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da Vinci® Hysterectomy

Surgeons perform 600,000 hysterectomies each year in the United States alone. Despite general preference for minimally invasive procedures, the majority of these surgeries are still performed using large incisions. In fact,

  • 65% of those performed are total abdominal hysterectomies.
  • Just one in 10 are laparoscopic-assisted vaginal hysterectomies (LAVH)
  • One quarter are vaginal hysterectomies1

Among the reasons for slow adoption of a minimally invasive approach are

  • A long and difficult learning curve, especially for complex hysterectomies (e.g. endometriosis, cancer, previous pelvic surgery)
  • Lack of laparoscopic training opportunities in gynecologic residency, especially for advanced techniques such as dissections and suturing

The da Vinci® Surgical System addresses the limitations of conventional laparoscopy by providing fully articulated instruments, high-resolution 3D vision and an intuitive, ergonomic interface. One early study suggests that these features will enable more surgeons to perform complex laparoscopic hysterectomy -- with greater ease and potentially excellent clinical outcomes.2

da Vinci Hysterectomy Benefit Summary

da Vinci Hysterectomy represents the most advanced minimally invasive approach to hysterectomy available today.

The rapid adoption of da Vinci Hysterectomy combined with increased patient inquiries has inspired an information portal dedicated to da Vinci Hysterectomy, www.daVinciHysterectomy.com. Physicians may refer patients to this site for further information.

Potential surgeon benefits

  • Enhanced dexterity enables complex hysterectomies (e.g., endometrial cancer, endometriosis, previous pelvic surgery)
  • Superb visualization of tissue planes, especially for critical for dissection around ureters and bladder
  • More precise colpotomy
  • Easier vaginal cuff suture-closure

Potential patient benefits

  • Shorter hospital stay
  • Less pain and scarring
  • Less risk of wound infection
  • Less blood loss and fewer transfusions
  • Faster recovery
  • Quicker return to normal activities

EndoWrist® Instruments Optimized for da Vinci Hysterectomy

EndoWrist Hot Shears™

The world’s first fully wristed cautery scissors

Designed to allow easier, more precise...

  • Dissection of uterosacral and cardinal ligaments
  • Dissection around ureters, bladder
  • Colpotomy

Features, potential benefits:

  • A more precise operation
    • Blunt dissection
    • Fine cutting
    • Localized coagulation
  • Faster procedure times
    • Fewer instrument exchanges

EndoWrist Cobra Grasper

Designed to allow secure grasping of pelvic fascial layers during cuff closure

Features, potential benefits:

  • 4x2 interlocking teeth
    • Aggressive grasping
    • Secure retraction
  • 60º jaw opening
    • Greater tissue purchase
  • Horizontally serrated inner jaws
    • Delicate needle and suture handling
 
  1. Farquhar CM, Steiner CA. Hysterectomy rates in the United States 1990-1997. Obstet Gynecol. 2002 Feb;99(2):229-34.
  2. Reynolds K, Advincula A. Robotic-Assisted Minimally Invasive Hysterectomy. Unpublished study (as of 7/05) submitted to Intuitive Surgical.