When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding

Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.

Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robotic assisted surgery with the da Vinci Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci® System * can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.

da Vinci® Hysterectomy

When medication and other treatments cannot relieve your symptoms, hysterectomy is often recommended. It can provide a more effective, definitive and long-term solution for conditions like excessive menstrual bleeding. If you are considering or your doctor has recommended a hysterectomy, you are not alone. One in three women in the United States will have a hysterectomy before turning 60. 1

da Vinci Hysterectomy offers several potential benefits over traditional approaches, including:

  • Significantly less pain 2
  • Minimal blood loss and need for transfusion 11,3
  • Fewer complications 11,12
  • Shorter hospital stay 11,12
  • Quicker recovery and return to normal activities 1,2
  • Small incisions for minimal scarring
  • Better outcomes and patient satisfaction, in many cases 11
da Vinci Prostatectomy

da Vinci Prostatectomy

This procedure is performed using the da Vinci Surgical System . It is a breakthrough surgical platform that enables gynecologists to operate with unmatched precision, vision and control. By overcoming the limitations of both traditional open and laparoscopic surgery, da Vinci is revolutionizing gynecologic surgery for women. Read about how da Vinci Surgery enables gynecologists to perform the most precise, minimally invasive hysterectomy available today – da Vinci Hysterectomy.

1. https://womenshealth.gov
2. Boggess JF. Robotic surgery in gynecologic oncology: evolution of a new surgical paradigm. J Robotic Surg 2007 1:31-3
3. Payne TN , et al. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. J Minim Invasive Gynecol. 2008 May-June;15(3):286-91

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da Vinci® Hysterectomy for Benign Gynecologic Conditions

The Condition(s):

  • Chronic Pelvic Pain
  • Heavy Bleeding
  • Fibroids
  • Endometriosis
  • Prolapse

A wide variety of benign (non-cancerous) conditions can affect your reproductive system – the uterus, vagina, ovaries, and fallopian tubes – and most of these conditions affect the uterus. It is a hollow, muscular organ that holds a baby as it grows inside a pregnant woman.

Common gynecologic conditions like fibroids (non-cancerous growths in the uterine wall), endometriosis (non-cancerous growths of uterine lining), or prolapse (falling or slipping of the uterus) can cause long-term pelvic pain, excessive menstrual bleeding , and/or other disabling symptoms.

When medication and other non-surgical options do not relieve your symptoms, surgery may be recommended. It can provide a more effective, long-term solution for a variety of gynecologic conditions. If your doctor has recommended a hysterectomy, you are not alone. One in three women in the United States will have a hysterectomy before turning 60. 10

The Treatment:
Hysterectomy

da vinci Surgery - da vinci robot

da vinci Surgery – da vinci robot

A hysterectomy can sometimes be performed through the vagina. But, when the uterus is enlarged or if you have internal scarring from a prior surgery or other conditions, an open abdominal hysterectomy is usually performed. Open abdominal hysterectomy requires a long incision below the navel. This procedure can be painful, involving strong medications, a risk of infection, and significant blood loss. After surgery, a long recovery (often 6 weeks) is necessary. In addition, many patients are not happy with the scar and abdominal muscle weakness caused by the incision.

While hysterectomy is a relatively safe procedure, it may not be appropriate or necessary for all women or conditions. Alternatives to hysterectomy that preserve the uterus may be available. For example, da Vinci ®Myomectomy is a minimally invasive surgical alternative to hysterectomy. It may be an option for women with fibroids who want to preserve their fertility and/or uterus. Always ask your doctor about all treatment options, as well as their risks and benefits.

