da Vinci^® Hysterectomy (Benign)

Know Your Options.

If you have a benign (non-cancerous) condition that affects your health and quality of life, your doctor may suggest surgery. Surgery to remove the uterus is called a hysterectomy. It can be done with open surgery through one large incision (cut). It can also be done with minimally invasive surgery through a few small incisions using traditional laparoscopy or da Vinci Surgery.

Considering a Hysterectomy?

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Why da Vinci Surgery?

The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:

• 3D HD view inside your body
• Wristed instruments that bend and rotate far greater than the human hand
• Enhanced vision, precision and control

da Vinci Hysterectomy offers the following potential benefits compared to traditional open surgery:

• Lower complication rate^1,2,3,4
• Shorter hospital stay^1,2,3,4,5
• Less blood loss and less chance for a transfusion^1,3,4,5
• Lower hospital readmission rate^4,5

da Vinci Hysterectomy offers the following potential benefits compared to traditional laparoscopy:

• Lower complication rate^1,4, 
• Shorter hospital stay^{1,2,4,5,6,7,8}
• Less blood loss^1,2,5,8 & less chance of blood transfusion^4,9
• Less chance of surgeon switching to open surgery^2,6

da Vinci Hysterectomy offers the following potential benefits compared to vaginal surgery:

• Shorter hospital stay^2,4,5
• Less blood loss^2,5

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.

da Vinci Hysterectomy is the #1 minimally invasive hysterectomy performed in the U.S.¹⁰
*da Vinci Single-Site is available for benign (non-cancerous) hysterectomy.

Risks & Considerations Related to Hysterectomy, Benign (removal of the uterus and possibly nearby organs): injury to the ureters (ureters drain urine from the kidney into the bladder), vaginal cuff problems (scar tissue in vaginal incision, infection, bacterial skin infection, pooling/clotting of blood, incision opens or separates), injury to bladder (organ that holds urine), bowel injury, vaginal shortening, problems urinating (cannot empty bladder, urgent or frequent need to urinate, leaking urine, slow or weak stream), abnormal hole from the vagina into the urinary tract or rectum, vaginal tear or deep cut. Uterine tissue may contain unsuspected cancer. The cutting or morcellation of uterine tissue during surgery may spread cancer, and decrease the long-term survival of patients.

1. Ho C, Tsakonas E, Tran K, Cimon K, Severn M, Mierzwinski-Urban M, Corcos J, Pautler S. “Robot-Assisted Surgery Compared with Open Surgery and Laparoscopic Surgery: Clinical Effectiveness and Economic Analyses.” Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2011 Sep.
2. Landeen, Laurie B., MD, MBA, Maria C. Bell, MD, MPH, Helen B. Hubert, MPH, PhD, Larissa Y. Bennis, MD, Siri S. Knutsten-Larsen, MD, and Usha Seshari-Kreaden, MSc. "Clinical and Cost Comparisons for Hysterectomy via Abdominal, Standard Laparoscopic, Vaginal and Robot-assisted Approaches." South Dakota Medicine 64.6 (2011): 197-209. Print.
3. Geppert B, Lönnerfors C, Persson J. “Robot-assisted laparoscopic hysterectomy in obese and morbidly obese women: surgical technique and comparison with open surgery.”  Acta Obstet Gynecol Scand. 90.11 (2011): 1210-1217. doi: 10.1111/j.1600-0412.2011.01253.x. Epub.
4. Lim, Peter C., John T. Crane, Eric J. English, Richard W. Farnam, Devin M. Garza, Marc L. Winter, and Jerry L. Rozeboom. “Multicenter analysis comparing robotic, open, laparoscopic, and vaginal hysterectomies performed by high-volume surgeons for benign indications.” International Journal of Gynecology & Obstetrics 133.3 (2016): 359–364. Print.
5. Martino, Martin A., MD, Elizabeth A. Berger, DO, Jeffrey T. McFetridge, MD, Jocelyn Shubella, BS, Gabrielle Gosciniak, BA, Taylor Wejkszner, BA, Gregory F. Kainz, DO, Jeremy Patriarco, BS, M. B. Thomas, MD, and Richard Boulay, MD. "A Comparison of Quality Outcome Measures in Patients Having a Hysterectomy for Benign Disease: Robotic vs. Non-robotic Approaches." Journal of Minimally Invasive Gynecology 21.3 (2014): 389-93. Web.
6. Scandola, Michele, Lorenzo Grespan, Marco Vicentini, and Paolo Fiorini. "Robot-Assisted Laparoscopic Hysterectomy vs Traditional Laparoscopic Hysterectomy: Five Metaanalyses." Journal of Minimally Invasive Gynecology 18.6 (2011): 705-15. Print.
7. Wright, Jason D., Cande V. Ananth, Sharyn N. Lewin, William M. Burke, Yu-Shiang Lu, Alfred I. Neugut, Thomas J. Herzog, and Dawn L. Hershman. "Robotically Assisted vs Laparoscopic Hysterectomy Among Women With Benign Gynecologic Disease." Jama 309.7 (2013): 689-98. Print.
8. Orady, Mona, Alexander Hrynewych, A. Karim Nawfal, and Ganesa Wegienka. "Comparison of Robotic-Assisted Hysterectomy to Other Minimally Invasive Approaches." JSLS, Journal of the Society of Laparoendoscopic Surgeons 16.4 (2012): 542-48. Print.
9. Rosero, Eric B., Kimberly A. Kho, Girish P. Joshi, Martin Giesecke, and Joseph I. Schaffer. "Comparison of Robotic and Laparoscopic Hysterectomy for Benign Gynecologic Disease." Obstetrics & Gynecology 122.4 (2013): 778-86. Print.
10. Inpatient data: Agency for Healthcare, Research and Quality (AHRQ). Outpatient data: Solucient® Database - Truven Health Analytics. da Vinci data: Intuitive Surgical internal estimates. 2014

WHEN IS SINGLE-SITE TECHNOLOGY USED AND WHAT ARE THE RISKS?
da Vinci Surgery with Single-Site® Instruments is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery, including da Vinci Surgery with Single-Site Instruments. There may be an increased risk of incision-site hernia with single-incision surgery, including Single-Sitesurgery with the da Vinci System.

PN 1002184 Rev E 10/2016

Important Safety Information

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.

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If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.

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