Single Incision Hysterectomy
Using da Vinci technology, some women are candidates for a hysterectomy performed through a single incision. A hysterectomy is when the uterus, and possibly ovaries, fallopian tubes, or other nearby organs are removed. Talk with the gynecologists at Women's Health Services of Central Virginia to learn more about a da Vinci hysterectomy procedure.
da Vinci® Single-Site® Surgery:
An Almost Scarless Procedure
One of the most important things to do before your hysterectomy is to learn about the types of surgeries available today. There are more ways to have your uterus removed than ever before.
Considering a Hysterectomy?
Know Your Hysterectomy Options
If your doctor suggests a hysterectomy, the most common ways to remove your uterus open surgery and minimally invasive surgery (traditional laparoscopy or robotically-assisted da Vinci Surgery).
Why da Vinci Surgery?
When using da Vinci Single-Site* Surgery for benign conditions (not cancer), your surgeon operates through a small cut in your belly button*. Patients see almost scarless results, like single incision traditional laparoscopy.
Early clinical data suggests da Vinci Single-Site Hysterectomy offers the following potential benefits:
- Low blood loss1,2,3,4
- Low rate of complications1,2
- Low chance of a blood transfusion2
- Low chance of surgeon switching to open surgery2,3,4
- Short hospital stay2,3
- Low level of post-operative pain4
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
* Single-Site technology is only available for benign (non-cancerous) conditions.
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.
- Cela V, Freschi L, Simi G, Ruggiero M, Tana R, Pluchino N. "Robotic single-site hysterectomy: feasibility, learning curve and surgical outcome." Surg Endosc. 2013 Jul;27(7):2638-43. doi: 10.1007/s00464-012-2780-8. Epub 2013 Feb 8.
- Akdemir A, Zeybek B, Ozgurel B, Oztekin MK, Sendag F. "Learning curve analysis of intracorporeal cuff suturing during robotic single-site total hysterectomy." J Minim Invasive Gynecol. 2015 Mar-Apr;22(3):384-9. doi: 10.1016/j.jmig.2014.06.006. Epub 2014 Jun 19.
- Scheib SA, Fader AN. "Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique." Am J Obstet Gynecol. 2015 Feb;212(2):179.e1-8. doi: 10.1016/j.ajog.2014.07.057. Epub 2014 Aug 1.
- Bogliolo S, Mereu L, Cassani C, Gardella B, Zanellini F, Dominoni M, Babilonti L, Delpezzo C, Tateo S, Spinillo A. "Robotic single-site hysterectomy: two institutions' preliminary experience." Int J Med Robot. 2014 Sep 18. doi: 10.1002/rcs.1613. [Epub ahead of print]
*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 of incision-site hernia with single-incision surgery, including Single-Site surgery with the da Vinci System.
PN 1006982 Rev C 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.