How to repair my body
Some conditions require more serious treatments or surgeries. With increased complexity requires closer observation with a stay in the hospital or inpatient stay. This usually requires one to two days of inpatient hospital recovery. Below is a sampling of some of the inpatient procedures we offer. Click on the links below to learn more.
The most notable surgery that a gynecologist can do, this procedure can be performed in multiple ways.
ROBOTIC ASSISTED HYSTERECTOMY
- This procedure involves use of the a robot to assist in the surgical removal of the uterus. This utilizes that same approach that laparoscopy surgery involves, using the same small incisions.
- Advantages of robotic surgery include faster recovery times, less post operative pain, increased safety due to 3 dimensional views, less risk of conversion to an open procedure and increased ease for surgeon
- The surgeon uses robotic arms to perform surgery while virtually controlling them at a console. It also uses state of the art 3D microscope to accurately see the entire operative field. It also allows up close, microscopic areas of the anatomy with application of fine instruments to delivery precise surgical techniques.
- The instruments allow for maximum flexibility in movements that can mimic the touch of a human hand. Instrument stability reduces tremor that ensures fine movements and reduce risk of injury to the patient.
- The minimal movement at insertion sites reduces postoperative pain in patients compared to traditional laparoscopy.
- Some patients do not require narcotics for pain following their surgery.
- Very fast recovery time when compared to open procedure. Small motivated patients may even qualify for same day discharge. Majority of patient are discharged from the hospital the day after surgery and can return to work in as little as two weeks.
TOTAL VAGINAL HYSTERECTOMY
This procedure is a minimally invasive removal of the uterus. This procedure is the most minimally invasive with removal of the uterus accomplished through the vaginal There typically is no abdominal incision
- The procedure is recommended procedure by the American College of Obstetrics and Gynecology unless other factors favor alternative method.
- Use of devices such as Ligasure, a vessel sealing system that applies unique energy based ligation method creates complete sealing and reduction of blood loss.
- Ligasure device reduces blood loss, need for transfusion, operative and anesthesia times, length of hospital stay, postoperative pain and thermal spread.
- Vaginal hysterectomies can treated abnormal bleeding not responding to medical management, fibroid tumors that can't be treated medically, endometriosis and patient's that have completed childbearing.
- Mild pain relievers help with recovery.
- Most patients resume normal work activities within two to four weeks.
Laparoscopic Assisted Hysterectomy (Third Most Preferred).
This procedure involves the use of laparoscopic instruments to assist in the surgical removal of the uterus through the vagina or through one of the small incisions.
- Usually requires two to three incisions located at the belly button and either side.
- Ligasure method is also utilized using this method.
- A variant involves removal of the uterus through the vagina (LAVH).
- Also a treatment for abnormal bleeding or fibroid that do not respond to medical therapies.
- Mild pain relievers are sometime needed.
- Most patients resume normal work activities in two to four weeks.
Total Abdominal Hysterectomy
This procedure involves removal of the uterus through an abdominal incision though this incision can be contained to minimize visibility. This is least preferred but sometimes is required due to signficant size of the uterus, fibroids, prior surgery and other factors. Again Ligasure method is also employed for this surgery. Usually the fibroid is to large to remove through other methods such as vaginally.
- These patients require slightly longer hospital stays and need for narcotic pain medications.
- Recovery may take two to six weeks.
This procedure involves removing a fibroid that is causing problems. The tumor is removed without a hysterectomy and intended for patients who want to preserve the uterus and their fertility.
- This can be done hysteroscopically, laparoscopically, robotically or through an abdominal incision. Type of surgery depends on location, size and location near important structures such as blood supply.
- Hysteroscopic approaches can go home same day.
- Laparoscopy and Robotic may be discharged same day or next morning. Pain is well controlled with mild pain relievers.
- Abdominal approach requires hospitalization for a few days.
- Recovery can take as little as two weeks for the above procedures, and up to four-six weeks for abdominal incisions.