da Vinci® Hysterectomy (Benign)
Know Your Options
If you have a benign (non-cancerous) condition, your doctor may suggest a hysterectomy to take out your uterus. If so, you may be a candidate for minimally invasive surgery, also known as laparoscopy (through a few small incisions). If you are thinking of having a hysterectomy, ask about minimally invasive da Vinci Surgery.
Why da Vinci Surgery?
The da Vinci System enables your surgeon to operate through a few small incisions, like traditional laparoscopy, instead of a large open incision. Surgeons can also operate through a small incision in your belly button (Single-Site® technology* for non-cancerous conditions). The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:
- 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision and control
As a result of its technology, da Vinci Hysterectomy offers the following potential benefits compared to open surgery:
- Lower rate of complications1,2,3
- Shorter hospital stay1,2,3,4
- Less blood loss and less chance for a transfusion1,3,4
As a result of its technology, da Vinci Hysterectomy offers the following potential benefits compared to traditional laparoscopy:
- Lower rate of complications1,5
- Shorter hospital stay1,2,4,5,6,7
- Less blood loss and less chance for a transfusion1,2,4,7
- Less chance of surgeon switching to open surgery2,5
- Less chance for a blood transfusion8
As a result of da Vinci technology, da Vinci Hysterectomy offers the following potential benefits compared to vaginal surgery:
- Shorter hospital stay2,4
- Less blood loss2,4
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vincitechnology – changing the experience of surgery for people around the world.
da Vinci Hysterectomy is the #1 minimally invasive hysterectomy performed in the U.S.9
*da Vinci Single-Site is available for benign (non-cancerous) hysterectomy.
Risks & Considerations Related to Hysterectomy, Benign (removal of the uterus and possibly nearby organs): injury to the ureters (ureters drain urine from the kidney into the bladder), vaginal cuff problems (scar tissue in vaginal incision, infection, bacterial skin infection, pooling/clotting of blood, incision opens or separates), injury to bladder (organ that holds urine), bowel injury, vaginal shortening, problems urinating (cannot empty bladder, urgent or frequent need to urinate, leaking urine, slow or weak stream), abnormal hole from the vagina into the urinary tract or rectum, vaginal tear or deep cut. Uterine tissue may contain unsuspected cancer. The cutting or morcellation of uterine tissue during surgery may spread cancer, and decrease the long-term survival of patients.
*WHEN IS SINGLE-SITE TECHNOLOGY USED AND WHAT ARE THE RISKS?
da Vinci Surgery with Single-Site® Instruments is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery, including da Vinci Surgery with Single-Site Instruments. There may be an increased risk ofincision-site hernia with single-incision surgery, including Single-Site surgery with the da Vinci System.
- Ho C, Tsakonas E, Tran K, Cimon K, Severn M, Mierzwinski-Urban M, Corcos J, Pautler S. “Robot-Assisted Surgery Compared with Open Surgery and Laparoscopic Surgery: Clinical Effectiveness and Economic Analyses.” Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2011 Sep.
- Landeen, Laurie B., MD, MBA, Maria C. Bell, MD, MPH, Helen B. Hubert, MPH, PhD, Larissa Y. Bennis, MD, Siri S.Knutsten-Larsen, MD, and Usha Seshari-Kreaden, MSc. “Clinical and Cost Comparisons for Hysterectomy via Abdominal, Standard Laparoscopic, Vaginal and Robot-assisted Approaches.” South Dakota Medicine 64.6 (2011): 197-209. Print.
- Geppert B, Lönnerfors C, Persson J. “Robot-assisted laparoscopic hysterectomy in obese and morbidly obese women: surgical technique and comparison with open surgery.” Acta Obstet Gynecol Scand. 90.11 (2011): 1210-1217. doi: 10.1111/j.1600-0412.2011.01253.x. Epub.
- Martino, Martin A., MD, Elizabeth A. Berger, DO, Jeffrey T. McFetridge, MD, Jocelyn Shubella, BS, Gabrielle Gosciniak, BA, Taylor Wejkszner, BA, Gregory F. Kainz, DO, Jeremy Patriarco, BS, M. B. Thomas, MD, and Richard Boulay, MD. “A Comparison of Quality Outcome Measures in Patients Having a Hysterectomy for Benign Disease: Robotic vs. Non-robotic Approaches.” Journal of Minimally Invasive Gynecology 21.3 (2014): 389-93. Web.
- Scandola, Michele, Lorenzo Grespan, Marco Vicentini, and Paolo Fiorini. “Robot-Assisted Laparoscopic Hysterectomy vs Traditional Laparoscopic Hysterectomy: Five Metaanalyses.” Journal of Minimally Invasive Gynecology 18.6 (2011): 705-15. Print.
- Wright, Jason D., Cande V. Ananth, Sharyn N. Lewin, William M. Burke, Yu-Shiang Lu, Alfred I. Neugut, Thomas J. Herzog, and Dawn L. Hershman. “Robotically Assisted vs Laparoscopic Hysterectomy Among Women With Benign Gynecologic Disease.” Jama 309.7 (2013): 689-98. Print.
- Orady, Mona, Alexander Hrynewych, A. Karim Nawfal, and Ganesa Wegienka. “Comparison of Robotic-Assisted Hysterectomy to Other Minimally Invasive Approaches.” JSLS, Journal of the Society of Laparoendoscopic Surgeons 16.4 (2012): 542-48. Print.
- Rosero, Eric B., Kimberly A. Kho, Girish P. Joshi, Martin Giesecke, and Joseph I. Schaffer. “Comparison of Robotic and Laparoscopic Hysterectomy for Benign Gynecologic Disease.” Obstetrics & Gynecology 122.4 (2013): 778-86. Print.
- Inpatient data: Agency for Healthcare, Research and Quality (AHRQ). Outpatient data: Solucient®Database – Truven Health Analytics. da Vinci data: Intuitive Surgical internal estimates. 2014
PN 1002184 Rev D 10/2015
Important Safety Information
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.
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If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.