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da Vinci® Hysterectomy

Overview

This minimally-invasive procedure, performed with the da Vinci Surgical System, is used to remove a diseased uterus. In some cases, the surgeon may also have to remove the cervix, ovaries, fallopian tubes or surrounding lymph nodes.

Preparation

After anesthesia is administered, the patient is positioned on an adjustable platform that allows the robotic surgical arms full access to the abdomen. The abdomen is cleaned, sterilized, and inflated with carbon dioxide gas. The gas creates working space for the surgeon's instruments.

Inserting the Uterine Manipulator

The surgeon's assistant inserts a uterine manipulator into the vagina, allowing the uterus to be moved and positioned as needed.

Accessing the Abdomen

Five small incisions are created on the abdomen. The surgery will be performed through these tiny holes, rather than the large incision traditionally used for open surgery. This approach minimizes pain, scarring, risk of infection, and recovery time.

Inserting the Endoscope

The surgeon attaches an endoscopic camera and various surgical instruments to the robotic arms and carefully inserts the instruments through the incisions. The surgeon then takes a seat at the console to perform the procedure. A video monitor in the console, which is linked to the endoscope, allows the surgeon to view the surgical site in 3D and precisely control the instruments during the surgery.

Detaching the Uterus

The surgeon uses the tools on the robotic arms to carefully detach the uterus, cervix, and, if needed, other reproductive organs from the ligaments and structures in the abdomen.

Removing the Uterus

The uterus is carefully pulled out of the body through the vagina. Other reproductive structures may also be removed. The top of the vagina is then closed with sutures.

End of Procedure and Aftercare

The instruments are removed from the abdomen, and the incisions are closed and bandaged.