Dr. Sumana Manohar is a renowned Gynaecologist and Obstetrician with experience of more than 34 years. Her expertise in Laparoscopic & Hyster Robotic Surgeries, Rapid Access and Colposcopy, Antenatal Services, and Ambulatory Obstetrics is praiseworthy. Dr. Sumana Manohar completed MBBS from Sri Venkateshwara Medical College. She pursued MRCOG and FRCOG from the Royal College of Surgeons, London.
From 2000-2005 she was esteemed Secretary for the Association of Tamil Nadu Royal College of Obstetricians and Gynaecologists. She was also a Member Representative of the South Zone All India Coordinating Committee. She organized several local and national conferences on Infertility, Endoscopy, High-risk obstetrics. She is currently working with Apollo Cradle and Apollo Women's Hospitals, Chennai.
Robotic Hysterectomy
A hysterectomy is surgery to remove your uterus partially or the uterus along with the cervix. The term used for the same is partial hysterectomy and total hysterectomy.
In case you need a hysterectomy, your doctor might recommend a robot-assisted (robotic) surgery. During robotic surgery, the gynecologist and obstetrician performs the hysterectomy with instruments passed through a small abdominal incision. As a result of magnified, 3D view the surgery can be performed with great precision, flexibility, and control. In a hysterectomy, the blood loss is very low as compared to open abdominal surgery. Resuming normal activities also takes just a few days.
When is a Hysterectomy required?
When certain problems in the uterus do not respond to other treatments, your doctor may recommend a hysterectomy. Some of the reasons include:
- Pelvic pain
- Uterine fibroids
- Cancer or precancer of the uterus, ovaries, or cervix
- Endometriosis
- Uterine prolapse
- Abnormal vaginal bleeding
Preparation before a robotic hysterectomy
A physical examination may be needed before the day of surgery. Some of the tests that a surgeon requires include a blood test, a chest X-ray, or an electrocardiogram (ECG) to check your general health. Remember to inform your surgeon about any medications you take at home, including herbal supplements and other over-the-counter medications.
Some general instructions include:
- If you or someone in your family has any history of reaction to general anesthesia to you or any member in a family should be told well in advance to the doctor.
- Quit smoking if you do, before the surgery as it may affect your health.
- Stop eating and drinking eight hours before surgery or as instructed by your surgeon.
- Ask your surgeon if you should take your regular medications with a small sip of water on the morning of the procedure.
How does a Robotic Hysterectomy is done?
This surgery is usually done under general anesthesia to make you fall asleep during surgery. Before the procedure, you will have an intravenous line (IV) for fluids and medications, a tube inserted in your throat to breathe, antibiotics, a catheter tube placed in your bladder, and special stockings placed on your legs to help prevent blood clots.
During the surgery:
- Using the control devices your surgeon will direct the surgical instruments that remove your uterus.
- Depending on your condition your surgeon might remove one or both ovaries and your fallopian tubes.
- At the table, an assistant repositions the instruments, adds or removes surgical devices, and provides other support to your surgeon.
- Members of the anesthesia team monitor your condition and comfort continuously.
After the procedure, you will be provided with medicines to relieve pain. They will encourage and support you to get up and move. Some vaginal bleeding is expected from few days to weeks. Recovery after the procedure is shorter and less painful. Even if you feel recovered lifting heavyweights must be prohibited. Avoid vaginal intercourse for up to six weeks. If your pain worsens or you feel like nausea, vomiting or bleeding immediately contact your doctor.
Take away
After a hysterectomy, you will no longer have periods or get pregnant. Some symptoms like vaginal dryness, night sweats, or hot flashes may persist for some time. In addition to physical recovery, you will also face some emotional changes. Mood swings, depression, sadness are observed in many women. It is very necessary to take care of yourself during this period. Follow a routine take includes meditation, mild exercises, walk, hobby time, reading, healthy diet. This will keep you both physically as well as emotionally healthy.
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