Robotic Laparoscopic Hysterectomy (Keyhole removal of uterus)

Robotic-Assisted Hysterectomy: The Modern Standard of Care

A hysterectomy is a definitive surgical solution for a range of debilitating gynaecological conditions, from severe endometriosis and adenomyosis to painful, heavy bleeding that has not responded to other treatments. For generations, this meant a large abdominal incision and a long, painful recovery. Today, advanced surgical technology has changed everything.

Dr. Manou Kaur is a leading specialist in Robotic-Laparoscopic Hysterectomy, the most advanced minimally invasive approach available. By harnessing the precision of the da Vinci surgical system, we can offer a procedure that provides all the benefits of a hysterectomy but with significantly less pain, minimal scarring, and a dramatically faster return to your life.

What is a Robotic-Laparoscopic Hysterectomy?

This is a state-of-the-art keyhole surgery to remove the uterus (womb). Instead of a large open incision, the entire procedure is performed through a few small incisions in the abdomen, each less than a centimetre in length.

• A tiny, high-definition 3D camera provides a magnified, immersive view inside the pelvis.
• Dr. Kaur controls highly advanced robotic instruments from a surgeon’s console. These instruments have “wristed” joints that can bend and rotate with far greater dexterity than the human hand.

This combination of superior vision and unmatched precision allows for incredibly delicate and meticulous surgery, ensuring the safest and most effective removal of the uterus while protecting surrounding organs.

The Unmatched Benefits of the Robotic Approach

When compared to a traditional open abdominal hysterectomy, the advantages for the patient are profound:

• Significantly Less Pain: Smaller incisions mean less tissue trauma and dramatically reduced post-operative pain.
• Minimal Scarring: Replaces a large abdominal scar with a few tiny, discreet marks that often become barely visible.
• Faster Recovery: Patients are able to get back on their feet sooner, leave the hospital earlier (typically after just one night), and return to their normal daily activities weeks faster than with open surgery.
• Lower Risk of Complications: The minimally invasive approach leads to less blood loss and a reduced risk of infection
• Shorter Hospital Stay: Most patients go home the day after their surgery.

Is a Robotic Hysterectomy Right for You?

A robotic hysterectomy is the preferred approach for treating a wide range of benign (non-cancerous) conditions that have not responded to more conservative treatments. These include:

• Severe Endometriosis or Adenomyosis: When the uterus is the source of debilitating pain.
• Uterine Fibroids: For large or numerous fibroids causing heavy bleeding or pain.
• Prolonged or Heavy Menstrual Bleeding (Menorrhagia): When other treatments have failed to control the bleeding.
• Chronic Pelvic Pain: When the pain is determined to originate from the uterus.

During your consultation, Dr. Kaur will undertake a thorough assessment to confirm that this is the best and safest surgical option for your specific condition.

Your Patient Journey: What to Expect

Our commitment is to guide you through a smooth, informed, and comfortable surgical experience.

1. The Consultation: Your journey starts with a comprehensive consultation to discuss your symptoms, history, and goals. Dr. Kaur will explain the procedure in detail and answer all your questions, ensuring you feel confident in your decision.
2. The Procedure: Performed under general anaesthesia, the surgery is completed with meticulous care using the da Vinci system. Depending on your specific needs, the procedure may also involve the removal of the cervix, fallopian tubes, or ovaries, all of which will be discussed with you beforehand.
3. Recovery in Hospital: An overnight stay is typical. Our nursing team will have you up and moving around within hours of the procedure to aid your recovery. Post-operative discomfort is well-managed.
4. Healing at Home: You will be discharged with a clear plan for your recovery. We recommend taking 2-4 weeks off work, depending on the nature of your job. You should avoid heavy lifting and strenuous activity for about 6 weeks to allow for complete internal healing.

Frequently Asked Questions (FAQ)

1. What is the difference between a laparoscopic and a robotic hysterectomy?
   While both are keyhole surgeries, a robotic hysterectomy is an enhanced form of laparoscopy. The robotic platform provides the surgeon with 3D vision (instead of 2D), wristed instruments for superior dexterity, and filters out natural tremors, allowing for an even greater level of precision, especially in complex cases.
2. Will I go into menopause after the hysterectomy?
   You will only enter menopause if your ovaries are removed during the procedure (an oophorectomy). If your ovaries are left in place, you will not become menopausal but will no longer have periods. The decision to remove the ovaries is a separate, important discussion that will be tailored to your age and personal medical history.
3. How long will the procedure take?
   A robotic hysterectomy typically takes between 90 minutes to 3 hours, depending on the complexity of the surgery (e.g., the size of the uterus, the presence of scar tissue).
4. When can I drive again?
   Most women feel ready to drive after about 2 weeks, once they are no longer taking strong pain medication and can comfortably perform an emergency stop.

A Modern Solution for Lasting Relief

You don’t have to choose between living with your symptoms and a long, painful recovery. A robotic-assisted hysterectomy offers a definitive solution with a modern, patient-focused approach.