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A hysterectomy may be the surgery from the uterus, usually done by a gynecologist. Hysterectomy might be total or partial. It is the most often performed gynecological surgical procedure. In 2003, over 600,000 hysterectomies were performed in the United States alone, which over 90% were performed for benign conditions. Such rates being highest in the industrialized world has led to the main controversy that hysterectomies are being largely performed for unwarranted and unnecessary reasons.
Elimination of the uterus renders the patient not able to bear children and has surgical risks in addition to long-term effects, therefore the surgical treatment is normally recommended when other treatments are not available. It is expected the frequency of hysterectomies for non-malignant indications will fall because there are good alternatives oftentimes.
Oophorectomy is often done along with hysterectomy to decrease the risk of ovarian cancer. However, recent studies show that prophylactic oophorectomy without an urgent medical indication decreases a ladies long-term survival rates substantially and it has other serious adverse effects, specifically in relation to inducing early-onset-osteoporosis through elimination of the main causes of female hormonal production. This effect isn't limited to pre-menopausal women; even women who have already entered menopause were proven to have observed a reduction in long-term survivability post-oophorectomy.
Description of da vinci hysterectomy
Hysterectomy, the surgical removal of the uterus, is really a recommended intervention in number of gynecologic conditions, including:
- Abnormal excessive bleeding
- Uterine cancer
- Cervical cancer
- Endometriosis and adenomyosis (in some cases)
These are merely a few of many conditions that may need a hysterectomy.
Typically, based on if the condition is benign (such as fibroids or pain) or malignant (for example cancer), either a total hysterectomy with the removal of your body of the uterus with the cervix, or subtotal/partial hysterectomy (the cervix is left behind) is performed. Removal from the ovaries at the time of hysterectomy is very controversial topic and should be discussed individually in every case.
Previously, the only real available option for hysterectomy was a wide open abdominal surgery.
The incision would be made in either “bikini” or up-and-down fashion, the uterus could be removed, and abdomen closed in multiple layers with sutures and staples.
Robotic hysterectomy utilizes the same laparoscopic principles combined with improved visualization of the surgical field that has been enhanced manipulation of robotic instruments.
The daVinci® surgical system provides surgeons with enhanced true 3-D vision, ergonomic convenience of surgical manipulation and unprecedented precision of tissue handling. With the EndoWrist™ instruments from the daVinci Surgical system, the surgeon is capable of doing performing precise, fine-tuned movements of robotic arms with “7 degrees of freedom,” eliminating tremor and permitting instrument manipulation that might be impossible in conventional laparoscopy.
Fundamental essentials some of the advantages of the robotic hysterectomy:
- Decreased blood loss
- Faster recovery time
- Greatly reduced post-operative pain
- Quicker go back to day to day activities
Whenever a hysterectomy is recommended as treatment for gynecological cancer, fibroids, endometriosis or another uterine condition, women are in possession of a revolutionary new procedure to consider. A da Vinci® robotic hysterectomy offers many improved benefits over traditional vaginal, open or conventional laparoscopic surgeries. Robotic hysterectomy is a minimally invasive advanced laparoscopic surgery which uses state-of-the-art robot technology and magnified 3D vision. The da Vinci® ® robotic micro-instruments translate the precise movements from the surgeons’ hands while filtering out even the slightest tremors. High-definition scaled 3D imaging allows for optimum viewing and manipulation of sensitive nerves and tissues.