Laparoscopic and Robotic Hysterectomy

Types of Hysterectomy

A hysterectomy is the surgical removal of all or part of the uterus, or womb. The doctor may also remove the fallopian tubes, ovaries and/or the cervix during the same surgery. It is important to know that for most women undergoing hysterectomy there is no need to have their ovaries removed, and will therefore not experience menopausal symptoms after surgery. The following terms help describe the organs removed during surgery:

The Fibroid Treatment Collaborative is dedicated to the comprehensive multi-disciplinary approach to the management of abnormal bleeding, pelvic pain, endometriosis and uterine fibroids.  The fact is that your situation is unique and deserves an individualized treatment plan. Located in Chicago, Illinois and Austin, Texas, we are laparoscopic gynecologic surgeons, radiologists, pain doctors, and physical therapists working in collaboration to plan your best treatment. When hysterectomy is appropiate, our surgeons specialize in minimally invasive, laparoscopic or robotic hysterectomy, aiding in a quicker recovery. Learn more

Types  of Hysterectomies

  • A supracervical hysterectomy or subtotal hysterectomy removes the uterus but leaves the cervix in place, which some research suggests may reduce the risk of pelvic organ prolapse and preserve sexual function. This is sometimes referred to as "partial hysterectomy."
  • Total or "traditional" hysterectomy removes the uterus and cervix (but not the ovaries and tubes).
  • A radical hysterectomy may remove all of these organs (the uterus, cervix, fallopian tubes, ovaries), plus the pelvic lymph nodes.

Dr. Shashoua performed my daVinci hysterectomy on June 22nd and I highly recommend Dr. Shashoua and this procedure. Three weeks after the surgery I was walking, biking, back at work and enjoying life. (Of course, no sex or heavy lifting for several more weeks). I must confess to feeling practically euphoric that I no longer have fibroids, a uterus, or a period at all. I don't want to underestimate the importance of making the decision to have a hysterectomy. I ended up in the emergency room getting a four bag blood transfusion and it was there that I met Dr. Shashoua. From the beginning Dr. Shashoua was very open and straightforward, he clarified my situation and presented several options. I gave it some thought and it became clear that what I wanted was a hysterectomy. My husband was included in all of the proceedings and we both felt confident and optimistic heading toward the big day. It didn't hurt that almost every female I encountered throughout the process (some who had dealt with fibroid issues of their own) had nothing but glowing praise for Dr. Shashoua. All throughout my experience from the emergency room encounter to the office visits and then to Advocate IL Masonic to have the surgery I was treated with respect and courtesy and transparency. I won't go so far as to say it was a "fun" experience but it was a time I will remember as the fortunate moment that I decided to take control of my life and to stop the nightmare that living with my fibroids had become. Thank you Dr. Shashoua, from me, my husband, my mom, and the rest of my family and friends who were kind enough to worry about me. And to anyone out there reading this website as I did when I was making my decision - the daVinci hysterectomy was a very manageable experience in every way. Dr. Shashoua is an excellent doctor. My health and my quality of life has improved dramatically.

--SJ, Chicago, Illinois

Read more patient stories here.

There are 4 different ways to perform hysterectomies:

  • Abdominal (also known as Open): this hysterectomy method requires a 4- to 8-inch horizontal incision below the belly button to remove the uterus and cervix and, in some cases, other organs.
The most invasive kind of hysterectomy, this type is performed under general anesthesia, with a typi cal hospital stay of 3-6 days and up to 6 weeks of recovery time.
    open hysterectomy

 

  • Vaginal: this hysterectomy method uses a smaller incision inside the vagina to remove the uterus and other organs, as determined by your doctor. This incision is not visible externally. Vaginal hysterectomies usually require a 1-3 day hospital stay and up to 4 weeks' recovery time.
    vaginal hysterectomy

 

  • Laparoscopic: with this hysterectomy method, a thin, lighted, telescope-like instrument called a laparoscope along with small surgical instruments are inserted through 3 to 4 tiny incisions in the navel and abdomen to detach and remove the uterus. There are different types of laparoscopic hysterectomies. Based upon your clinical need, your doctor might perform a laparoscopic supracervical hysterectomy (LSH), allowing you to keep your cervix, or a total laparoscopic hysterectomy (TLH).
Unlike more traditional methods, laparoscopic hysterectomy usually requires only 1 day or less in the hospital and only 6 days of recovery time. Patients also experience less scarring and pain compared to other hysterectomy methods.  Learn more about single incision laparoscopic hysterectomy.

laparoscopic hysterectomy




  • Robotic Hysterectomy: Similar to a laparoscopic hysterectomy, except that the specialized laparoscopic instruments are connected to robotic arms, allowing the surgeon to have enhanced dexterity and visualization. Learn more about robotic hysterectomy.
robotic hysterectomy

 



Two months ago I woke up one morning in April with a ferocious pain in my side. A CT scan and an ultrasound examination of my pelvic area, found 3 large kidney stones in my right kidney and - a huge benign, fibroid tumor in my uterus it was 12cm & elongated.

The thought of having a big incision and hysterectomy is not something I considered lightly without doing some further research. I searched all there is to know about fibroid tumors, how big, how painful, where they're located, inside, outside on top of, or in between the uterus. During that process, I found that invasive surgery is not necessary for many fibroid tumors up to about 16cm. So I looked for a Gynecological Surgeon in Chicago. I found Dr Abraham Shashoua. I sent him an email and he responded within a couple of hours, so I made an appt to see him within a few days.

He is young enough to be expert in modern medical technology and old enough to have accomplished considerable experience in adopting those technologies with confidence. After two very connected visits with Dr. Shashoua, I had no hesitation in planning the procedure with him, I felt he was absolutely the right person for this procedure.

This beast of a tumor had embedded it self on my colon and had to be extracted before Dr. Shashoua could remove it. Dr. Shashoua sectionalized the tumor and removed it completely.

The end result is that 4 weeks later, there is hardly a mark on my abdominal region, just two tiny scratches and one 2.5cm line that are disappearing day by day. He also went in through my tummy button and you would have no idea that it was touched, it is exactly the same as it was before I had the procedure. I was back to work three weeks later as if nothing had happened.

Dr. Shashoua is not only a brilliant doctor, he tells you his plan, sticks to his plan, improvises when there might be something different in there. There is no fear embedded in the delivery of his prognosis or solution, he just talked about cure and he did this procedure flawlessly. He is also an artist who has mastered his gift.

smb, Chicago
November, 2011