A comprehensive evaluation of robotic-assisted Hysterectomy
A robotic-assisted hysterectomy involves a procedure in which your uterus is removed by doctors using robotic arms. Compared to conventional techniques, it provides a quicker healing period with the least postoperative pain score. This method offers surgeons a wider range of motion with greater precision than the human hand and offers a high-definition, three-dimensional perspective of the surgical area.
Various forms of robotic hysterectomy
Based on your health and diagnosis, your Urogynecologist may suggest one of the various kinds:
- Subtotal hysterectomy where only the uterus is taken out and the cervix is left in place.
- Radical hysterectomy done for cancer of the cervix which involves not just the removal of all uterine tissue, cervix, tubes, and ovaries but also surrounding tissue where cancer might have spread which is decided based on the stage of cancer.
A quicker recovery is one of the most significant benefits of getting a robotic hysterectomy. Most likely, you’ll only need to spend one night in the nursing home.
How do you get ready for the surgery?
It’s typical to experience anxiety before having a hysterectomy, as with any type of surgery. What you may do in advance is as follows:
- Accumulate knowledge- Obtain all the knowledge you require before the procedure to help you feel assured. You should clear all your queries by asking questions to your Urogynecologist.
- Maintain the medication prescribed by your doctor- Check with your doctor to see if you should continue taking your usual medications in the weeks leading up to your hysterectomy. Any over-the-counter drugs, or nutritional supplements you use should be disclosed to your doctor.
- After the surgery, you will probably recover more quickly but it still takes time. For the first week or so, request somebody to assist you out at home.
The life-changing benefits of robotic hysterectomy are:
- Minimally Invasive Approach:- Experience less pain, less blood loss, and a faster return to your daily activities.
- Enhanced Surgical Precision:- With greater control and maneuverability, intricate procedures can be performed with remarkable accuracy, ensuring the preservation of surrounding organs and tissues.
- Faster Recovery Time:- The minimally invasive approach reduces post-operative pain and decreases the risk of complications.
- Reduced Hospital Stay:- The advanced technology minimizes the need for extended hospitalization, allowing you to return to the comfort of your home.
- Improved Cosmetic Results:- The small incisions used in robotic hysterectomy result in minimal scarring, offering improved cosmetic outcomes.
Whether you’re dealing with debilitating pain, heavy bleeding, or reproductive health concerns, a hysterectomy helps in enhancing your well-being and overall health.
You might go through a few of the following adjustments:
- You might experience surgical menopause if your ovaries are surgically eliminated.
- Different sex-related emotions may be present, such as a diminished desire for sex or vaginal dryness.
- After having ovaries removed, some women go through an episode of depressive symptoms. But it phases out.
These adjustments are not necessarily experienced by all the patients and are only precautionary. It”s crucial to have a conversation about these adjustments with your Gynecologists. They know how to handle any adjustments that may come along with a robotic-assisted hysterectomy.
Recovery period:
Even though every patient is unique, the following suggestions can make recovering from a robotic hysterectomy more bearable:
- After any kind of operation, it’s crucial to give time to your body to recuperate. You should take enough rest for the first one week.
- As your body recovers, painkillers may aid you stay at ease. You should abide by the advice given by doctors for taking medicines.
- You must stay away from arduous activities. You’ll be informed by your doctor when it is okay to start getting back to your routine.
Nevertheless, the renowned urogynecologists of the World of Urology are experts in the matter of robot-assisted surgeries. They will guide you every step of the way for a comfortable transition into and after the surgery.
Daycare RAVH (Robotic Assisted Vaginal Hysterectomy)
Hysterectomy is the surgical removal of the uterus. Hysterectomy can be performed for a variety of reasons and may also involve the removal of other organs and tissues, including ovaries and/or fallopian tubes. This surgery traditionally done via open surgical method involved a large incision in the abdomen and postoperative significant pain. With the advent of minimal access surgery, the surgery can be performed safely with minimal blood loss and early recovery. Robotics has added a new dimension to minimal access surgery by giving the surgeon a 3D
perception and magnification of the organs that help in precision surgery to add to the safety of the patient.
WHY IS A HYSTERECTOMY PERFORMED?
Hysterectomies may be performed to treat conditions such as:
- Uterine fibroids (Leiomyomas) which are causing intense pain & bleeding.
- Severe Endometriosis which is characterized by the growth of uterine tissue outside the uterus.
- Cancer or pre-cancer of the uterus, cervical or uterine cancer.
- Uterine prolapse.
- Abnormal vaginal bleeding which is not being controlled by other treatment methods.
- Increased intensity of pelvic pain which is not being controlled by other treatment methods.
THE SURGICAL APPROACH
Hysterectomy is one of the most common surgeries performed by gynaecologists and uro gynaecologists worldwide. Increasingly more and more surgeons across the world have started using the Da-Vinci robot for gynaecological surgeries.
The magnified, 3-dimensional view allows for incredible precision, flexibility and control. The surgeon passes the instruments through small abdominal incisions. The surgeon can control all these movements from a console that, in turn, provides a greater level of comfort for him/her. In addition, the articulating arms offer 7 degrees of movements for precise movements enabling the surgeon to make accurate &safe cuts. Last but not least, this method also drastically decreases the chances of the surgeon experiencing tiredness or fatigue at the end of the day thereby helping reduce the possibility of human error as well.
Patients undergoing a minimally invasive hysterectomy are also likely to experience lower levels of pain, experience decreased blood loss, lesser chances of contracting infections, less scarring as well as quicker recovery time. Patients can recover very quickly from all sorts of difficult/complex surgeries while being able to resume normal daily activities more quickly than one could after undergoing open surgery. All this is possible while also maintaining relatively good outcomes and low complication rates.
A robotic hysterectomy may be recommended even to severely obese patients where an open or laparoscopic hysterectomy would be difficult to perform.
BENEFITS TO THE PATIENT:-
- Lower levels of pain.
- Lesser chances of contracting infections.
- Decreased blood loss.
- Less scarring.
- Shorter hospital stays.
- Quicker recovery time to resume normal daily activities.
All this is possible while also maintaining relatively good outcomes and low complication rates.
THE PROCEDURE
A robotic-assisted vaginal hysterectomy is performed under General anaesthesia. More often than not, the average operating time ranges between 1-3 hours. That said, operative time tends to differ from individual to individual.
In some cases, a urinary catheter might be inserted into the patient to empty his/her bladder. Thereon, approximately 3 to 5 small keyhole (< 1cm) incisions are made in the abdomen and slender surgical instruments are inserted through them. The instruments are then docked onto the robot. The surgeon remotely controls the robot with the aid of a console located a short distance away from the patient where the magnified operating field can be viewed in 3-D. With the help of this console, the surgeon will be able to control the surgical instruments in order to remove the uterus.
Depending on the patient’s condition, the surgeon might also proceed to remove one or both ovaries as well as the fallopian tubes.
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