Robotic Hysterectomy

Hysterectomy involves surgically removing the uterus. What sets robotic hysterectomy apart is the exceptional level of precision it offers, along with enhanced flexibility and control, thanks to its magnified 3D view.
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What is Robotic Hysterectomy?

Robotic hysterectomy, also known as robot-assisted surgery, is a state-of-the-art technique that redefines precision and minimally invasive surgery. The procedure involves the removal of the uterus, and occasionally the cervix, with the aid of specialized instruments passed through small abdominal incisions. What distinguishes robotic hysterectomy is the increased degree of precision it delivers, combined with the improved flexibility and control made possible by its magnified 3D view.

What types of Hysterectomy are there?

  • Subtotal Hysterectomy: In this procedure, only the main body of the uterus is removed. The cervix and other reproductive organs are retained.
  • Total Hysterectomy: The most common type of hysterectomy, it involves the complete removal of the uterus and cervix.
  • Total Hysterectomy with Bilateral Salpingo-oophorectomy: This procedure entails the removal of the uterus, cervix, fallopian tubes, and ovaries.
  • Radical Hysterectomy: In a radical hysterectomy, the uterus, cervix, and surrounding reproductive structures are removed. This includes the ovaries, fallopian tubes, a portion of the vagina, fatty tissue, and lymph nodes.
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How is Robotic Hysterectomy performed?

Robotic Hysterectomy may be recommended when a vaginal hysterectomy is unfeasible due to factors like surgical scars or pelvic organ irregularities. At Gynaehealth Clinic, we believe in providing the most effective medical solutions, and robotic hysterectomy is one of them.

The Procedure

During a robotic hysterectomy:
  • You will be positioned on your back, similar to a Pap test.
  • A urinary catheter may be inserted to empty your bladder.
  • Your surgical area will be sterilized.
  • Small incisions will be made in your abdomen, through which specialized instruments will be used to remove the uterus.
  • Depending on your condition, the surgeon may also remove one or both ovaries and fallopian tubes.
Jason Yap - Consultant Gynaecologist
Consultant Gynaecologist, Gynaecological Oncologist & Lead Clinician for Vulval Disease
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What are the reasons for having a Hysterectomy?

A hysterectomy is typically recommended when other treatment options have proven ineffective. It is a significant surgical procedure that results in the loss of fertility for women. Some common reasons for considering a hysterectomy include:
  • Heavy Periods: This condition, often caused by the presence of fibroids, can lead to excessive menstrual bleeding.
  • Pelvic Pain: Persistent pelvic pain may be attributed to conditions such as fibroids, endometriosis, adenomyosis, or unresolved pelvic inflammatory disease (PID).
  • Vaginal (Uterine) Prolapse: When the uterus descends or protrudes into the vaginal canal, causing discomfort or other complications.
  • Uterine, Cervical, or Ovarian Cancer: In cases where cancer is detected in these reproductive organs, a hysterectomy may be recommended as part of the treatment plan.
  • Uterine Fibroids: Noncancerous growths that develop in the uterus and can lead to symptoms such as pelvic pressure, heavy menstrual bleeding, and pelvic pain.
It is essential to consult with a gynaecologist to discuss your specific circumstances and determine whether a hysterectomy is the most suitable course of action for your situation.
Pre/post procedure information

What can I expect before and after Hysterectomy?

The following tests may be required before a hysterectomy:
  • Endometrial Biopsy: This procedure involves sampling the tissue from the lining of the uterus to identify any abnormalities or signs of cancer.
  • Cervical Screening (Pap Test): This screening method is used to detect abnormalities, particularly cervical cancer, by collecting cells from the cervix for examination.
  • Pelvic Ultrasound: A non-invasive imaging technique used to visualize and evaluate the size and condition of uterine fibroids, ovarian cysts, or endometrial polyps.

How can I prepare for my surgery?

To ensure a successful surgery and promote a speedy recovery, it is important to focus on maintaining optimal health. Here are some steps you can take to prepare for your hysterectomy:
  1. Stop smoking: If you are a smoker, it is strongly advised to quit smoking before your surgery, as smoking can increase the risk of complications and slow down the healing process.
  2. Eat a healthy and balanced diet: Prioritize nutritious foods that support overall health and healing. Incorporate fruits, vegetables, lean proteins, and whole grains into your meals.
  3. Exercise regularly: Engage in regular physical activity to improve your overall fitness and strength. Consult with your healthcare provider to determine suitable exercises for you.
  4. Maintain a healthy weight or lose weight if needed: Achieving and maintaining a healthy weight can help reduce the risks associated with surgery and improve your recovery.
In addition, you may have a pre-assessment appointment a few days before the procedure. This can involve blood tests and a general health check-up. It is an opportunity to address any concerns or questions you may have about the surgery.

What should I expect after my hysterectomy procedure?

Following your hysterectomy, here are some things you can expect:
  1. Discharge from the hospital: Depending on the type of hysterectomy and your specific situation, you may be able to go home on the same day as your procedure. Before discharge, you may need to undergo blood tests, receive prescribed medications, and have a bowel movement.
  2. Recovery period: It is normal to feel more tired than usual after the surgery. Emotionally, a hysterectomy can be challenging in the beginning, and it may take time to adjust. Physical and emotional recovery can vary, but typically take around six weeks. It is important to rest during the initial days but gradually introduce light exercises and activities as advised by your healthcare provider.
  3. Post-surgical bleeding: You may experience bleeding for up to three weeks. It is recommended to use sanitary pads instead of tampons to reduce the risk of infection. Maintain good hygiene practices during this time.
  4. Bowel function: Your bowel movements may be affected temporarily, and certain pain medications can also impact your bowels. If you experience any issues, it is important to consult your doctor for further guidance or potential adjustments to your medication.
  5. Sexual activity: It is generally advised to refrain from sexual intercourse for six weeks following the procedure. This timeframe allows for proper healing and reduces the risk of complications.
Remember to follow the specific instructions provided by your healthcare team for your individual situation. If you have any concerns or questions during your recovery, do not hesitate to reach out to your doctor for further guidance and support.