Minimally invasive Surgical Option

da Vinci Robotic Surgery

 

da Vinci Hysterectomy (Benign)

 

Know Your Options

 

da-vinci_hysterectomy_benign_incision_comparison

If you have a benign (non-cancerous) condition that affects your health and quality of life, your doctor may suggest surgery. Surgery to remove the uterus is called a hysterectomy. It can be done with open surgery through one large incision (cut). It can also be done with minimally invasive surgery through a few small incisions using traditional laparoscopy or da Vinci Surgery.

Why da Vinci Surgery?

 

The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:

  • 3D HD view inside your body
  • Wristed instruments that bend and rotate far greater than the human hand
  • Enhanced vision, precision and control

da Vinci Hysterectomy offers the following potential benefits compared to traditional open surgery:

  • Lower complication rate
  • Shorter hospital stay
  • Less blood loss and less chance for a transfusion
  • Lower hospital readmission rate

da Vinci Hysterectomy offers the following potential benefits compared to traditional laparoscopy:

  • Lower complication rate
  • Shorter hospital stay
  • Less blood loss & less chance of blood transfusion
  • Less chance of surgeon switching to open surgery

da Vinci Hysterectomy offers the following potential benefits compared to vaginal surgery:

  • Shorter hospital stay
  • Less blood loss

Download the Hysterectomy (Benign) Brochure

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.

da Vinci Hysterectomy is the #1 minimally invasive hysterectomy performed in the U.S.
*da Vinci Single-Site is available for benign (non-cancerous) hysterectomy.

Risks & Considerations Related to Hysterectomy, Benign (removal of the uterus and possibly nearby organs): injury to the ureters (ureters drain urine from the kidney into the bladder), vaginal cuff problems (scar tissue in vaginal incision, infection, bacterial skin infection, pooling/clotting of blood, incision opens or separates), injury to bladder (organ that holds urine), bowel injury, vaginal shortening, problems urinating (cannot empty bladder, urgent or frequent need to urinate, leaking urine, slow or weak stream), abnormal hole from the vagina into the urinary tract or rectum, vaginal tear or deep cut. Uterine tissue may contain unsuspected cancer. The cutting or morcellation of uterine tissue during surgery may spread cancer, and decrease the long-term survival of patients.

 

WHEN IS SINGLE-SITE TECHNOLOGY USED AND WHAT ARE THE RISKS?

da Vinci Surgery with Single-Site® Instruments is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery, including da VinciSurgery with Single-Site Instruments. There may be an increased risk of incision-site hernia with single-incision surgery, including Single-Site surgery with the da Vinci System.

 

Should I Consider da Vinci® Surgery?

Most people are candidates for da Vinci Surgery, but it may not be right for everyone. Only you and your doctor can decide whether Surgery is right for you. Before making your decision, you should make sure you are aware of all the options available to you, as well as your physician’s experience as a da Vinci surgeon.

To determine if you are a candidate for da Vinci Surgery, and to ensure you get the information you need from a consultation with your physician, we have put together a brief questionnaire that you can take into your doctor’s appointment with you.

Download Brochure: Am I a Candidate?


While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

Content provided by Intuitive Surgical. For more information on this topic, please visit www.davincisurgery.com

 

The da Vinci Surgical System

The da Vinci® Surgical System enables surgeons to perform operations through a few small incisions and features several key features, including:

  • Magnified vision system that gives surgeons a 3D HD view inside the patient’s body
  • Ergonomically designed console where the surgeon sits while operating
  • Patient-side cart where the patient is positioned during surgery
  • Wristed instruments that bend and rotate far greater than the human hand

The da Vinci S Surgical System 
The da Vinci S Surgical Robot

The da Vinci System is powered by robotic technology that allows the surgeon’s hand movements to be translated into smaller, precise movements of tiny instruments inside the patient’s body. One of the instruments is a laparoscope – a thin tube with a tiny camera and light at the end. The camera sends images to a video monitor in the operating room to guide doctors during surgery. The surgeon is 100% in control of the da Vinci System at all times.

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.

IMPORTANT SAFETY INFORMATION

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.

©2018 Intuitive Surgical, Inc. All rights reserved. Product names are trademarks or registered trademarks of their respective holders. The information on this website is intended for a United States audience only.

FAQ

What is Minimally Invasive Surgery (MIS)?

 MIS is surgery typically performed through small incisions, or operating ports, rather than large incisions. This can potentially result in shorter recovery times, fewer complications, reduced hospitalization costs and reduced trauma to the patient. While MIS has become standard-of-care for particular surgical procedures, it has not been widely adopted for more complex or delicate procedures – for example, prostatectomy and mitral valve repair.

Intuitive Surgical believes that surgeons have been slow to adopt MIS for complex procedures because they generally find that fine-tissue manipulation – such as dissecting and suturing – is more difficult than in open surgery. Intuitive Surgical’s technology, however, enables the use of MIS techniques for complex procedures.

Why do we need a new way to do minimally invasive surgery?