If your doctor recommends hysterectomy, you may be a candidate for a minimally invasive alternative to traditional hysterectomy called da Vinci Hysterectomy. This procedure uses the da Vinci ® Surgical System , a state-of-the-art surgical platform designed to help your doctor perform the most precise and least invasive hysterectomy available today. For most women, da Vinci Hysterectomy offers many potential benefits over traditional surgical approaches, including:

  • Significantly less pain 2
  • Minimal blood loss and need for transfusion 11,3
  • Fewer complications 11,12
  • Shorter hospital stay 11,12
  • Quicker recovery and return to normal activities 1,2
  • Small incisions for minimal scarring
  • Better outcomes and patient satisfaction, in many cases 11

By overcoming the limitations of both traditional open and laparoscopic surgery, da Vinci is revolutionizing gynecologic surgery for women. That’s why more and more women are choosing da Vinci Surgery for their hysterectomy.

1. https://www.merck.com
3. https://www.merck.com/mmhe/sec22/ch252/ch252f.html?qt=pain%20during%20intercourse&alt=sh
10. https://womenshealth.gov
11. Boggess JF. Robotic surgery in gynecologic oncology: evolution of a new surgical paradigm. J Robotic Surg 2007 1:31-3
12. Payne TN, et al. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. J Minim Invasive Gynecol. 2008 May-June;15(3):286-91

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da Vinci® Hysterectomy For Early Stage Gynecologic Cancer

The Condition:

Early Stage Gynecologic Cancer

A wide variety of gynecologic cancers can affect a woman’s reproductive system – the uterus, vagina, ovaries, and fallopian tubes. The uterus is a hollow, muscular organ that holds a baby as it grows inside a pregnant woman. The fallopian tubes and ovaries are located on either side of the uterus.

The most common types of gynecologic cancers are cervical , endometrial (uterine) , and ovarian cancer . The specific type of cancer a woman has and how advanced it is, determines her treatment options.

Women with early stage gynecologic cancer are often treated with hysterectomy – the surgical removal of the uterus. During this procedure, the doctor may also remove the ovaries, fallopian tubes, and/or select lymph nodes.

The Treatment:
Hysterectomy

Hysterectomy is the second most common surgical procedure for women in the United States . An estimated one in three women in the U.S. will have a hysterectomy before turning 60. If you have a gynecologic cancer such as endometrial or cervical cancer, hysterectomy may be your best treatment option. The type of hysterectomy you have will depend on your medical history, health and the extent of the cancer growth.

Traditional hysterectomies for gynecologic cancers are performed using open abdominal surgery, requiring a long vertical incision (from the pubic bone to just above the navel). An open abdominal hysterectomy can be painful, involve strong medications, a risk of infection, and significant blood loss during surgery.

After surgery, a long recovery (typically 6 weeks) is necessary, and many times this recovery may happen while you are undergoing a secondary treatment (radiation or chemotherapy). In addition, many patients are not happy with the large scar and abdominal muscle weakness caused by the incision.

da Vinci ® Hysterectomy:

A Less Invasive Surgical Procedure

da vinci robot- da vinci Surgery

da vinci robot- da vinci Surgery

If your doctor recommends a hysterectomy, you may be a candidate for an innovative, less invasive surgical procedure called da Vinci Hysterectomy. This procedure uses the da Vinci ® Surgical System . It is a state-of-the-art surgical platform designed to help your doctor perform the most precise and least invasive hysterectomy available today. For most women, da Vinci Hysterectomy offers several potential benefits over traditional surgical approaches, including:

  • Significantly less pain 2
  • Minimal blood loss and need for transfusion 11,3
  • Fewer complications 11,12
  • Shorter hospital stay 11,12
  • Quicker recovery and return to normal activities 1,2
  • Small incisions for minimal scarring
  • Better outcomes and patient satisfaction, in many cases 11

By overcoming the limitations of both traditional open and laparoscopic surgery, da Vinci is revolutionizing gynecologic surgery for women. That’s why more and more women are choosing da Vinci Surgery for their hysterectomy.

