By Geoffrey Bowers, MD, Virtua Gynecologist/Robotic Surgeon, Virtua Minimally Invasive Gynecologic Surgery

If you're experiencing pain and heavy bleeding due to uterine fibroids or endometriosis, a hysterectomy (surgical removal of the uterus) might be your best option for relief. While the thought of surgery and a long recovery can feel overwhelming, advancements in robotic technology have made hysterectomies safer and less invasive.

What are the benefits of robotic hysterectomy? 

Women who undergo single-incision robotic hysterectomies experience shorter recovery times, less discomfort, minimal need for pain medications, less blood loss, and minimal scarring. The risk of complications related to blood loss or infection is also low.

Understanding the “robot” in robotic hysterectomy

It's important to clarify that a robot doesn't perform the surgery on its own. It's a highly sophisticated extension of the surgeon's hands, allowing for incredible precision.

The system has multiple "wristed" robotic arms that hold surgical instruments. These arms move with greater dexterity than the human hand, rotating 360 degrees. A tiny 3D, high-definition camera gives the surgeon a crystal-clear, up-close view of the surgical area on a screen. The surgeon stays in complete control, maneuvering the instruments from a console, using the real-time video as a guide.

How is a robotic hysterectomy performed?

The procedure begins with a small incision on the inside rim of the belly button. In most cases, the hysterectomy can be completed through this single incision. However, some cases may require three or four more small incisions in the abdomen for other surgical instruments.

After making the incision, the surgeon inserts the video camera and surgical tools using the robotic arms. Guided by the 3D video, the surgeon uses the robotic arms to detach the organs from the surrounding tissues.

A common question is how the uterus and other organs are removed through a one-inch incision. After detaching the uterus, it’s often removed through the vagina, which reduces the risk of complications associated with major abdominal surgery and minimizes trauma to internal tissues.

Robotic surgery can be used for total hysterectomies (removing the uterus and cervix), partial hysterectomies (removing only the uterus), and procedures to remove the ovaries and fallopian tubes. Single-incision robotic hysterectomies typically take between one-and-a-half to two-and-a-half hours, while surgeries requiring multiple incisions may take longer.

Recovery from a robotic hysterectomy

Most patients return home the same day after a two- to three-hour recovery period and regain mobility within one day of surgery. Many can drive and get back to light activities within a week and return to work after two weeks.

Although you may feel better quickly, full recovery takes four to six weeks. During this time, you should avoid inserting anything into the vagina or having sex to allow internal sutures to heal. You also should avoid heavy lifting for four to six weeks.

Comparing robotic, laparoscopic, and traditional hysterectomies

Robotic surgery is a game-changer compared to traditional open surgery, which involves a large incision and a longer hospital stay. It means less scarring and pain and a lower risk of complications. Laparoscopic surgery is another minimally invasive option, but the robotic system's enhanced dexterity and 3D visualization offer significant advantages.

Your next step is a conversation with your doctor

If you're considering a hysterectomy, talk to a robotic surgeon specializing in gynecologic surgery. They can assess your situation and decide if this approach is right for you. Don't hesitate to ask questions and express any concerns. You deserve to be informed and feel confident about your decision.

Virtua minimally invasive GYN surgeons are here for you

Virtua’s minimally invasive GYN surgeons offer innovative surgical solutions that help you return to your life and activities with minimal downtime. To schedule an appointment with a Virtua minimally invasive GYN surgeon, call 888-847-8823.