and opinions, including any inaccuracies expressed in this material by patients or doctor about da Vinci Surgery are not necessarily those of Intuitive Surgical, Inc. and should not be considered as substitute for medical advice provided by your doctor. All people depicted unless otherwise noted are models. © 2011 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, Single-Site, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders.
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