Our Summary

This research paper is about a detailed review of previous studies that compared the effectiveness of 2D and 3D systems in performing total laparoscopic hysterectomy (TLH), a minimally invasive surgery to remove the uterus. The researchers used several online databases to find relevant studies and then analyzed the data from these studies to draw conclusions.

The findings suggest that surgeries using 3D technology took less time than those using 2D technology. However, there were no significant differences found in other important factors such as the time it took to close the vaginal cuff (a part of the procedure), the rate of complications, blood loss, and the drop in hemoglobin levels (which can indicate blood loss).

In simpler terms, the study found that 3D technology might help surgeons perform this specific operation a bit quicker than the traditional 2D technology, but there doesn’t seem to be a major difference in terms of safety and other outcomes. However, the researchers also highlight the need for more research, particularly larger studies and economic analyses, to provide more definitive guidance for doctors and health care providers.

FAQs

  1. What is the main difference between using 2D and 3D technology in total laparoscopic hysterectomy (TLH)?
  2. Did the study find any significant differences in safety and other outcomes between 2D and 3D systems in TLH?
  3. What further research did the researchers suggest is needed to provide more definitive guidance for doctors and health care providers?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hysterectomy is to ask about the type of technology being used during the surgery. Patients may want to inquire about whether the surgeon will be using 2D or 3D technology, as this study suggests that 3D technology may result in a slightly quicker procedure. However, it is important to remember that both technologies are safe and effective, and the most important factor is the skill and experience of the surgeon performing the procedure. Patients should feel comfortable discussing any concerns or questions they have with their healthcare provider before undergoing a hysterectomy.

Suitable For

Patients who are typically recommended for a hysterectomy include those with:

  1. Uterine fibroids: Large or multiple fibroids in the uterus can cause heavy menstrual bleeding, pelvic pain, and pressure symptoms.

  2. Endometriosis: Severe endometriosis can cause chronic pelvic pain and heavy menstrual bleeding.

  3. Uterine prolapse: When the uterus descends into the vaginal canal, causing discomfort and urinary incontinence.

  4. Adenomyosis: When the tissue that lines the uterus grows into the muscular wall of the uterus, causing heavy menstrual bleeding and pelvic pain.

  5. Gynecologic cancers: Hysterectomy may be recommended for patients with uterine, cervical, or ovarian cancer.

  6. Chronic pelvic pain: When other treatments have failed to relieve chronic pelvic pain, a hysterectomy may be considered as a last resort.

  7. Abnormal uterine bleeding: When medications and other treatments have not been successful in managing heavy or irregular menstrual bleeding.

  8. Pelvic inflammatory disease: Severe cases of pelvic inflammatory disease may require a hysterectomy to prevent further complications.

It is important for patients to discuss their individual medical history, symptoms, and treatment options with their healthcare provider to determine if a hysterectomy is the best course of action for their specific condition.

Timeline

Before hysterectomy:

  • Patient consults with a gynecologist to discuss symptoms and treatment options
  • Patient undergoes various diagnostic tests such as ultrasound, MRI, or biopsy
  • Patient and doctor decide that hysterectomy is the best course of action
  • Patient prepares for surgery by following pre-operative instructions, such as fasting and stopping certain medications

After hysterectomy:

  • Patient undergoes surgery to remove the uterus
  • Patient is monitored in the recovery room before being transferred to a hospital room
  • Patient may experience pain and discomfort in the days following surgery
  • Patient is given instructions for post-operative care, including restrictions on activities and medications for pain management
  • Patient attends follow-up appointments with the doctor to monitor healing and discuss any concerns

Overall, hysterectomy is a major surgical procedure that requires careful consideration and preparation before and diligent care and monitoring after.

What to Ask Your Doctor

  1. What are the potential risks and benefits of undergoing a hysterectomy using 3D technology compared to 2D technology?
  2. How does the use of 3D technology affect the recovery time and post-operative pain compared to 2D technology?
  3. Are there any specific criteria or factors that would make me a better candidate for a hysterectomy using 3D technology?
  4. How experienced are you in performing hysterectomies using 3D technology, and what is your success rate with this approach?
  5. Are there any additional costs associated with opting for a hysterectomy using 3D technology, and will my insurance cover these expenses?
  6. Can you provide me with more information about the specific 3D technology that will be used during my surgery and how it differs from traditional 2D technology?
  7. What is the expected recovery time and follow-up care after undergoing a hysterectomy using 3D technology?
  8. Will I have access to the same level of post-operative support and resources if I choose to undergo a hysterectomy using 3D technology?
  9. Are there any long-term considerations or implications to be aware of if I choose to undergo a hysterectomy using 3D technology?
  10. Can you provide me with any additional information or resources to help me make an informed decision about the type of technology to use for my hysterectomy?

Reference

Authors: Tercan C, Gunes AC, Bastu E, Blockeel C, Aktoz F. Journal: Arch Gynecol Obstet. 2024 Oct;310(4):1811-1821. doi: 10.1007/s00404-024-07630-y. Epub 2024 Aug 24. PMID: 39180564