Endometriosis - Surgical Options
When the symptoms of endometriosis are severe or affect your quality of life, your doctor may recommend surgery. There are two surgical options for most endometriosis patients: endometriosis resection and hysterectomy. These procedures can be done with traditional open surgery (through a large incision) or minimally invasively (through a few small incisions).
Endometriosis resection is the removal of endometrial tissue implants while leaving the uterus in place. Endometriosis resection is usually recommended for women who want to keep their uterus or become pregnant in the future.
Hysterectomy is the removal of the uterus. Doctors may also remove other organs affected by endometriosis such as the ovaries or fallopian tubes. Hysterectomy is often recommended for patients who do not plan to become pregnant in the future.
With open surgery, also called a laparotomy, a large incision is made in your abdomen – large enough for your surgeon to fit his/her hands and instruments inside your body. For generations, open surgery has been the standard approach to many gynecologic procedures and is still used today. However, with open surgery there are certain drawbacks and trauma to the body due to the large incision. Open surgery may be recommended when pelvic organs such as the bowel are affected.
Minimally Invasive Surgery
Laparoscopic surgery is minimally invasive – meaning surgeons operate through a few small incisions. During traditional laparoscopy, long-handled surgical instruments are inserted through the incisions. One of the instruments is a laparoscope – a thin, lighted tube with a tiny camera at the end. The camera takes images inside the body and those images are sent to a video monitor in the operating room which guides surgeons as they operate.
da Vinci® Surgery
With the da Vinci Surgical System, your doctor operates through a few small incisions instead of a large open incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.
da Vinci's 3D HD® vision system allows surgeons to see key anatomy with depth and clarity– critical to removing deep endometrial tissue implants. State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.
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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 Vinci Surgery with Single-Site® Instruments. There may be an increased risk of incision-site hernia with single-incision surgery, including Single-Site surgery with da Vinci.
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.
Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.
Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery. 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. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.
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