Gynecology: Less Invasive Alternatives
Every year, more than 600,000 women in the United States have a hysterectomy, an operation to remove the uterus and sometimes the ovaries and fallopian tubes as well. It is the most common type of surgery for women after cesarean section. A hysterectomy can help treat conditions such as fibroids, heavy vaginal bleeding, chronic pelvic pain, endometriosis and cancer.
A myomectomy is the surgical removal of fibroids from the uterus. Fibroids are noncancerous growths of the uterus that often appear during childbearing years. About 65,000 myomectomies are performed annually in the United States.
Surgical Options - Hysterectomies
At St. Francis Health Center, patients have two innovative surgical options for hysterectomies. They can have minimally invasive surgery where a few small cuts are made in the abdomen using a tiny camera called a laparoscope or they can have a procedure performed using da Vinci robotic technology. St. Francis is the only Topeka-area hospital to offer a da Vinci robotic surgery option.
The physicians at Topeka OB/GYN Associates at St. Francis perform both types of surgeries.
One of the advantages of using da Vinci® is that uteri that are very large can be removed through minimally invasive techniques whereas they would traditionally require an open incision. Women who have hysterectomies using the da Vinci also experience:
Less blood loss
A quicker recovery
Surgical options often depend on the condition and the shape and size of the uterus and vagina.
A hysterectomy can help treat many problems and conditions, such as heavy or prolonged menstrual cycles, severe cramps with menses, pain with sexual activity, fibroids, chronic pelvic pain or pressure.
Other minimally invasive procedures our team performs include:
Laparoscopic Assisted Vaginal Hysterectomy
Robotic Total Hysterectomy
Robotic Pelvic Floor Reconstruction
A myomectomy allows the uterus to be left in place and is the preferred fibroid treatment for women who want to become pregnant. A laparoscopic myomectomy can be the uterine-preserving alternative to an open abdominal hysterectomy.
A conventional myomectomy involves open surgery through a large abdominal incision. After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize the potential uterine bleeding, infection and scarring.
At St. Francis Health Center, patients have the option of a minimally invasive myomectomy performed using da Vinci robotic technology. St. Francis is the only Topeka-area hospital to offer a da Vinci robotic surgery option.
Cathy Dahl, D.O., Topeka OB/GYN Associates at St. Francis, performs myomectomies using the da Vinci surgical robot. Advantages of a da Vinci myomectomy include:
- Opportunity for future pregnancy
- Significantly less pain
- Less blood loss
- Fewer complications
- Less scarring
- A shorter Health Center stay
- A faster return to normal activities
The da Vinci myomectomy offers an alternative to patients who wouldn't historically consider a traditional myomectomy because it gives them the option of smaller incisions, faster recovery and preservation of their uterus.
How da Vinci® Surgery Works
Once the surgeon makes laparoscopic incisions and positions the robotic arms, he or she sits at a remote control panel near the patient to review the surgical site in 3-D. The surgeon then manipulates the robot to complete the surgery. The robot filters out hand tremors and other factors that can affect a traditional open surgery. A complete surgical team is with the surgeon and the patient at all times, as in all surgeries, to monitor the patient and assist with the robot.
Surgeons who use the da Vinci® system must attend training sessions to become certified. A certified surgeon serving as a proctor must then observe the surgeon before he or she can begin using the robot.
Please call 785-228-2218 to schedule a consultation.