Robotic Hysterectomy | Dr. Laurence Orbuch

Dr. Orbuch performs da Vinci Hysterectomies for many benign (non-cancerous) conditions such as heavy bleeding, fibroids, pelvic prolapse or adenomyosis. The da Vinci System enables Dr. Orbuch to perform a minimally invasive hysterectomy, even for complex conditions, with enhanced vision, precision, dexterity and control.

The da Vinci robot utilizes endowrist instrumentation. The robotic wristed instrument can rotate nearly 360 degrees, allowing seven degrees of motion and flexibility far superior to conventional laparoscopy.

In addition, it facilitates access to difficult anatomic locations. Because the da Vinci robot allows Dr. Orbuch to visualize the uterus in a magnified 3-D image, small and larger blood vessels can be seen and sealed in order to minimize blood loss. The da Vinci robotic instrumentation is miniaturized, which allows for very delicate manipulation of tissue. Motion scaling software also reduces a surgeon’s actual hand movements to much smoother and finer instrument movements.

Using this state-of-the-art technology, a da Vinci Hysterectomy requires only a few incisions so you can return to normal activities faster. With traditional open surgery, which is done through an incision 6-8 inches in length, recovery time is often 6-8 weeks with patients’ remaining in the hospital for 2-3 days. In contrast, after a robotic hysterectomy, a patient only remains in hospital for a few hours and on occasion overnight.

A compelling fact is that one in three women in the U.S. will have a hysterectomy before age 60. If your doctor recommends a hysterectomy to treat your condition, you may be a candidate for da Vinci Surgery.

How the da Vinci Robot Works:

The patient cart is positioned over the patient during surgery and contains the robotic four arms, three which hold different instruments, and one that holds the 3-D camera. These arms are controlled by a computer that replicates Dr. Orbuchs’ movements. The surgeon console is where Dr. Orbuch sits and operates the robotic controls while looking into a stereoscopic monitor which provides him with a 3-D, high definition view of the surgical anatomy.

In addition, da Vinci hysterectomy offers women many potential benefits over traditional surgery, including:

Benefits of Robotic Hysterectomy

• Fewer complications
• Less pain
• Less blood loss
• Shorter hospital stay
• Low risk of wound infection
• More rapid recovery and return to normal activities