A robotic hysterectomy is a type of hysterectomy, which is a surgical procedure to remove the uterus. In a robotic hysterectomy, the surgeon uses a robotic surgical system to control small instruments during the operation. The benefits of a robotic hysterectomy compared to a traditional hysterectomy include less pain, less blood loss, and a shorter recovery time.
A hysterectomy may be recommended for a variety of reasons, including fibroids, endometriosis, uterine prolapse, or cancer. In some cases, a robotic hysterectomy may be the best option for the patient because it allows the surgeon to operate with greater precision and control than is possible with traditional surgical techniques. This can result in a faster and less painful recovery for the patient. It's important to discuss the potential benefits and risks of a robotic hysterectomy with your doctor to determine if it's the right choice for you.
As with any surgery, there are risks associated with a robotic hysterectomy. These can include infection, bleeding, and reactions to anaesthesia. In addition, there is a risk of damage to surrounding organs, such as the bladder or intestines. However, the risks of a robotic hysterectomy are generally considered to be low, and many women are able to go home the same day as the procedure. It's important to discuss the potential risks with your doctor before undergoing a robotic hysterectomy.
You will require a physical examination before the day of your procedure. To assess your overall health, your surgeon may also request tests including blood tests, a chest X-ray, or an electrocardiogram (ECG). Tell your surgeon about all medications you take at home, including over-the-counter drugs and herbal supplements. It can be advised for you to stop taking aspirin and other drugs that thin the blood and promote bleeding.
Added considerations:
- If you or a member of your family has ever experienced a negative reaction to general anaesthesia, let your healthcare professional know.
- If you smoke, you might need to quit long before your surgery.
- You will be given instructions on when to cease eating and drinking the day and night before the procedure. It is typical to refrain from eating or drinking after midnight or for at least eight hours prior to surgery if you are receiving general anaesthesia.
- On the morning before the procedure, enquire with your surgeon about whether you should take your regular prescriptions with a little sip of water.
The normal procedure for this surgery is general anaesthesia. Thus, while having surgery, you will be unconscious. Prior to the process:
- Your intravenous (IV) line will be started so that you can receive fluids and drugs that will relax and make you sleepy.
- An IV may be used to administer sleep-inducing medicine if you are under general anaesthesia.
- To administer anaesthetic and aid in your breathing while you are unconscious, a tube may be put into your throat.
- Before surgery, antibiotics might be administered.
- A catheter tube may be inserted into your bladder to empty pee.
- To assist avoid blood clots, your legs may be fitted with special stockings.
Three to four hours may be required for surgery.
This is what could occur throughout the procedure:
- Your abdomen will be given three or four little incisions (0.5 – 1cms).
- Your stomach may be inflated with gas to offer your surgeon a better vision and more space to work.
- Your abdomen is entered using the laparoscope. The additional incisions are used to implant more surgical tools.
- The laparoscope and other tools are attached to the robotic arms of the computer by your surgeon.
- The operating surgeon operates from the console which is placed next to patient.
- Through the tiny incisions, stepwise hysterectomy is perfomed.
- Your uterus may be removed through your vagina during a laparoscopic-assisted vaginal hysterectomy.
- Following surgery, the incisions are stitched shut and tiny bandages are placed over them.
You will be observed in the recovery room after surgery as you come to terms with the anaesthetic. Most patients spend couple of days in the hospital. During your hospital stay, the following things could occur:
- After this surgery, patient may have some discomfort, IV and painkillers could be administered to you.
- Once you are able to consume fluids and your bowels are beginning to pass gas, your IV will be taken out.
- As required, you will receive more pain medication by mouth or by injection, as per Doctor’s advice.
- In one or two days, your bladder catheter, the drained urine will be removed.
- It's possible that you experience vaginal bleeding that calls for the use of sanity pads.
- As soon as you are able, you will be advised to stand up and move around. This aids in preventing blood clots in your legs.
- Your restroom needs and wound care will be taken care of by caregivers and nurses.
It is important to adhere to your surgeon's recommendations when you return home and to keep all of your scheduled follow-up appointments. Follow the directions on all prescriptions. Early in the healing process, some pain is typical. Find out what painkillers to take from your surgeon.
What to anticipate while recovering at home is as follows:
- You ought to be able to slowly get back to your regular diet.
- For a few days, you should keep the wounds dry. Observe the bathing and dressing recommendations provided by your surgeon. To get your sutures taken out, you might need to return.
- Carry on moving. In a few days, you ought to be able to gradually return to your regular activities.
- For a few weeks, refrain from heavy lifting. Find out from your surgeon when you can resume particular activities.
- For a few days, you can still experience some minor vaginal bleeding.
- For up to 6 weeks, you can be told not to insert anything into your vagina.
- It could take anywhere from a few weeks to a few months to fully recover.
- For next 3 months, you should avoid intercourse.
During recovery, mention any of the following to your surgeon:
- Pain that is getting worse or that isn't being treated with medicine
- Any bleeding, redness, swelling, or drainage around your incisions
- Fever
- heavy vaginal bleeding
- Leg discomfort or swelling
- chest discomfort or breathlessness
You could experience emotional side effects following this operation in addition to the physical ones associated with recuperation. Your periods will stop after a hysterectomy, and you won't be able to become pregnant again. Some women feel depressed as a result of these losses.
You may experience menopause symptoms like hot flashes and vaginal dryness if your ovaries were removed during surgery. After a hysterectomy, hormone therapy may be advantageous for some women. Talk about it with your doctor.