Heavy Menstrual Bleeding: Treatments & Surgical Options
Common treatments and surgical options for women diagnosed with excessive menstrual bleeding include:
Your doctor may recommend you take hormones such as progesterone or birth control pills to control your period. Hormone therapy can limit the swelling of your endometrium (uterine lining that sheds each month during your period) and extra endometrial tissue (implants). This treatment may be used before, instead of, or after surgery.
Surgical procedures include endometrial ablation, endometrial resection and hysterectomy.
Energy is used to destroy the endometrial lining of the uterus with the goal of easing or stopping your periods. This technique is usually done on an out- patient basis and is generally not recommended for women who may want to get pregnant.
Endometriosis resection is the removal of endometrial tissue implants while leaving the uterus in place. Endometriosis resection is usually recommended for women who want to become pregnant in the future or keep their uterus.
Hysterectomy is the surgical removal of your uterus. Any visible growths will be removed and, depending upon your condition, your doctor may also remove your fallopian tubes and ovaries. Based on your condition, there are several approaches to hysterectomy that your doctor may discuss, including:
Minimally Invasive Hysterectomy Options
Vaginal Hysterectomy – A vaginal hysterectomy is done through a cut in your vagina. The surgeon operates through this incision and closes it with stitches.
Traditional Laparoscopy – With traditional laparoscopy, your surgeon operates through a few small incisions using long instruments and a tiny camera to guide doctors during surgery. Your uterus may also be removed through a single incision in the belly button.
da Vinci Multi-port Hysterectomy – With the da Vinci Surgical System, your doctor operates through a few small abdominal incisions (multi-port surgery) instead of a large open incision ( similar to traditional laparoscopy). The da Vinci System features special wristed instruments that bend and rotate far greater than the human wrist. da Vinci also features a magnified 3D HD® vision system that allows surgeons to see key anatomy with depth and clarity. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, and control.
da Vinci® Single-Site® Surgery – Your uterus can also be removed through a small incision in your belly button using da Vinci Single-Site Surgery. This technology allows for virtually scarless results (for non-cancerous conditions only).
State-of-the-art da Vinci uses the latest in surgical and robotics technologies for simple and complex procedures. Your doctor controls the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.
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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 VinciSurgery, 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 da Vinci.
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.
Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.
Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da VinciSurgery 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. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety andwww.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.
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