Surgical Options
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Gynecologic Conditions:

Cancer, Abnormal Uterine Bleeding, Fibroids, Endometriosis, Pelvic Prolapse

Surgery Options:

Treatment options for gynecologic conditions usually depend on the type of disease, its stage or severity, the patient’s overall health, personal preference and age. If surgery is recommended, some common surgical approaches are included below.

Open Surgery: With open surgery, doctors make a large incision in the abdomen. The exact size of the incision will depend on the type of procedure being performed. Open surgery, also called laparotomy, allows doctors to touch and feel key organs as they operate.

Minimally Invasive Surgery:

Vaginal Surgery: Vaginal surgery is performed through a cut in the patient’s vagina. The surgeon can operate on and remove the affected organ(s) and/or tissues through this incision and close the vagina with stitches.

Laparoscopy: With laparoscopy, the surgeon stands next to the patient and operates through a few small incisions using long, straight instruments and a tiny camera. The 3-dimensional high definition (3D HD) camera provides a magnified view inside the patient’s body. The camera sends images to a video monitor in the operating room to guide doctors as they operate. For a benign (non-cancerous) hysterectomy, the surgeon may create a small incision in the belly button through which he/she can operate.

Robotic-Assisted Surgery: During robotic-assisted surgery, the surgeon sits at a console near the patient and controls the instruments, which bend and rotate. The surgeon uses a 3D HD vision system which provides a magnified view inside the patient’s body. The system translates all hand movements into smaller, precise movements of tiny instruments in the patient’s body.

Surgeons using robotic-assisted surgery can operate through a few small incisions in the abdomen. For a benign (non-cancerous) hysterectomy, the surgeon may operate through one small incision in the belly button.

Important Information for Patients
Serious complications may occur in any surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide what 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.

All people depicted unless otherwise noted are models. © 2015 Intuitive Surgical. PN 1024108 Rev. A 09/2015