Women's Connection: Robotic Hysterectomy
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Nearly 200 women attended Tuesday’s Women’s Connection luncheon at Abode Venue, where we had the opportunity to try operating one of Via Christi’s da Vinci Robotic Surgery Systems and hearing board-certified OB-Gyn Matthew Voth, MD, explain the minimally invasive gynecological procedures done with the system.
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Hysterectomy - The Basics, The Hysterectomy Association Free Booklet
The Hysterectomy Association produce a free booklet for everyone to download, it is called Hysterectomy, The Basics and it’s a great place to start finding the information you need to help make your experience of hysterectomy as positive as possible. In fact, we know from research that having plenty of information actually means that you can have an easier and quicker recovery.
Post hysterectomy instructions
The female reproductive system is a very complex system. And as with any system, occasionally, things go wrong. When treatments and therapies can't fix an issue, sometimes surgery is required. Surgery to remove a woman's uterus or womb, a major component of this system, is called hysterectomy
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- Tubal ligation is the most common form of contraception in the US, with a typical failure rate of around 1 in 200 procedures. However, failure rates vary significantly depending on the surgical method used.
- Complications of tubal ligation can include ectopic pregnancy, chronic pelvic pain, and menstrual abnormalities. The Filshie clip method has relatively low failure rates compared to other clip, ring, and electrocautery methods.
- Factors like the patient's age, number of children, surgical technique, and timing of the procedure relative to delivery can influence the effectiveness and risks of tubal ligation. Counseling patients appropriately is important given the permanence of sterilization.
Vasectomy vs. Tubal Ligation
When a couple decides their family has reached the right size and are ready to stop having children, there are two common permanent procedures they can undergo: vasectomy for the man or tubal ligation for the woman. While they achieve the same purpose (infertility), they drastically different procedures. Learn about both of these permanent birth control methods and find out which is right for your family.
Reproductive System
The document discusses the female reproductive system. It describes the organs including the breasts, fallopian tubes, ovaries, uterus, and vagina. It provides details on the structure and functions of the uterus, including its three sections and layers. It also describes the fallopian tubes and their role in transporting eggs and sperm. The document discusses total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) surgery to remove the uterus, ovaries, and fallopian tubes. It lists some common reasons for having a hysterectomy, including uterine fibroids and cancer. The document introduces robotic hysterectomy as a less invasive alternative to open abdominal hysterectomy.
Female sterilisation
This document discusses female sterilization procedures including timing, guidelines, surgical approaches, counseling requirements, and complications. It describes minilaparotomy, laparoscopic sterilization, and vaginal tubal ligation methods. Timing options include postpartum, interval, or postabortal sterilization. Counseling must cover permanence, risks, and potential for failure or reversal. Surgical risks include infection, bleeding, and injury to nearby organs. Laparoscopy is preferred for interval sterilization due to lower risk of complications compared to minilaparotomy.
Emergency peripartum hysterectomy
(1) This study analyzed the risk factors and management patterns of emergency peripartum hysterectomy (EPH) at a hospital in Northeast India over 9 years. (2) The most common indications for EPH were uterine atony (17.39%) and ruptured uterus (49.28%), with ruptured uterus being more common in developing countries. (3) The study found an EPH rate of 1.9 per 1000 deliveries, with most cases undergoing subtotal hysterectomy. Maternal morbidity was comparable to other studies but 2 mothers died due to hemorrhagic shock and sepsis.
Recommended
Hysterectomy - The Basics, The Hysterectomy Association Free Booklet
The Hysterectomy Association produce a free booklet for everyone to download, it is called Hysterectomy, The Basics and it’s a great place to start finding the information you need to help make your experience of hysterectomy as positive as possible. In fact, we know from research that having plenty of information actually means that you can have an easier and quicker recovery.
Post hysterectomy instructions
The female reproductive system is a very complex system. And as with any system, occasionally, things go wrong. When treatments and therapies can't fix an issue, sometimes surgery is required. Surgery to remove a woman's uterus or womb, a major component of this system, is called hysterectomy
TAHBSO
The document provides information about a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) surgical procedure. It discusses what the procedure involves, including removing the uterus, cervix, fallopian tubes, and ovaries. Common medical reasons for the procedure are then outlined, such as endometriosis, uterine fibroids, and various cancers. Potential risks and side effects of the surgery are also summarized.
sterilization
- Tubal ligation is the most common form of contraception in the US, with a typical failure rate of around 1 in 200 procedures. However, failure rates vary significantly depending on the surgical method used.