Despite the widespread use of minimally invasive or laparoscopic surgery in today’s hospitals, adoption of laparoscopic techniques, for the most part, has been limited to a few routine procedures. This is due mostly to the limited capabilities of traditional laparoscopic technology, including standard video and rigid instruments, which surgeons must rely on to operate through small incisions.

In traditional open surgery, the physician makes a long incision and then widens it to access the anatomy. In traditional minimally invasive surgery – which is widely used for routine procedures – the surgeon operates using rigid, hand-operated instruments, which are passed through small incisions and views the anatomy on a standard video monitor. Neither this laparoscopic instrumentation nor the video monitor can provide the surgeon with the excellent visualization needed to perform complex surgery like mitral valve repair or nerve-sparing prostatectomy.

What are the benefits of da Vinci Surgery compared with traditional methods of surgery?

Some of the major benefits experienced by surgeons using the da Vinci Surgical System over traditional approaches have been greater surgical precision, increased range of motion, improved dexterity, enhanced visualization and improved access. Benefits experienced by patients may include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusions, less scarring, faster recovery and a quicker return to normal daily activities. None of these benefits can be guaranteed, as surgery is necessarily both patient- and procedure-specific.

Where is the da Vinci Surgical System being used now?

Currently, The da Vinci Surgical System is being used in hundreds of locations worldwide, in major centers in the United States, Austria, Belgium, Canada, Denmark, France, Germany, Italy, India, Japan, the Netherlands, Romania, Saudi Arabia, Singapore, Sweden, Switzerland, United Kingdom, Australia and Turkey.

Has the da Vinci Surgical System been cleared by the FDA?

The U.S. Food and Drug Administration (FDA) has cleared the da Vinci Surgical System for a wide range of procedures. Please see the FDA Clearance page for specific clearances and representative uses.

Is da Vinci Surgery covered by insurance?

da Vinci Surgery is categorized as robot-assisted minimally invasive surgery, so any insurance that covers minimally invasive surgery generally covers da Vinci Surgery. This is true for widely held insurance plans like Medicare. It is important to note that your coverage will depend on your plan and benefits package. For specifics regarding reimbursement for da Vinci Surgery, or if you have been denied coverage, please call the Reimbursement Hotline at 1-888-868-4647 ext. 3128. From outside the United States, please call 33-1-39-04-26-90.

Will the da Vinci Surgical System make the surgeon unnecessary?

On the contrary, the da Vinci System enables surgeons to be more precise, advancing their technique and enhancing their capability in performing complex minimally invasive surgery. The system replicates the surgeon’s movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way or perform any type of surgical maneuver without the surgeon’s input.

Is a surgeon using the da Vinci Surgical System operating in "virtual reality"?

Although seated at a console a few feet away from the patient, the surgeon views an actual image of the surgical field while operating in real-time, through tiny incisions, using miniaturized, wristed instruments. At no time does the surgeon see a virtual image or program/command the system to perform any maneuver on its own/outside of the surgeon’s direct, real-time control.

Is this telesurgery? Can you operate over long distances?

The da Vinci Surgical System can theoretically be used to operate over long distances. This capability, however, is not the primary focus of the company and thus is not available with the current da Vinci Surgical System.

While using the da Vinci Surgical System, can the surgeon feel anything inside the patient's chest or abdomen?

The system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback provides a substitute for tactile sensation and is augmented by the enhanced vision provided by the high-resolution 3D view.

What procedures have been performed using the da Vinci Surgical System? What additional procedures are possible?

The da Vinci System is a robotic surgical platform designed to enable complex procedures of all types to be performed through 1-2 cm incisions or operating “ports.” To date, tens of thousands of procedures including general, urologic, gynecologic, thoracoscopic, and thoracoscopically-assisted cardiotomy procedures have been performed using the da Vinci Surgical System.

Why is it called the da Vinci Surgical System?

The product is called “da Vinci” in part because Leonardo da Vinciinvented the first robot. He also used unparalleled anatomical accuracy and three-dimensional details to bring his masterpieces to life. The da Vinci Surgical System similarly provides physicians with such enhanced detail and precision that the System can simulate an open surgical environment while allowing operation through tiny incisions.

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

Content provided by Intuitive Surgical. For more information on this topic, please visit www.davincisurgery.com

