Robotic Assisted Gynecologic Surgery
With the evolution of technology, more precise and less invasive approaches have simplified gynecologic surgery leading to shorter hospital stay, less bleeding, smaller incision size, less pain, and quicker return to normal function. Advanced technology using the da Vinci robotic surgery system has allowed gynecologic surgeons to offer a minimally invasive approach to surgical candidates. In our office, robotic approach is used in hysterectomy, myomectomy, resection of endometriosis, and other ovarian tumors.
Robotic myomectomy is offered to patients with fibroid uterus who wish to maintain fertility, but have trouble with heavy menstrual bleeding or painful periods that disrupt normal life functions. This procedure is also used for certain patients who have difficulty achieving pregnancy due to location of fibroids. The robotic approach allows for greater visualization and control than traditional laparoscopy allowing for more complete dissection and removal of fibroids. Patients generally go home the same day as surgery and return to work within 2-4 weeks depending upon responsibilities.
Robotic hysterectomy allows for another approach to hysterectomy and is offered to surgical candidates who no longer wish to have children. Patients often have heavy menstrual bleeding despite hormonal contraception use, fibroid uterus, pelvic organ prolapse, or pelvic pain. The robotic approach allows for greater visualization and more complete dissection resulting in a minimally invasive approach for patients who may have otherwise had a traditional open procedure. Patients generally go home the same day as surgery and may return to work within 2-4 weeks depending upon responsibilities.
Resection of Endometriosis
Patients who have endometriosis can have severe disease with dense adhesions of endometriosis to bladder, bowel, ovaries, and uterus. This can lead to pelvic pain and infertility. Treatment of endometriosis is primarily medical, but in refractory or severe cases an operation may be appropriate. Patients with endometriosis can have distorted anatomy and robotic resection of endometriosis allows for better visualization and dissection of endometriosis than traditional laparoscopic approach and may result in prevention of an open procedure. Patients generally go home the same day as the procedure and return to work within 2-4 weeks depending upon responsibilities.