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Robot Assisted Laparoscopic Hysterectomy
WHAT YOU NEED TO KNOW:
What do I need to know about robot-assisted laparoscopic hysterectomy?
Robot-assisted laparoscopic hysterectomy (RH) is surgery to remove your uterus and cervix using a machine controlled by your surgeon. Your ovaries, fallopian tubes, supporting tissues, some lymph nodes, and the top of your vagina may also be removed. After RH, you will not be able to become pregnant. You will go through menopause if your ovaries are removed.
How do I prepare for RH?
Your healthcare provider will talk to you about how to prepare for surgery. He may tell you not to eat or drink anything after midnight on the day of your surgery. He will tell you what medicines you can or cannot take on the day of your surgery. You may be given medicine to drink or an enema to empty your bowel before surgery. An enema is liquid put into your rectum.
What will happen during RH?
You will receive general anesthesia to keep you asleep during surgery. One or more small incisions will be made in your abdomen. Your surgeon will use the robotic arms to place a laparoscope and other tools inside your abdomen through the incisions. A laparoscope is a long, thin tube with a light and camera on the end. Your surgeon will put carbon dioxide into your abdomen so he can see the area better. He will use the machine to look inside your abdomen and guide the robotic arms. He will use the tools attached to the robotic arms to remove your uterus, cervix, or other tissues. These tissues are removed through the incisions in your abdomen or through your vagina. The incisions will be closed with stitches.
What are the risks of RH?
- You may bleed more than expected or get an infection. Your bladder, ureters, or intestines could be cut during surgery. You can develop a hernia. You may need incisions that are larger than expected. Your stitches may come apart.
- Fistulas (openings) may form between the bladder and vagina. You may have problems urinating for a period of time. Long-term problems with urination may happen if nerves are damaged. You may need another surgery to treat these problems. You may get a blood clot in your leg. This may become life-threatening.
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