da Vinci Surgery
 

da Vinci® Endometriosis Resection

If you've been diagnosed with endometriosis, your doctor may recommend an endometriosis resection (removal of endometrial implants/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 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.

As a result of da Vinci technology, da Vinci Endometriosis Resection offers the following potential benefits, which are similar to those offered by traditional laparoscopy:

  • Low blood loss1
  • Low conversion rate to open surgery1
  • Low rate of complications1
  • Short hospital stay1
  • Small incisions for minimal scarring

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.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.

Risks & Considerations Related to Endometriosis Resection & da Vinci Surgery

Potential risks of any endometriosis resection procedure include:2

  • Wound infection
  • Urinary infection
  • In rare cases, injury to nearby organs (bladder, bowel and ureter)

da Vinci Hysterectomy

If you plan to have a hysterectomy – removal of the uterus - you may be a candidate for da Vinci Hysterectomy. 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 stay3,4
  • Small incisions for minimal scarring

Potential benefits of da Vinci Hysterectomy compared to traditional laparoscopy include:

  • Less blood loss5
  • Lower conversion rate to open surgery5,6
  • Shorter hospital stay5,7
  • Less need for narcotic pain medicine8,9

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. da Vinci - taking surgery beyond the limits of the human hand.

Physicians have used the da Vinci System successfully worldwide in approximately 1.6 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.

Risks & Considerations Related to Hysterectomy & da Vinci Surgery

Potential risks of any hysterectomy procedure include:3

  • Separation of the vaginal incision
  • Blocked lung artery
  • Urinary tract injury
  1. Nezhat C, Lewis M, Kotikela S, Veeraswamy A, Saadat L, Hajhosseini B, Nezhat C. Robotic versus standard laparoscopy for the treatment of endometriosis. Fertil Steril. 2010 Dec;94(7):2758-60. Epub 2010 May 26.
  2. Endometriosis.org Global forum for news and information. “Surgery”. Available from: http://endometriosis.org/treatments/endometriosis-surgery/
  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. DuBeshter B, Angel C, Toy E, Thomas S, Glantz JC. Current Role of Robotic Hysterectomy. Journal of Gynecologic Surgery. Vol 29 Issue 4: August 2013. 29(4): 174-178. doi:10.1089/gyn.2012.0113.
  5. 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.
  6. Patzkowsky KE, As-Sanie S, Smorgick N, Song AH, Advincula AP. Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease. JSLS. 2013 Jan-Mar;17(1):100-6. doi: 10.4293/108680812X13517013317914.
  7. 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.
  8. Shashoua AR, Gill D, Locher SR. Robotic-assisted total laparoscopic hysterectomy versus conventional total laparoscopic hysterectomy. JSLS. 2009 Jul-Sep;13(3):364-9.
  9. 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.
PN 1002182 Rev B 06/2013

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures.  Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions.  If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary.  Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.

© 2014 Intuitive Surgical. All rights reserved. All product names are trademarks or registered trademarks of their respective holders.

* Important Patient Safety Information.

Endometriosis Resection