Cedars Sinai Marina del Rey Hospital Alert COVID-19 (coronavirus)



Single-Site Robotic Hysterectomy Ensures Faster Recovery with Virtually No Scars

Jamie Lipeles';

By Jamie Lipeles

Posted on January 20th, 2019 in Gynecology

Hysterectomy is a surgical procedure which involves the removal of the uterus and sometimes along with the ovaries and fallopian tubes. It is the second most common surgery performed in women with nearly 600,000 procedures done each year in the United States. The field of robotic surgery has developed rapidly and after the FDA approved robotic gynecologic surgery in 2005, there has been exponential growth. In 2012, the Society of Gynecologic Oncology (SGO) has acknowledged the advantages of robotic surgery in the treatment of gynecologic cancers.

Until recently, all hysterectomy procedures including vaginal hysterectomy, open abdominal surgery, laparoscopic surgery, and even robotic surgery involved multiple incisions, which led to scarring. But, an innovative type of hysterectomy procedure called the Single-Site Da Vinci Technique has been developed that helps women avoid scars completely and significantly reduce the downtime following the surgery. The use of the robot-assisted approach for the hysterectomy procedure has led to a decrease in the use of the traditional laparoscopic technique.

How Is the Single-Site da Vinci Hysterectomy Different?

The da Vinci robotic system can be used for hysterectomy only in benign conditions. This new technique involves only one small incision in the central portion of the abdomen (belly button). This opening serves as an entry point for all instruments and the camera needed to visualize the internal organs of the patient.

The da Vinci Surgical System with the Single-Site technology gives surgeons enhanced capabilities such as a high-definition three-dimensional vision and a magnified view. When your surgeon controls the da Vinci system, the hand movements will be precisely translated into corresponding movements of the tiny robotic arms within your body. The surgical procedure involves the separation of the uterus from its ligaments/tissues and the removal through the incision. Once the removal is complete, the instruments are drawn back and the incision is closed with sutures.

The entire procedure may take about an hour and the hospital stay would last for about 24 hours.

How Can You Benefit from the Single-Site Robotic Hysterectomy?

In addition to the minimal scarring, clinical data have suggested several potential benefits from the da Vinci Single-Site Hysterectomy, which include:

  • Less blood loss
  • Lower complication rates or risk of infection
  • Low chance of requiring blood transfusion or need of switching to open surgery
  • Shorter hospital stay
  • Minimal postoperative pain 
  • Faster recovery rate with the ability to resume activities within a few days and complete healing within a few weeks.

This innovative technique has given a new dimension to minimally–invasive hysterectomy by allowing quick recovery with less pain, fewer scars, pleasing cosmetic outcome, and thus better patient satisfaction.