Robotic-Assisted Hysterectomy

Robotic-assisted hysterectomy is a minimally invasive surgery that uses robotic technology to perform hysterectomy or the removal of the uterus. During this procedure, small incisions in the abdomen allow for the insertion of robotic instruments controlled by a computer station in the operating room. This advanced technology ensures greater precision and accuracy in performing the surgery.

Robotic-assisted hysterectomy can treat various conditions, such as uterine fibroids, endometriosis, and uterine prolapse. It may also remove cancerous tumors or other abnormal growths in the uterus.

What are the Advantages of Robotic-Assisted Hysterectomy Versus Traditional Surgery?

As mentioned above, a robotic-assisted hysterectomy is a minimally invasive surgical procedure that utilizes advanced robotic technology to perform the surgery. In contrast, a traditional hysterectomy is an open surgery performed through a large incision in the abdomen.

Here are some key differences between the two:

• Surgical Approach - In a robotic-assisted hysterectomy, the surgeon makes a few small incisions in the abdomen through which they insert the robotic instruments. The surgeon then controls the robotic arms from a console, which provides a 3D, high-definition view of the surgical area. Meanwhile, a traditional hysterectomy involves a larger incision in the abdomen, providing direct access to the uterus and surrounding structures.
• Precision and Control - Robotic-assisted surgery offers greater precision and control for the surgeon, as the robotic arms can rotate and move more precisely than human hands. This allows for more accurate dissection and suturing, potentially reducing the risk of complications.
• Recovery Time - Patients who undergo robotic-assisted hysterectomy experience less pain, shorter hospital stays, and faster recovery times than those with traditional open surgery. This is mainly due to the smaller incisions and less tissue trauma involved in the robotic-assisted procedure.
• Blood Loss and Scarring - Robotic-assisted hysterectomy typically results in less blood loss and smaller scars compared to traditional open surgery. This is because robotic instruments can be more precise and cause less damage to surrounding tissues.
• Cost-effective - Robotic-assisted hysterectomy tends to be more expensive than traditional hysterectomy due to the cost of the robotic equipment and the additional training required for surgeons. However, the potential benefits, such as shorter hospital stays and quicker recovery, may offset the higher initial cost for some patients.

What Conditions Can be Treated by Robotic-Assisted Hysterectomy?

Robotic-assisted hysterectomy can be used to treat various gynecological conditions that may require the removal of the uterus. Some of these conditions include:

• Uterine Fibroids - also known as myoma, a non-cancerous tumor that grows in and around the womb (uterus)
• Endometriosis - is a condition that can be quite painful. It happens when some tissue that's like the lining inside the uterus starts growing in places outside the uterus. This tissue can show up around the ovaries, fallopian tubes, and pelvis lining.
• Adenomyosis - is when some tissue from the lining of your uterus starts growing into the wall of your uterus. This can make your uterus get bigger, like doubling or even tripling in size.
• Abnormal Uterine Bleeding - bleeding from the uterus that lasts longer than normal or happens at an irregular time.
• Uterine Prolapse - happens when the muscles and tissue in your pelvis become weak, allowing the uterus to descend into your vagina.
• Gynecologic Cancers - is any type of cancer that starts in a woman's reproductive organs.

Can All Women Undergo Robotic-Assisted Hysterectomy?

The decision to perform a robotic-assisted hysterectomy depends on several factors, including the patient's medical history and the complexity of the procedure.

In general, robotic-assisted hysterectomies are recommended for women with benign conditions such as uterine fibroids or endometriosis, which can be treated with a minimally invasive approach. Women with cancerous tumors should discuss their options with their OB-GYN specialist before deciding whether or not to undergo robotic-assisted surgery.

How to Prepare for a Robotic-Assisted Hysterectomy?

If you're about to undergo a robotic-assisted hysterectomy, it's essential to understand the steps you need to take before the procedure. Preparing for a robotic-assisted hysterectomy can help ensure that the surgery goes smoothly and that you have a successful recovery.

Before the surgery, your doctor will provide detailed instructions on how to prepare. Generally, these instructions may include the following:

• Gather information about the procedure. Ask your doctor any questions you have so that you feel confident about what will happen during and after the surgery.
• Follow your doctor's instructions for taking medications or supplements before the surgery. This may include stopping certain medications or supplements, such as blood thinners or herbal remedies, ten days before the procedure.
• Do not use lotions, creams, deodorant, makeup, powder, perfume, or cologne after showering on the day of your surgery.
• Avoid eating and drinking anything after midnight before your surgery.
• Wear loose-fitting clothing on the day of your surgery.
• Quit smoking if you are a smoker, as this can interfere with healing after the procedure. Avoid smoking before the procedure, as this can interfere with the healing process.
• Do not wear Jewelry.
• Remove nail polish.

How Long is the Recovery Period After Robotic-Assisted Hysterectomy?

The recovery period after a robotic-assisted hysterectomy is generally shorter and less painful compared to a traditional open hysterectomy. However, the exact duration of recovery can vary depending on several factors, including the patient's overall health, the complexity of the surgery, and individual healing abilities.

Full recovery may take up to six to eight weeks, depending on the patient's condition. Keep in mind that every patient's recovery journey is unique. Attending all follow-up appointments, following your healthcare provider's instructions, and communicating any concerns or complications during recovery are crucial.

Recognizing the importance of personalized and patient-centered care, St. Luke's is equipped to provide expert surgical solutions for women facing various gynecological conditions, including hysterectomy.
The hospital's team of experienced gynecological surgeons, nurses, and support staff are dedicated to delivering high-quality, compassionate care to ensure the best possible patient outcomes.

St. Luke's Hospital employs state-of-the-art technology and evidence-based practices to perform hysterectomy procedures, emphasizing minimally invasive techniques whenever possible to reduce recovery time and enhance patient comfort.

St. Luke's Medical Center is a renowned healthcare institution in the Philippines committed to providing the highest quality care for our patients undergoing robotic-assisted hysterectomy. Our experienced surgeons, complemented by our highly skilled medical professionals, provide personalized care and support throughout the entire process—from preoperative preparation to postoperative recovery. For further details about our services or to schedule a consultation with our specialists, please contact us by calling +632 8789 7700 or +632 8723 0101.