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Women's Procedures

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Hysterectomy with the da Vinci Surgical System at Touro
According to the Center for Disease Control (CDC), each year in the U.S. alone, doctors perform approximately 600,000 hysterectomies — making it the second most common surgical procedure.
Incision Comparisonda Vinci hysterectomy — a minimally invasive approach utilizing the latest in surgical and robotics technologies — enables surgeons unmatched precision and control and provides a superior surgical tool for the dissection and removal of lymph nodes during cancer operations, as compared to traditional open or other minimally invasive approaches. da Vinci hysterectomy allows a surgeon better visualization of anatomy, which is especially critical when working around delicate and confined structures like the bladder. This means that surgeons have a distinct advantage when performing a complex, radical hysterectomy involving adhesions from prior pelvic surgery or non-localized cancer, or an abdominal hysterectomy.
Potential Benefits of da Vinci Hysterectomy at Touro
For most patients, da Vinci hysterectomy can offer numerous potential benefits over traditional approaches to vaginal, laparoscopic, or open abdominal hysterectomy, particularly when performing procedures like radical hysterectomy for gynecologic cancer. Potential benefits include:
  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Less scarring
  • A shorter hospital stay
  • A faster return to normal daily activities
Myomectomy for Uterine Fibroids with the da Vinci Surgical System at Touro
Uterine fibroids are benign (non-cancerous) tumors occurring in at least one quarter of all women. They can grow underneath the uterine lining, inside the uterine wall, or outside the uterus. Some women don't feel any symptoms with uterine fibroids, while others experience excessive menstrual bleeding or menorrhagia, abnormal periods, uterine bleeding, pain, discomfort, frequent urination, and infertility.

Uterine FibroidsWhile hysterectomy is a proven way to resolve fibroids, it may not be the best surgical treatment for every woman. If, for example, you hope to later become pregnant, you may want to consider alternatives to hysterectomy such as myomectomy. Myomectomy is a uterine-preserving procedure performed to remove uterine fibroids.

The conventional approach to myomectomy is open surgery through a large abdominal incision. After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize potential uterine bleeding, infection and scarring. Proper repair is also critical to reducing the risk of uterine rupture during future pregnancies.

While myomectomy is also performed laparoscopically, this approach can be challenging for the surgeon, and it may compromise results compared to open surgery. Laparoscopic myomectomies often take longer than open abdominal myomectomies, and up to 28% are converted to an open abdominal incision during surgery.

A new category of minimally invasive myomectomy, da Vinci® myomectomy, combines the best of open and laparoscopic surgeries. With the assistance of the da Vinci Surgical System - the latest evolution in robotics technology— surgeons may remove uterine fibroids through small incisions with unmatched precision and control.

Sacrocolpopexy with the da Vinci Surgical System at Touro
Sacrocolpopexy is a procedure to surgically correct vaginal vault prolapse or pelvic floor disorders.  Vaginal vault prolapse and pelvic floor disorders occur when the vagina drops down or falls into the vaginal canal. After childbirth, hysterectomy, with age, with weight gain, or strenuous physical activity, women may experience a weakening of the tissues causing vaginal vault prolapse and pelvic floor disorders.

Women with vaginal vault prolapse and pelvic floor disorders typically experience problems with:

  • Urinary incontinence
  • Vaginal ulceration
  • Sexual dysfunction
  • Bowel movement
Traditional open sacrocolpopexy surgery uses a 15- to 30-centimeter horizontal incision in the lower abdomen to manually access the inter-abdominal organs, including the uterus. Sacrocolpopexy with the da Vinci® Surgical System involves a minimally invasive approach, utilizing the latest in surgical and robotics technologies.
Potential Benefits of da Vinci Sacrocolpopexy at Touro
For most women, da Vinci sacrocolpopexy offers numerous potential benefits over a traditional open approach, including:
  • Significantly less pain
  • Less blood loss and need for transfusions
  • Less risk of infection
  • Less scarring
  • Shorter hospital stay
  • Shorter recovery time
  • Quicker return to normal activities.
While clinical studies support the effectiveness of the da Vinci® Surgical System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci® Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.
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Touro Infirmary, 1401 Foucher Street, New Orleans, Louisiana 70115
Phone: 504-897-7011 Pencil
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