Hysterectomy is the surgical removal of the uterus. This is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, you may want to explore other treatment options first. For conditions that have not responded to other treatments, a hysterectomy may be the best choice.
You should be fully informed of all options before you decide.
A total hysterectomy means that the uterus and cervix are removed. In some cases, the fallopian tubes and ovaries are removed along with the uterus and cervix. This is called Total Hysterectomy with Bilateral salpingo-oophorectomy. In a Supracervical Hysterectomy, only the uterus (not the cervix) is removed. The type of hysterectomy performed depends on the reason for the procedure. There are multiple ways that hysterectomy can be performed.
- Vaginal hysterectomy – Dr. Brenner makes an incision near the top of the vagina. She then reaches through the incision to disconnect the blood vessels and attachments of the uterus. Once the uterus is free, it is removed through the vagina.
- Laparoscopic Hysterectomy – A laparoscope is used to guide the surgery. A laparoscope is a thin, lighted tube with a camera that isinserted into the abdomen through a small incision in or around the navel. It allows Dr. Brenner to see the pelvic organs on a screen. Additional small incisions are made in the abdomen for other instruments used in the surgery. The uterus is detached from inside the body. It then is removed in small pieces through the incisions, or the pieces are passed out of the body through the vagina.
- DaVinci Robotic Assisted Hysterectomy – Dr. Brenner controls the daVinci, often called a “robot” to remove the uterus through just a few tiny openings. The daVinci translates Dr. Brenner’s hand movements into these small instruments inside your body. The robot cannot act on its own. The daVinci Surgical System provides high-definition 3D vision and a magnified view of the pelvis. The benefits of this technology are less pain, less blood loss, less risk of infection, quick recovery and small incisions.
- Abdominal Hysterectomy – Dr. Brenner does not perform this invasive procedure except in rare circumstances. Traditionally abdominal hysterectomies are performed through a large incision on the abdominal skin in order to free up the attachments of the uterus and then the uterus is lifted out of the body. For obvious reasons, this procedure can be painful and have a higher risk of blood loss, infection and a longer recovery (often 6 weeks).