Our Summary

This study looked at the complications that occurred during and after hysterectomies (surgery to remove the uterus) performed by surgeons who do a lot of these procedures. They compared surgeries done the traditional way, using a minimally invasive method called laparoscopy, with surgeries done with the help of a robot. The researchers found that patients who had the robot-assisted surgery lost less blood during the operation and spent less time in the hospital afterwards. Even though the robotic surgeons often did other procedures at the same time as the hysterectomy, their patients had fewer complications. After taking into account other factors that could affect the results, the researchers concluded that robot-assisted hysterectomies are less likely to result in complications than traditional laparoscopic hysterectomies, especially when performed by high-volume surgeons and when other gynecologic surgeries are done at the same time.

FAQs

  1. What are the benefits of having a robot-assisted hysterectomy compared to a traditional laparoscopic hysterectomy?
  2. Are there fewer complications with robot-assisted hysterectomies when other gynecologic surgeries are done at the same time?
  3. How does the blood loss and hospital stay time compare between robot-assisted and traditional laparoscopic hysterectomies?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hysterectomy is to discuss with your surgeon the different types of procedures available, such as traditional laparoscopic surgery or robot-assisted surgery. They may recommend a robot-assisted hysterectomy, especially if they are a high-volume surgeon with experience in this technique, as it may result in fewer complications and a quicker recovery time. It’s important to have an open and honest conversation with your healthcare provider to determine the best option for your individual situation.

Suitable For

Patients who may be recommended for a hysterectomy include those with:

  • Uterine fibroids
  • Endometriosis
  • Abnormal uterine bleeding
  • Uterine prolapse
  • Chronic pelvic pain
  • Gynecologic cancers such as uterine, cervical, or ovarian cancer

It is important for patients to discuss all treatment options with their healthcare provider to determine if a hysterectomy is the best course of action for their individual situation.

Timeline

Before hysterectomy:

  1. Patient consults with their doctor to discuss the reasons for the surgery and the different options available.
  2. Patient undergoes pre-operative testing and evaluations to ensure they are healthy enough for surgery.
  3. Patient may need to make lifestyle changes or take medications in preparation for the surgery.
  4. Patient discusses post-operative care and recovery with their doctor.

After hysterectomy:

  1. Patient undergoes the surgical procedure to remove the uterus.
  2. Patient is monitored closely in the recovery room and then transferred to a hospital room for further observation.
  3. Patient may experience pain, discomfort, and fatigue in the days following the surgery.
  4. Patient is discharged from the hospital once stable and given instructions for at-home care and follow-up appointments.
  5. Patient may experience physical and emotional changes as a result of the surgery, and may need support from loved ones or counseling.
  6. Patient gradually resumes normal activities and may need to make adjustments to their lifestyle due to the absence of a uterus.
  7. Patient attends follow-up appointments with their doctor to monitor their healing and address any concerns or complications.

What to Ask Your Doctor

  1. What are the different types of hysterectomy procedures available, and which one do you recommend for me?
  2. What are the potential risks and complications associated with a hysterectomy?
  3. How long is the recovery period after a hysterectomy, and what can I expect in terms of pain and discomfort?
  4. Will a hysterectomy affect my hormonal balance or menopausal symptoms?
  5. Are there any alternative treatments or therapies I should consider before deciding on a hysterectomy?
  6. How many hysterectomies have you performed, and what is your experience with robot-assisted hysterectomies?
  7. What is the success rate of robot-assisted hysterectomies compared to traditional laparoscopic hysterectomies?
  8. Will I need any additional procedures or surgeries in conjunction with the hysterectomy?
  9. How long will I need to stay in the hospital after the surgery?
  10. What is the long-term outlook for my health and well-being after a hysterectomy?

Reference

Authors: Baracy MG Jr, Martinez M, Hagglund K, Afzal F, Kulkarni S, Corey L, Aslam MF. Journal: J Robot Surg. 2022 Oct;16(5):1199-1207. doi: 10.1007/s11701-021-01340-2. Epub 2022 Jan 3. PMID: 34981444