- Complications of tubal ligation can include ectopic pregnancy, chronic pelvic pain, and menstrual abnormalities. The Filshie clip method has relatively low failure rates compared to other clip, ring, and electrocautery methods.
- Factors like the patient's age, number of children, surgical technique, and timing of the procedure relative to delivery can influence the effectiveness and risks of tubal ligation. Counseling patients appropriately is important given the permanence of sterilization.
Vasectomy vs. Tubal Ligation
When a couple decides their family has reached the right size and are ready to stop having children, there are two common permanent procedures they can undergo: vasectomy for the man or tubal ligation for the woman. While they achieve the same purpose (infertility), they drastically different procedures. Learn about both of these permanent birth control methods and find out which is right for your family.
Reproductive System
The document discusses the female reproductive system. It describes the organs including the breasts, fallopian tubes, ovaries, uterus, and vagina. It provides details on the structure and functions of the uterus, including its three sections and layers. It also describes the fallopian tubes and their role in transporting eggs and sperm. The document discusses total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) surgery to remove the uterus, ovaries, and fallopian tubes. It lists some common reasons for having a hysterectomy, including uterine fibroids and cancer. The document introduces robotic hysterectomy as a less invasive alternative to open abdominal hysterectomy.
Female sterilisation
This document discusses female sterilization procedures including timing, guidelines, surgical approaches, counseling requirements, and complications. It describes minilaparotomy, laparoscopic sterilization, and vaginal tubal ligation methods. Timing options include postpartum, interval, or postabortal sterilization. Counseling must cover permanence, risks, and potential for failure or reversal. Surgical risks include infection, bleeding, and injury to nearby organs. Laparoscopy is preferred for interval sterilization due to lower risk of complications compared to minilaparotomy.
Emergency peripartum hysterectomy
(1) This study analyzed the risk factors and management patterns of emergency peripartum hysterectomy (EPH) at a hospital in Northeast India over 9 years. (2) The most common indications for EPH were uterine atony (17.39%) and ruptured uterus (49.28%), with ruptured uterus being more common in developing countries. (3) The study found an EPH rate of 1.9 per 1000 deliveries, with most cases undergoing subtotal hysterectomy. Maternal morbidity was comparable to other studies but 2 mothers died due to hemorrhagic shock and sepsis.
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This document summarizes different methods of permanent contraception, including tubal ligation and vasectomy. It discusses the history and development of tubal ligation techniques like the Pomeroy, Irving, and Uchida methods. More recent developments include laparoscopic sterilization and mini-laparotomy tubal ligation. Vasectomy is presented as a safer and less expensive alternative to female sterilization. The document also covers counseling aspects, efficacy, risks of failure or ectopic pregnancy, and the possibility of reversal for both procedures.
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A vasectomy is a permanent birth control method for men where the vas deferens tubes are blocked, cut, or sealed to prevent sperm from mixing with semen ejaculated from the penis, having a theoretical effectiveness of 99.85%. The procedure, which can cost $400-$1200 and be covered by insurance, is done in a local clinic and involves clamping, cutting, or sealing the vas deferens from each testicle to prevent sperm from being ejaculated while allowing for sexual spontaneity without daily attention or affecting pleasure, though it provides no protection against STDs and may not be reversible.
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The document discusses different methods of performing caesarean sections. It describes the typical Pfannenstiel incision method and compares it step-by-step to the Modified Joel Cohen or Misgav Ladach method. The Misgav Ladach method is based on minimalistic principles and aims to reduce trauma by stretching tissues rather than cutting where possible. It allows for quicker recovery but is associated with increased risks of complications in subsequent pregnancies.
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1) Administering GnRH analogues for 3-6 months prior to IVF/ICSI increases clinical pregnancy rates for those with endometriosis.
