26 doctors weighed in:

I'm going to have a hysterectomy and would like to know more about having this done using robotic surgery method. 

26 doctors weighed in
Dr. Jeff Livingston
Obstetrics & Gynecology
16 doctors agree

In brief: Revolutionary option

Robotic hysterectomy using the da vinci surgical system allows the surgeon to perform complex surgery using minimally invasive techniques.
We can do hysterectomies this way without making a large incision. The benefits to the patient are less pain, less blood loss and a faster recovery. Wfaa news: http://macobgyn.Com/drpl/?Q=node/97.

In brief: Revolutionary option

Robotic hysterectomy using the da vinci surgical system allows the surgeon to perform complex surgery using minimally invasive techniques.
We can do hysterectomies this way without making a large incision. The benefits to the patient are less pain, less blood loss and a faster recovery. Wfaa news: http://macobgyn.Com/drpl/?Q=node/97.
Dr. Jeff Livingston
Dr. Jeff Livingston
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6 comments
Dr. Denise Elser
hyster can be vaginally, laparoscopically, robotically, or open. robot helps if complicating factors
Dr. Lisa Lepine
Robotic hysterectomy has allowed many more women to reap the benefits of less invasive surgery. Vaginal hysterectomy is another less inasive approach.
Dr. J. Kyle Mathews
Obstetrics & Gynecology - Urogynecology
5 doctors agree

In brief: Abdominal, vaginal?

The true benefit of using the robot is in cases where the patient would have to undergo an open incision such at treating endometrial (uterine) cancer or where hysterectomy would have to be done open, abdominal approach, because of some condition present.
Otherwise vaginal hysterectomy is the least invasive approach. However, many physicians do not have a lot of experience in vaginal surgery.

In brief: Abdominal, vaginal?

The true benefit of using the robot is in cases where the patient would have to undergo an open incision such at treating endometrial (uterine) cancer or where hysterectomy would have to be done open, abdominal approach, because of some condition present.
Otherwise vaginal hysterectomy is the least invasive approach. However, many physicians do not have a lot of experience in vaginal surgery.
Dr. J. Kyle Mathews
Dr. J. Kyle Mathews
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Dr. Denise Elser
Gynecology
5 doctors agree

In brief: High tech/small cuts

Hysterectomy can be performed vaginally, laparoscopically, robotically, or open (large abdominal incision).
These are listed in order of invasiveness. Complex surgeries (large uterus, endometriosis, known scarring or adhesions), gynecologic cancer may be performed more effectively yet still minimally invasively using the robotic assist. Simple hyst usually better vaginally or l'scopically.

In brief: High tech/small cuts

Hysterectomy can be performed vaginally, laparoscopically, robotically, or open (large abdominal incision).
These are listed in order of invasiveness. Complex surgeries (large uterus, endometriosis, known scarring or adhesions), gynecologic cancer may be performed more effectively yet still minimally invasively using the robotic assist. Simple hyst usually better vaginally or l'scopically.
Dr. Denise Elser
Dr. Denise Elser
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2 comments
Dr. John Lipman
Depending on the reason for hysterectomy, robotic may not be necessary and cost twice as much as regular laparoscopic hysterectomy. Agree that hysterectomy better vaginally or laparoscopically than open if it can be done by these less invasive routes.
Dr. Mary Vanko
Vaginal hysterectomy can be safely done for most people in about an hour.
3 doctors agree

In brief: Minimally invasive

A robotic hysterectomy is a type of laparoscopic hysterectomy using small incisions which means less pain and shorter recovery time than a large incision.
The robot offers additional tools that can enhance visualization and make it easier for the surgeon to precisely control the instruments. Hand motions of the surgeon are perfectly reproduced by the instruments.

In brief: Minimally invasive

A robotic hysterectomy is a type of laparoscopic hysterectomy using small incisions which means less pain and shorter recovery time than a large incision.
The robot offers additional tools that can enhance visualization and make it easier for the surgeon to precisely control the instruments. Hand motions of the surgeon are perfectly reproduced by the instruments.
Dr. Katherine Sutherland
Dr. Katherine Sutherland
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Dr. Gregg Nishi
Bariatrics
1 doctor agrees

In brief: Robotic hysterectomy

Robotic hysterectomies have been done for a while now and are quite common.
It is safe if done by an experienced robotic surgeon. I know several gynecologists that perform nearly all of their hysterectomies robotically. The benefit to the surgeon is better visualization, better dexterity with the robotic instruments, and often fewer incisions for the patient.

In brief: Robotic hysterectomy

Robotic hysterectomies have been done for a while now and are quite common.
It is safe if done by an experienced robotic surgeon. I know several gynecologists that perform nearly all of their hysterectomies robotically. The benefit to the surgeon is better visualization, better dexterity with the robotic instruments, and often fewer incisions for the patient.
Dr. Gregg Nishi
Dr. Gregg Nishi
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Dr. Dennis Higginbotham
Obstetrics & Gynecology
1 doctor agrees

In brief: Not usually needed

The need to use the da vinci robot when having a hysterectomy is based on the expected difficulty with performing the surgery.
The robot is helpful for patients who are very obese, who have had extensive previous surgeries and will have the associated adhesions, or who have cancer and need a more extensive procedure including lymph node dissections. Most hysterectomies do not need the robot.

In brief: Not usually needed

The need to use the da vinci robot when having a hysterectomy is based on the expected difficulty with performing the surgery.
The robot is helpful for patients who are very obese, who have had extensive previous surgeries and will have the associated adhesions, or who have cancer and need a more extensive procedure including lymph node dissections. Most hysterectomies do not need the robot.
Dr. Dennis Higginbotham
Dr. Dennis Higginbotham
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Dr. Craig Keathley
Obstetrics & Gynecology
1 doctor agrees

In brief: Minimally Invasive

The robot is being overly marketed for benign hysterectomy which is already done with standard minimally invasive techniques.
Abdominal hysterectomy should be very rare in this day and age. Laparoscopic or vaginal hysterectomy are the preferred approaches. The robot adds significant expense without proven benefit over standard laparoscopic hysterectomy.

In brief: Minimally Invasive

The robot is being overly marketed for benign hysterectomy which is already done with standard minimally invasive techniques.
Abdominal hysterectomy should be very rare in this day and age. Laparoscopic or vaginal hysterectomy are the preferred approaches. The robot adds significant expense without proven benefit over standard laparoscopic hysterectomy.
Dr. Craig Keathley
Dr. Craig Keathley
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1 comment
Dr. Dennis Higginbotham
Dr. Keathley is correct, abdominal hysterectomy should rarely be performed in this day and age. Robotic hysterectomy was initially more expensive than alternate routes, but that is changing also. I routinely do da Vinci robotic hysterectomies at a lower cost than the laparoscopic assisted vaginal hysterectomies that I had done for years. The recovery is universally quicker after robotic surgery.
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