Open abdominal surgery or laparotomy
refers to any surgical operation in which the abdomen is opened to access or inspect the organs of the abdominal cavity.
Traditionally, surgeons perform the majority of gynecologic surgery using an “open” approach, which is through a wide (6-12 inch) abdominal incision below the navel and through the abdominal muscle wall.
The skin incision can be either transverse (horizontal) or vertical. The transverse incision is usually an inch or so above the pubic bone. This type of incision is also known as a “bikini” incision. This is the most common type of incision used during C-section.
Open abdominal surgery can be painful, involving heavy pain medications, risk of infection, significant blood loss and increased risk for transfusion. After surgery, a long recovery (often 6 weeks) is usually necessary. In addition, many patients are not happy with the scar left by the incision.
While minimally invasive surgery (laparoscopy) has been available for two decades now for many routine gynecologic procedures, most complex hysterectomy, myomectomies and sacrocolpopexies are performed using open surgery. This is because conventional laparoscopic technology can't provide surgeons the visualization, precision, dexterity and control required to handle challenges like large uteri, multiple adhesions from prior pelvic surgery.
Fortunately, today the vast majority of complex gynecologic conditions - from endometriosis to uterine fibroids, prolapse, heavy menstrual bleeding and cancer - can now be treated effectively without a big incision — with da Vinci ® Surgery.
da Vinci Surgery for gynecologic conditions 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. Also, surgeons using the da Vinci System can operate using minimally invasive techniques on a wider range of women — even those with large uteri, high BMIs and adhesions due to prior pelvic procedures like C-section.
da Vinci Surgery enables physicians to perform the most precise, minimally invasive gynecologic surgery available today. If you have been told you aren't a candidate for minimally invasive surgery and that you need open surgery to resolve a gynecologic problem, it may be time to ask your doctor about da Vinci Surgery.
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. © 2012 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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