da Vinci® Endometriosis Resection / da Vinci® Hysterectomy
If you’ve been diagnosed with endometriosis, your doctor may recommend an endometriosis resection (removal of endometrial tissue/uterine lining) or a hysterectomy (removal of the uterus). If you are considering surgery, ask your doctor about minimally invasive da Vinci® Surgery.
Why da Vinci Surgery?
With the da Vinci System, surgeons operate through a few small incisions instead of a large open incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D HD® 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.
The da Vinci System has brought minimally invasive surgery to more than 2 million patients worldwide. da Vinci – changing the experience of surgery for people around the world.
da Vinci Endometriosis Resection
As a result of da Vinci technology, da Vinci Endometriosis Resection offers the following potential benefits, which are similar to traditional laparoscopy:
- Low blood loss1
- Low conversion rate to open surgery1
- Low rate of complications1
- Short hospital stay1
- Small incisions for minimal scarring1
da Vinci’s 3D HD vision system allows surgeons to see key anatomy with depth and clarity. State-of-the-art da Vinci uses the latest in surgical and robotics technologies for simple and complex procedures. Your doctor controls the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.
Risks & Considerations Related to Endometriosis Resection & da Vinci Surgery:
Injury to the bowel, bladder (organ that holds urine) or ureters (ureters drain urine from the kidney into the bladder).
da Vinci Hysterectomy
If you plan to have a hysterectomy, you may be a candidate for da Vinci Hysterectomy. With the da Vinci System, surgeons can remove your uterus through a small incision in the belly button using Single-Site® technology, or through a few small abdominal incisions instead of a large open incision (similar to traditional laparoscopy).
da Vinci Hysterectomy is the #1 minimally invasive hysterectomy performed in the U.S.2
As a result of da Vinci technology, potential benefits of da Vinci Hysterectomy compared to traditional open surgery include:
- Less blood loss3
- Fewer complications3
- Shorter hospital stay3
- Small incisions for minimal scarring3
Potential benefits of da Vinci Hysterectomy compared to traditional laparoscopy include:
- Less blood loss4
- Lower conversion rate to open surgery4
- Shorter hospital stay4,5
- Less need for narcotic pain medicine6,7
da Vinci® Single-Site® Hysterectomy offers the following potential benefits:
- Low blood loss8
- Low rate of converting to traditional laparoscopy and open surgery8
- Low rate of complications8
- Short hospital stay8
- Small incision for virtually scarless results8
Risks & Considerations Related to Hysterectomy (benign, non-cancerous) & da Vinci Surgery:
Injury to the ureters (ureters drain urine from the kidney into the bladder), vaginal cuff problem (replaces cervix): 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. Patients undergoing a hysterectomy who have an undiagnosed cancer may be at risk of having cancer cells spread if the uterus is cut into pieces for removal.
2. Inpatient data: Agency for Healthcare, Research and Quality (AHRQ). Outpatient data: Solucient® Database - Truven Health Analytics. da Vinci data: Intuitive Surgical internal estimates.
3. Landeen L, Bell M, Hubert H, Seshadri-Kreaden U, Hassebroek J. A Comparative Study of Four Surgical Approaches for Hysterectomy at a Single Institution: Outcomes and Costs of Robot-Assisted, Laparoscopic, Vaginal, and Abdominal Procedures. Pending publication June 2011, South Dakota Medical Review.
4. Payne T. N. and F. R. Dauterive. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. (In this study, surgeons treated patients with benign conditions that included endometriosis resection.) J Minim Invasive Gynecol, 2008;15(3): 286-291.
5. Giep BN, Giep HN, Hubert HB. Comparison of minimally invasive surgical approaches for hysterectomy at a community hospital: robotic-assisted laparoscopic hysterectomy, laparoscopic-assisted vaginal hysterectomy and laparoscopic supracervical hysterectomy. J Robot Surg. 2010 Sep;4(3):167-175. Epub 2010 Aug 10.
6. Shashoua AR, Gill D, Locher SR. Robotic-assisted total laparoscopic hysterectomy versus conventional total laparoscopic hysterectomy. JSLS. 2009 Jul-Sep;13(3):364-9.
7. Betcher R MD, Chaney P MD, Otey S MD, Wood D DO, Lacy P MD, Lee M RN, Chi G PhD. A Retrospective Analysis of Post Operative Pain in Patients Following da Vinci Robotic Hysterectomy and Total Laparoscopic Hysterectomy. Oral presentation, Presented at: AAGL 2012.
8. Cela V, Freschi L, Simi G, Ruggiero M, Tana R, Pluchino N. Robotic single-site hysterectomy: feasibility, learning curve and surgical outcome. Surg Endosc. 2013 Jul;27(7):2638-43. doi: 10.1007/s00464-012-2780-8. Epub 2013 Feb.
|PN 1002175 Rev C 06/2014|
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.
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 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 the da Vinci System. Single-Site® Instruments for the da Vinci® Si™ System bear the CE mark. This device is cleared for commercial distribution in the U.S. for laparoscopic cholecystectomy, and for hysterectomy and salpingo-oophorectomy for benign conditions.
© 2015 Intuitive Surgical, Inc. All rights reserved. Product names are trademarks or registered trademarks of their respective holders.