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July 2010 | 0 Comments | Print

New surgical options for hysterectomies

Until recently, women only had few options for a hysterectomy. These procedures required an abdominal or vaginal incision.

Today, The Christ Hospital offers women more than one surgical option for hysterectomies. Women can now benefit from less pain, shorter hospital stays, faster recovery and small scars using a minimally invasive procedure. The risks of minimally invasive procedures are similar to the risk associated with abdominal or vaginal hysterectomies.

Facts about Hysterectomies
  • Approximately one third of women in the United States have had a hysterectomy by the age of 60.
  • Annually, there are over 600,000 hysterectomies performed in the United States.
  • Annually, there are over 200,000 minimally invasive hysterectomies performed in the United States
  • A hysterectomy is the second most common surgical procedure performed in the United States.
Minimally Invasive Hysterectomy (MIH) Procedures
  • Laparoscopic Supracervical Hysterectomy (LSH):  A laparoscope and small surgical instruments are inserted through small incisions in the navel and abdomen. The uterus is detached from the cervix and removed through one of the incisions. The procedure can be performed on an outpatient basis and patients can typically be discharged within 24 hours.
  • Total Laparoscopic Hysterectomy (TLH):  This procedure is very similar to LSH except the entire uterus, including the cervix, is removed through the vagina, while the surgeon is still working with laparoscopic instruments in the abdomen. It is also an outpatient procedure and discharge is typically within 24 hours.
  • Laparoscopically Assisted Vaginal Hysterectomy (LAVH)During this procedure, a miniature camera is inserted through a small incision to view the uterus and surrounding organs. Using the view from the laparoscope, the uterus is detached using special tools inserted through small incisions in the abdomen. An incision is then made at the top of the vagina and the uterus and cervix are removed through this incision.
  • Vaginal Hysterectomy (VH):  A small, non-visible incision is made at the top of the vagina and the uterus and cervix are removed through the vagina. During a VH, the abdominal walls are not stretched, which alleviates some of the pain and discomfort. Many times a vaginal hysterectomy is not an option due to uterine size and the size of the vagina.
  • Robotic-Assisted Total Hysterectomy This procedure is very similar to the Total Laparoscopic Hysterectomy with the addition of the daVinci Robot. After the laparoscopic intruments are placed into the patient’s abdomen, they are attached to the daVinci Robot and the surgeon sits at a consule performing the operation. The uterus is then removed through the vagina or through the laparoscopic incisions.

Although minimally invasive surgery is appropriate for many patients, not everyone is a candidate. Talk to your doctor about the best treatment option for you.

For more information about minimally invasive hysterectomies or to find a physician who performs these procedures, please call 877-904-4YOU or visit www.TheChristHospital.com/women.

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