2023-12-12 22:00:35
Thanks to the advancement of medical technology, today it is possible to perform a minimally invasive hysterectomy. It is one of the most advanced interventions that exist, but its implementation requires special equipment and highly qualified personnel. Although in the end the benefits it offers are worth it.
First of all, it is necessary to remember that a hysterectomy It is surgery to remove the uterus plus the cervix. It is a procedure that helps resolve several health conditions in women. His incidence in Mexico It is 5 to 15 per 1,000 gynecological procedures.
What is minimally invasive hysterectomy for?
Regarding this surgical procedure, Dr. Pedro Ramírez, director of the Department of Obstetrics and Gynecology of the Hospital Houston Methodistexplains that the hysterectomy has several indications in terms of whether the pathology is benign or malignant. In cases of cancer it is used when it is of the neck, uterus, ovary or tubes.
The specialist adds that the minimally invasive hysterectomy It can be carried out laparoscopically or robotically. In fact, robotic surgery in gynecology was accepted as an official procedure by the United States Food and Drug Administration (FDA) in 2007.
“In the case of the benign indication, hysterectomy can be performed for several reasons, which are: fibroids (one of the most common), irregular menstruation, hyperplasia, which indicates a premalignant disease, among others. For cancer, it has been documented that it can definitely be done for endometrial or uterine cancer. It is important to comment that it should not be indicated for neck cancer, because it has been shown that patients have a recurrence rate that is 4 times higher than with open surgery.”
Advantages of minimally invasive hysterectomy
In terms of differences and benefits between minimal invasive surgery and open surgery, Dr. Pedro Ramírez explained that when comparing minimally invasive hysterectomy (laparoscopy or robotic) against open surgery, there are several advantages. The first allows the patient to go home the same day, recover much faster in terms of normal life and function, and also offers the benefit of less blood loss.
In the case of the laparoscopy and robotic surgery, the director of the Department of Obstetrics and Gynecology at Houston Methodist Hospital assured that there is not much difference between the two. He explained that there are several advantages including that the instruments are more specific in robotic surgery, in addition to having a greater ability to reproduce the function and movements that the surgeon can offer in open surgery.
“Laparoscopy does not offer the same visualization that the robot offers, through which we have a 3D visualization vs. the 2D visualization that laparoscopy offers, but in terms of patient recovery, they are practically the same.”
Finally, he indicated that to carry out a minimally invasive hysterectomy For cancer, the patient must be in an early stage of the disease. On the other hand, if the stage is more serious, she must undergo open surgery.
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