Robotic Hysterectomy

Gynecologic Oncology and Minimally Invasive Surgery

Herbert F Gretz MD

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When medication and other treatments are unable to relieve symptoms, hysterectomy is often recommended to provide a more effective, definitive and long-term solution for excessive menstrual bleeding. If you are considering or your doctor has recommended a hysterectomy, you are not alone - one in three women in the U.S. will have a hysterectomy before turning 60.

da Vinci Hysterectomy offers numerous potential benefits over traditional approaches, including:

  • Significantly less pain2
  • Minimal blood loss and need for transfusion11,3
  • Fewer complications11,12
  • Shorter hospital stay11,12
  • Quicker recovery and return to normal activities1,2
  • Small incisions for minimal scarring
  • Better outcomes and patient satisfaction, in many cases11

This procedure is performed using the da Vinci Surgical System, a breakthrough surgical platform which enables gynecologists to operate with unmatched precision, dexterity and control. By overcoming the limitations of both traditional open and laparoscopic surgery, da Vinci is revolutionizing gynecologic surgery for women. Read about how da Vinci Surgery enables gynecologists to perform the most precise, minimally invasive hysterectomy available today - da Vinci Hysterectomy.


A new, minimally invasive approach to hysterectomy, da Vinci Hysterectomy, combines the advantages of conventional open and minimally invasive hysterectomies – but with potentially fewer drawbacks. da Vinci Hysterectomy is becoming the treatment of choice for many surgeons worldwide. It is performed using the da Vinci System, which enables surgeons to perform surgical procedures with unmatched precision, dexterity and control. Read about what may be the most effective, least invasive approach to hysterectomy – da Vinci Hysterectomy.

A case of robotic total hysterectomy is presented in 5 parts below including pelvic lymph node dissection. The advantages of the daVinci system are described.

The da Vinci Surgical System

Only da Vinci overcomes the limitations of both traditional open surgery and conventional minimally invasive surgery.

The da Vinci System is a sophisticated robotic platform designed to expand the surgeon’s capabilities – and for the first time – offer a minimally invasive option for major surgery.


Clinically Superior Results

The da Vinci robotic surgery system often provides superior clinical results when compared to non-robotic traditional and scope assisted procedures.  This is because the da Vinci system allows the surgeon a full three dimensional high resolution view of what is being operated on.  The da Vinci view screen console is equipped to provide the surgeon revolutionary three dimensional multi-level magnification spectrum.  More traditional scope assisted surgery typically provides a much lower resolution image, and a far more limited field of vision.  Furthermore, the da Vinci system’s sensitive electronics and one centimeter diameter surgical arms allow the surgeon to make highly precise movements inside of the incision.  This means that the malignant tissue can be removed with an efficiency and ease unheard of prior to the era of robotic surgery.  This greater precision equates to a reduced likelihood of relapse due to missed cancerous tissue.  The precision of the da Vinci system also allows for the surgeon to largely avoid damaging healthy prostate tissue, which improves clinical results, reduces scar tissue build up, and contributes to an overall shorter recovery period.

Reduced Risk of Complications

Surgery is always an inherent risky medical procedure.  However, for the treatment of cancer, surgical options can be the most effective choice in eradicating the malignant tumors without the painful side effects of chemotherapy and radiation treatment.  Among the most serious risks associated with surgical treatments is the possibility of infection at the point(s) of incision.  Such infections are often the primary causes of serious complications which may hamper your ability to quickly and properly recover from your procedure.  The da Vinci system greatly mitigates that risk of infection in a number of ways.  First, the size of incision(s) made is significantly smaller with robotic surgery than with the traditional procedure.  A standard non-robotic prostatectomy typically requires the surgeon to make a six to eight inch vertical incision into the patient’s lower abdomen.  Such a relatively large incision subjects the patient to a number of operative and post-operative infectious agents.  That is to say that not only is the open incision site susceptible to any infectious agents during the procedure, but also the closed but unhealed wound left from the incision may be at risk of contracting harmful infections.  Post-operative infections are the more common of the two infection risk categories, as hospital rooms cannot be maintained at the extremely high level of sterility which operating rooms are kept.  The da Vinci robotic surgical system, however, utilizes a much less invasive technique which requires four to five incisions smaller than two inches each.  Each of these smaller incisions will heal significantly faster than the six to eight inch incision needed for traditional surgery.  Fewer sutures are needed to close the robotic system’s incisions.  This quickens recovery time as well as being less painful to you as the patent. 

Quicker Recovery Period

When your physician determines surgery is your best treatment option and refers you to an ontological surgeon, you can rest assured that Dr. Samadi and the da Vinci system offer you the best chance of a full and expedient recovery.  Da Vinci’s robotic surgical technology optimizes your chances of experiencing a quicker recovery time opposed to traditional surgical prostatectomy.  The smaller incisions required to maneuver the operating arms heal much faster, require less sutures and are less vulnerable to tearing or infection.  The highly precise movements of the robotic arms allow for cleaner removals of malignant tissue.  Such precision also produces a more targeted approach which reduces damage to healthy tissue during the operation.  The design of the robotic operating arms allow for the entire procedure to be conducted without having to leverage operating tools against the walls of the incision.  All of these advantages translate to a speedier and less worrisome recovery period. 

Minimally Invasive Surgery and Gynecologic Oncology of New York
Phone  914-761-0900      212-717-0777 
Fax 914-761-8900

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