At The McIndoe Centre, Hysterectomies are undertaken using single site robotic surgery. There are many advantages to this technique over traditional surgery, including a quicker recovery period. There is less pain involved because the whole procedure is performed through a single tiny incision in the navel. This single incision enables patients to feel better right after the procedure so that they can return to normal activities and work more quickly.
The robotic technique involves making a single incision in the umbilicus. There, a specially designed gel port is placed through in addition to the camera. Two operating channels and an assistants channel are all placed through this small port. The Da Vinci robot is used to control the camera and the operating instruments.
The McIndoe Centre offers pioneering technology in robotic gynaecological surgery for benign surgery and for gynaecological oncology. Mr McIndoe was one of the first surgeons in the field and has performed a wide range of procedures using the Da Vinci robotic system.
A Hysterectomy is a surgical procedure to remove all or part of the womb.
If the entire uterus including the cervix is removed, this procedure is called a total Hysterectomy. Alternatively, it may be called a simple Hysterectomy, in contrast to a radical Hysterectomy that is done for cervical cancer and also involves removing tissue around the uterus. If the cervix is retained, the procedure is then called a sub-total Hysterectomy.
The womb may be removed either through the vagina, sometimes called the “suction method”, or through the abdomen with a low transverse or “bikini line” incision. More recently, a “keyhole” or laparoscopic approach has been used, and this has been further enhanced by the use of robotic assistance. The way that the Hysterectomy is performed is often dependent on why the operation is necessary.
Recovery following Hysterectomy depends very much on how it is performed. The slowest recovery follows an abdominal Hysterectomy while the fastest is after keyhole or robotic surgery. With these techniques, hospital stays may be as short as 24 hours, particularly with the robotic approach. Some normal activities can usually be resumed within a few days and full activities in about 3 to 4 weeks, although recovery will always vary from person to person.
Alternative ways of performing hysterectomy are useful in specific clinical situations. For women with vaginal prolapse, a vaginal hysterectomy may be preferred as part of the pelvic floor repair. In cases where a very large pelvic mass is present, or in instances of ovarian cancer, an open abdominal hysterectomy may be the procedure of choice.