1. www.merck.com/
3. https://www.merck.com/mmhe/sec22/ch252/ch252f.html?qt=pain%20during%20intercourse&alt=sh
10. https://womenshealth.gov
11. Boggess JF. Robotic surgery in gynecologic oncology: evolution of a new surgical paradigm. J Robotic Surg 2007 1:31-3

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Myomectomy

A new category of minimally invasive myomectomy, da Vinci ® Myomectomy, combines the best of open and laparoscopic surgery. With the assistance of the da Vinci Surgical System — the latest evolution in robotics technology — surgeons can remove uterine fibroids through small incisions with unmatched precision and control. Among the potential benefits of da Vinci Myomectomy as compared to traditional open abdominal surgery are:

  • Opportunity for future pregnancy
  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Less scarring
  • A shorter hospital stay
  • A faster return to normal daily activities

 

Uterine Fibroids Treatment - da vinci

Uterine Fibroids Treatment – da vinci

da Vinci Myomectomy is performed with the da Vinci ®Surgical System, which allows your surgeon to perform a minimally invasive, yet remarkably precise, comprehensive reconstruction of the uterine wall, regardless of the size or location of your fibroids. The unique level of control and precision of da Vinci can also help your surgeon provide the most precise and thorough reconstruction possible. That can help to prevent a possible uterine rupture (tearing) during future pregnancies.

As with any surgery, these benefits cannot be guaranteed, as surgery is unique to each patient and procedure. While myomectomy performed using the da Vinci Surgical System is considered safe and effective, this procedure may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

* Uterine fibroids are also called fibroids, uterine tumors, leiomyomata (singular – leiomyoma) and myomas or myomata (singular – myoma)

1. Lumsden MA.Embolization versus myomectomy versus hysterectomy: Which is best, when? Hum Reprod. 2002; 17:253-259. Review.
2. Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient surgical treatment patterns for patients with uterine fibroids in the United States, 1998-2002. J Natl Med Assoc. 2005 Oct;97(10):1336-42.
3. Kristen A. Wolanske, MD; Roy L. Gordon, MD. Uterine Artery Embolization: Where Does it Stand in the Management of Uterine Leiomyomas? Part 2. Appl Radiol 33(10):18-25, 2004. Medscape.10/27/2004.
4. Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):511-8.

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da Vinci® Sacrocolpopexy: Surgery for Uterine or Vaginal Vault Prolapse

The Condition:

More than 120,000 women have surgery for uterine and vaginal vault prolapse each year in the United States . Prolapse (or falling) of any pelvic floor organs (vagina, uterus, bladder or rectum) occurs when the connective tissues or muscles in the body cavity are weak and can not hold the pelvis in its natural position.

The weakening of connective tissues accelerates with age, after child birth, with weight gain and strenuous physical labor. Women with pelvic organ prolapse typically have problems with urinary incontinence, vaginal ulceration, sexual dysfunction and/or having a bowel movement.

The Treatment:

Sacrocolpopexy is a procedure to surgically correct vaginal vault prolapse where mesh is used to hold the vagina in the correct anatomical position. This procedure can also be performed following a hysterectomy to treat uterine prolapse to provide long-term support of the vagina.

Sacrocolpopexy has traditionally been performed as an open surgery. A 15-30 cm horizontal incision is made in the lower abdomen in order to manually access the inter-abdominal organs, including the uterus.

If your doctor recommends sacrocolpopexy, you may be a candidate for a new surgical procedure called da Vinci Sacrocolpopexy. This procedure uses a state-of-the-art surgical system designed to help your surgeon perform a minimally invasive surgery through small incisions.

For most women, da Vinci Sacrocolpopexy offers numerous potential benefits over a traditional open approach:

  • Significantly less pain
  • Less blood loss and need for transfusions
  • Less risk of infection
  • Less scarring
  • Shorter hospital stay
  • Shorter recovery time
  • Quicker return to normal activities

As with any surgery, these benefits cannot be guaranteed since surgery is specific to each patient- and procedure.

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While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.