2) Laparoscopic surgical removal of endometriosis improves fertility for those with stage I and II endometriosis.
3) Laparoscopic excision of endometriomas is preferred to drainage and coagulation to enhance fertility when possible.
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The reasons behind infertility vary from person to person. Some might have it from their genes through inheritance while some may acquire it in their lifetime due to several lifestyle habits. All in all, it is quite clear that not all infertile individuals suffer from the same issues and thus the treatments options also differ in each case.
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2. It was developed by Dr. V.N. Shirodkar in the 1960s as one of several sling procedures established in India to address high rates of uterine prolapse among young, anemic women after childbirth.
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This document discusses alternatives to traditional hysterectomy surgery for conditions like abnormal uterine bleeding, fibroids, endometriosis, and prolapse. It outlines less invasive treatment options like hormonal therapy, endometrial ablation, and laparoscopic or hysteroscopic procedures that can address the underlying causes. These alternatives allow for shorter recovery times compared to traditional hysterectomy and may avoid its risks and costs, which range from $5,000 to $15,000. The document emphasizes that treatment should be tailored to each individual's specific condition and that minimally invasive options are usually available.
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A vasectomy is a permanent birth control method for men where the vas deferens tubes are blocked, cut, or sealed to prevent sperm from mixing with semen ejaculated from the penis, having a theoretical effectiveness of 99.85%. The procedure, which can cost $400-$1200 and be covered by insurance, is done in a local clinic and involves clamping, cutting, or sealing the vas deferens from each testicle to prevent sperm from being ejaculated while allowing for sexual spontaneity without daily attention or affecting pleasure, though it provides no protection against STDs and may not be reversible.
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The document discusses different methods of performing caesarean sections. It describes the typical Pfannenstiel incision method and compares it step-by-step to the Modified Joel Cohen or Misgav Ladach method. The Misgav Ladach method is based on minimalistic principles and aims to reduce trauma by stretching tissues rather than cutting where possible. It allows for quicker recovery but is associated with increased risks of complications in subsequent pregnancies.
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Benign breast disorders are common noncancerous conditions that cause pain and discomfort. The most common are fibrocystic breasts and fibroadenomas. Fibrocystic changes are lumpy, tender breasts that occur before menstruation due to hormone fluctuations. Fibroadenomas are solid, rubbery breast nodules usually occurring in women ages 15-35. Mastitis is a breast infection common in lactating women. Mammography and ultrasound are used to diagnose breast conditions. Women should perform monthly breast self-exams to monitor for any changes.
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The document discusses the post coital test (PCT), which examines cervical mucus after intercourse for the presence of sperm. While the value of the PCT is debated, it provides information on estrogen stimulation, adequacy of insemination, and how sperm interact with cervical secretions. The document reviews procedures for administering the PCT and interpreting results, noting disagreement around methods and criteria. Some studies found higher pregnancy rates with positive versus negative PCT results, suggesting a positive PCT may increase chances of spontaneous pregnancy.
Endometriosis and fertility improvement
This document summarizes research on improving fertility for those with endometriosis. It finds that:
1) Administering GnRH analogues for 3-6 months prior to IVF/ICSI increases clinical pregnancy rates for those with endometriosis.
2) Laparoscopic surgical removal of endometriosis improves fertility for those with stage I and II endometriosis.
3) Laparoscopic excision of endometriomas is preferred to drainage and coagulation to enhance fertility when possible.
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The reasons behind infertility vary from person to person. Some might have it from their genes through inheritance while some may acquire it in their lifetime due to several lifestyle habits. All in all, it is quite clear that not all infertile individuals suffer from the same issues and thus the treatments options also differ in each case.
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Shirodkar sling surgery
1. Shirodkar's sling surgery is a conservative surgical procedure for uterine prolapse that involves attaching a tape to the cervix and passing it through the broad ligaments and behind the sigmoid colon to attach to the sacral promontory, creating a hammock of support.
2. It was developed by Dr. V.N. Shirodkar in the 1960s as one of several sling procedures established in India to address high rates of uterine prolapse among young, anemic women after childbirth.
