Robotic Hysterectomy

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Robotic hysterectomy

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Robotic hysterectomy incisions and traditional open surgery incisions

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Your Mayo Clinic doctor may recommend a hysterectomy to treat several conditions. Robotic hysterectomy can be an excellent choice if you aren't a candidate for a vaginal hysterectomy. Your doctor may recommend a robotic procedure if you have surgical scars or an anatomical irregularity that limits your options.

To prepare you for a robotic hysterectomy, your doctor will make four or five small incisions in your abdomen. Then your doctor inserts small surgical instruments through those incisions (keyholes or portals). Your incisions for a robotic procedure are much smaller than those used for open surgery, so you'll have less tissue trauma and smaller scars than you'd have after a traditional abdominal hysterectomy.

During a robotic hysterectomy, your doctor will use control devices to direct the surgical instruments that remove your uterus. The robotic system translates the surgeon's hand movements into precise movements at the instrument's tip. Depending on your specific condition, your doctor may also remove one or both ovaries and your fallopian tubes. An assistant at the operating table repositions instruments, adds or removes surgical devices, and provides other support to your doctor as needed. Members of the anesthesia team continually monitor your condition and comfort.

What to expect

Different people recover at different rates, but staying in the hospital only one night is typical. While you're in the hospital, treatment team members will monitor you to make sure you're comfortable. You may receive medications to limit pain and prevent infection. You can expect light vaginal bleeding after your robotic hysterectomy.

After a hysterectomy you won't have any more menstrual periods. If your ovaries were also removed, you'll have immediate menopause. You and your doctor will talk about the pros and cons of hormonal therapy.

You may need as long as six to eight weeks to recover fully. Your doctor will advise you to get plenty of rest, limit your physical activity and avoid heavy lifting while you're recovering. You can generally expect to return to work three to four weeks after your hysterectomy. Consult with your doctor about when and how you can safely resume your physical activities as you heal.

You won't be able to get pregnant after a hysterectomy. However, you can still be sexually active. If your hysterectomy relieves chronic pain or heavy bleeding, you may experience an increase in sexual satisfaction.

Read more about abdominal hysterectomy, vaginal hysterectomy, menopause and hormone replacement therapy at MayoClinic.com.