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Minimally Invasive Hysterectomy Surgery at Our Los Angeles Center

What is a hysterectomy?

Hysterectomy is the surgical removal of a woman's uterus. Other organs might also be removed if you have severe problems such as endometriosis or cancer. These organs include the cervix (the lower part of the uterus that opens into the vagina), the ovaries (glands on both sides of the uterus that release eggs for pregnancy) and the fallopian tubes (the passageway between the uterus and the ovaries).

Whether or not the ovaries are removed will depend on your age and risk for certain types of cancer. For example, removing the ovaries lowers the risk of ovarian cancer and some types of breast cancer. But, if you have your ovaries removed before the age of menopause, you will go into early menopause and you may be more likely to get heart disease or osteoporosis. Be sure to discuss with your doctor all the benefits and risks of removing your ovaries.

What problems does this surgery treat?

Most often, hysterectomy is performed to treat problems with the uterus, such as pain and heavy bleeding caused by endometriosis or fibroid tumors. The surgery may also be needed if there is cancer in the uterus, cervix or ovaries. Some women may have the surgery during childbirth to save their lives if there is heavy bleeding that cannot be stopped.

Before you choose to have a hysterectomy, consider all of your treatment options. In many cases, this surgery is a last resort after trying other treatments for the problem.

How is the surgery done?

There are many different ways to do hysterectomy surgery. The type of surgery you have depends on three main things: the reason for the surgery, the size of the uterus and its position in the belly and your overall health. The most common types are:

  • Abdominal hysterectomy. In this type, the doctor makes a cut in the belly, either across the bikini line or straight up and down. The doctor takes out the uterus and the cervix. This type is most often done when cancer might be present or when severe endometriosis, a lot of scar tissue (adhesions), or a very large uterus makes the uterus hard to remove.
  • Vaginal hysterectomy. With this type, the doctor takes out the uterus through the vagina. He or she makes a small cut in the vagina instead of the belly. Your doctor will not use this method when there is a chance that cancer may be in the uterus, cervix, or ovaries. Doctors use this type of surgery only in cases where the uterus is small and easy to remove.
  • Laparoscopically assisted vaginal hysterectomy (LAVH). To do this surgery, the doctor puts a lighted tube (laparoscope) through small cuts in your belly. The doctor can see your organs with the scope and can insert surgical tools to cut the tissue that holds your uterus in place. Then he or she can remove the uterus through your vagina.
  • Laparoscopic supracervical hysterectomy (LSH). With LSH, the doctor inserts the scope and tools through small cuts in your belly. He or she takes out the uterus in small pieces and leaves the cervix in place.
  • Total laparoscopic hysterectomy (TLH). In this type, the doctor inserts a scope and tools through several small cuts in the belly. The doctor takes out the uterus and the cervix in small pieces through one of the cuts.

 

Non-Robotic Hysterectomy vs. da Vinci® Hysterectomy

The open abdominal hysterectomy has historically been the traditional approach to removing the uterus, which involves a lengthy incision across the abdomen and significant recovery time. However, miVIP Surgery Centers is able to offer two minimally invasive hysterectomy approaches: non-robotic laparoscopic and the state-of-the-art robotic da Vinci Hysterectomy on an outpatient basis. While the non-robotic approach features smaller incisions, shorter recovery time and less trauma to surrounding tissues when compared with the traditional open hysterectomy, the da Vinci Hysterectomy goes above and beyond both procedures to make it the cutting edge in gynecological procedures.

The da Vinci procedure offers all the benefits of the non-robotic laparoscopic approach but with more precision and even shorter recovery times. A robotic approach provides the world-class surgeons at miVIP with 3D visualization and tremor reduction to ensure the most accurate and least invasive procedure possible. da Vinci Hysterectomy patients also can enjoy fewer complications, less blood loss, significantly less pain and a faster return to normal daily activities even above non-robotic laparoscopic hysterectomies. Speak with your physician to find out if the da Vinci approach is right for you. 

 

How long will it take to recover from minimally invasive surgery?

Feeling better after surgery takes time, but with miVIP's laparoscopic and da Vinci Hysterectomy procedures, most women are discharged from the surgery center the same day.

When you get home, make sure you move around, but also be sure you don't do too much. You can walk around the house and up and down stairs, but take it slow. During the first two weeks, it’s important to get plenty of rest. Even after you start to feel stronger, you should not lift heavy things (anything over 20 pounds). Also, you should not have sex until your doctor says it's okay. It usually takes four to eight weeks to get back to a normal routine.

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