3. The procedure involves making an abdominal incision, attaching a tape to the cervix, passing it through the broad ligaments and retroperitoneum on each side
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Hysterectomy
1. Hysterectomy is a surgical procedure to remove the uterus and sometimes other reproductive organs. It can be performed abdominally through an incision in the abdomen, vaginally through the vagina, or laparoscopically through small incisions using specialized instruments.
2. Over 600,000 hysterectomies are performed annually in the US, most commonly to treat benign conditions like fibroids, endometriosis, or uterine prolapse. The preferred method is vaginal hysterectomy when possible due to faster recovery.
3. Risks of hysterectomy include earlier menopause, increased risks of cardiovascular disease and osteoporosis, as well as potential short-term risks like infection,
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This document provides information about hysterectomies, including what the procedure is, the different types, reasons it may be performed, what to expect before, during, and after surgery, potential side effects and complications, and signs that should prompt contacting a healthcare provider. A hysterectomy is the surgical removal of the uterus and can also involve removing the ovaries and/or fallopian tubes. It is commonly performed to treat conditions like abnormal bleeding, fibroids, endometriosis, and various cancers. The procedure usually lasts 1-3 hours and is done under general or regional anesthesia through either an abdominal or vaginal incision. Recovery at home involves gradually increasing activity levels over 4-6 weeks.
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This document provides an overview of common gynaecological disorders including vaginal discharge, abnormal vaginal bleeding, dysmenorrhoea, and uterine fibroids. It discusses evaluating patients, potential investigations, treatment approaches, and when to refer to a specialist. For many common issues, general practitioners can provide initial management, but referral is recommended when the diagnosis is unclear, special tests are needed, treatment fails, or high-risk conditions may be present. The document offers practical guidance on evaluating and managing these common women's health problems.
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Women's Connection: Robotic Hysterectomy
- 1. Rapid Recovery: How Robotic Surgery Benefits Women Matthew Voth, MD, OB-Gyn Via Christi Clinic
- 3. Hysterectomy Most common GYN procedure 1/3 of women by age 60 620,000 per year 73% for benign conditions
- 4. Reasons for Hysterectomy Irregular bleeding Painful periods Persistent abnormal pap smears Uterine prolapse Cancer
- 5. Types of Hysterectomy Total Partial Radical
- 6. Abdominal Vaginal Laparoscopic Total Assisted Vaginal Laparoscopic
- 7. Which one to choose? VS.
- 8. What are we thinking? Safest route Shortest recovery Experience with procedure Long term outcome Alternatives
- 9. What should YOU be thinking? Effectiveness Shortest recovery Long term outcomes Alternatives??
- 10. Alternatives IUD Combined Hormone Therapy Lysteda Endometrial Ablation Uterine Artery Embolization
- 11. Abdominal Hysterectomy Long considered standard Better visualization Tactile advantage EBL 300-500 cc’s 3 day hospitalization 4-6 week recovery
- 12. Vaginal Hysterectomy No abdominal incisions EBL 200-500 cc’s 1-2 day hospitalization 2-4 week recovery Proper patient selection
- 13. Laparascopic Assisted Vaginal Faster recovery than abdominal approach 3-4 small incisions EBL 100-300 cc’s 2-4 week recovery Easier to get ovaries/adhesions
- 14. Total Laparoscopic Hysterectomy 100% completed from above Cervix can be left (controversial) Morcellator EBL 50-500 cc’s 1-4 week recovery
- 15. In an ideal world..... Vaginal hysterectomy
- 16. Surgery Options to consider
- 17. da Vinci Robot
- 19. Advantages Can tackle ALMOST everything Recovery of Laparoscopy, visualization better than open procedure Maneuverability of instruments Fast
- 20. What to Expect 1 hour surgery Recover 2 hours, then to room Catheter out 4-6 hours post-op No restriction on eating Home the same day or following morning
- 21. What to Expect… continued Narcotics the first several days 50% of patients, pain med free at 7 days Back to work in 1-3 weeks
- 22. Restrictions VERY IMPORTANT No lifting> 20# for 6 weeks No intercourse for 6 weeks
- 23. Random Thoughts Ovarian preservation Hormone replacement therapy
- 24. Robotic Surgery
- 25. Robotic Surgery Questions?