Your doctor may recommend surgery if you have been diagnosed with fibroid tumors, endometriosis, excessive menstrual bleeding, pelvic prolapse or cancer.
Gynecologic surgery is often performed using either traditional open surgery or minimally invasive surgery.
Open surgery, also called laparotomy, is any surgical procedure in which a large cut/incision is made to reach your organs. The incision must be large enough for your surgeon to fit his or her hands and surgical instruments inside your body.
With gynecologic surgery, the incision can be horizontal or vertical. Many women are familiar with the horizontal incision (also called a “bikini” incision) since it is commonly used for a C-section.
Open surgery is used worldwide for many gynecologic conditions. However, there are some drawbacks due to the large abdominal incision and noticeable scarring.
Minimally Invasive Surgery
- Laparoscopy – The most common minimally invasive surgery is laparoscopy. Instead of a large open incision, surgery is done through a few small incisions using a tiny camera and long, thin surgical instruments. The camera takes images inside your body and those images are sent to a video monitor which guides surgeons as they operate.
- da Vinci Surgery – If you are considering gynecologic surgery, ask your doctor about minimally invasive da Vinci Surgery. da Vinci surgeons make just a few small incisions instead of a large incision – similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.
- State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.
All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to other surgical techniques; the need for additional or larger incision sites; a longer operation or longer time under anesthesia than your surgeon originally predicts. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them.
This information provided by daVinciSurgery.