  • Ho C, Tsakonas E, Tran K, Cimon K, Severn M, Mierzwinski-Urban M, Corcos J, Pautler S. “Robot-Assisted Surgery Compared with Open Surgery and Laparoscopic Surgery: Clinical Effectiveness and Economic Analyses.” Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2011 Sep.
  • Landeen, Laurie B., MD, MBA, Maria C. Bell, MD, MPH, Helen B. Hubert, MPH, PhD, Larissa Y. Bennis, MD, Siri S. Knutsten-Larsen, MD, and Usha Seshari-Kreaden, MSc. “Clinical and Cost Comparisons for Hysterectomy via Abdominal, Standard Laparoscopic, Vaginal and Robot-assisted Approaches.” South Dakota Medicine 64.6 (2011): 197-209. Print.
  • Geppert B, Lönnerfors C, Persson J. “Robot-assisted laparoscopic hysterectomy in obese and morbidly obese women: surgical technique and comparison with open surgery.”  Acta Obstet Gynecol Scand. 90.11 (2011): 1210-1217. doi: 10.1111/j.1600-0412.2011.01253.x. Epub.
  • Lim, Peter C., John T. Crane, Eric J. English, Richard W. Farnam, Devin M. Garza, Marc L. Winter, and Jerry L. Rozeboom. “Multicenter analysis comparing robotic, open, laparoscopic, and vaginal hysterectomies performed by high-volume surgeons for benign indications.” International Journal of Gynecology & Obstetrics 133.3 (2016): 359–364. Print.
  • Martino, Martin A., MD, Elizabeth A. Berger, DO, Jeffrey T. McFetridge, MD, Jocelyn Shubella, BS, Gabrielle Gosciniak, BA, Taylor Wejkszner, BA, Gregory F. Kainz, DO, Jeremy Patriarco, BS, M. B. Thomas, MD, and Richard Boulay, MD. “A Comparison of Quality Outcome Measures in Patients Having a Hysterectomy for Benign Disease: Robotic vs. Non-robotic Approaches.” Journal of Minimally Invasive Gynecology 21.3 (2014): 389-93. Web.
  • Scandola, Michele, Lorenzo Grespan, Marco Vicentini, and Paolo Fiorini. “Robot-Assisted Laparoscopic Hysterectomy vs Traditional Laparoscopic Hysterectomy: Five Metaanalyses.” Journal of Minimally Invasive Gynecology 18.6 (2011): 705-15. Print.
  • Wright, Jason D., Cande V. Ananth, Sharyn N. Lewin, William M. Burke, Yu-Shiang Lu, Alfred I. Neugut, Thomas J. Herzog, and Dawn L. Hershman. “Robotically Assisted vs Laparoscopic Hysterectomy Among Women With Benign Gynecologic Disease.” Jama 309.7 (2013): 689-98. Print.
  • Orady, Mona, Alexander Hrynewych, A. Karim Nawfal, and Ganesa Wegienka. “Comparison of Robotic-Assisted Hysterectomy to Other Minimally Invasive Approaches.” JSLS, Journal of the Society of Laparoendoscopic Surgeons 16.4 (2012): 542-48. Print.
  • Rosero, Eric B., Kimberly A. Kho, Girish P. Joshi, Martin Giesecke, and Joseph I. Schaffer. “Comparison of Robotic and Laparoscopic Hysterectomy for Benign Gynecologic Disease.” Obstetrics & Gynecology 122.4 (2013): 778-86. Print.
  • Inpatient data: Agency for Healthcare, Research and Quality (AHRQ). Outpatient data: Solucient® Database – Truven Health Analytics. da Vinci data: Intuitive Surgical internal estimates. 2014

IMPORTANT SAFETY INFORMATION

Important Safety Information

IMPORTANT SAFETY INFORMATION

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.

©2018 Intuitive Surgical, Inc. All rights reserved. Product names are trademarks or registered trademarks of their respective holders. The information on this website is intended for a United States audience only.

da Vinci® Surgical System Safety

When considering surgical treatment options, many patients have concerns about safety. In particular, patients question whether da Vinci® Surgery is as safe as traditional surgery.

In fact, the da Vinci Surgical System has been used successfully in tens of thousands of minimally invasive procedures worldwide. In addition, the da Vinci System offers multiple, redundant safety features, which make the most effective, least invasive approach potentially as safe as traditional surgical methods.

First and foremost, the da Vinci System cannot be programmed, nor can it make decisions on its own. Instead, the da Vinci System requires that every surgical maneuver be performed with direct input from your surgeon.

da Vinci System surgeon console
The da Vinci System surgeon console

With da Vinci Surgery, as with traditional methods, you are under the care of at least two medical professionals: Your surgeon as well as his or her supporting team. Your surgeon requires at least one assistant at your side during surgery. This team-member assists with tasks, such as switching between instruments, to provide your surgeon with the optimal da Vinci instrument for the procedure step being performed.

Just a few feet away, your surgeon operates using the console controls. As your surgeon maneuvers the controls, da Vinci scales, filters and translates his or her wrist and finger movements into precise movements of miniaturized instruments at the patient-side cart. Tremor reduction minimizes unintended movements, which means that da Vinci instruments can move in a more precise manner than a human hand.

And because the da Vinci Patient Cart does the work of holding and repositioning the instruments and camera – and because your surgeon operates while seated — surgeons can experience much less fatigue in performing surgery with the da Vinci System.

Finally, during the course of an operation, the da Vinci System will perform millions of safety self-checks. The System is designed to be fail-safe, which means that in the event of power interruption or a safety-check failure, the System is designed to shut down safely, allowing the surgeon to remain in control of the procedure.


While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

Content provided by Intuitive Surgical. For more information on this topic, please visit www.davincisurgery.com

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The center for Womens health, wellness, and minimally invasive surgery

9850 Genesee Avenue - Suite 640
La Jolla, CA 92037

Phone:  858-677-0777
Fax:      858-677-0666

©2018.  All Rights Reserved.  San Diego Women's Health.