I just finished another painless operation yesterday ( total laparoscopic hysterectomy) on a patient of mine who had been suffering with chronic pelvic pain and heavy menstrual periods. She had seen other doctors who were not impressed with her history and exam and preferred to treat her conservatively with pain pills not comprehending that there might just be a problem causing her to be miserable all the time! It turns out that she had fibroid tumors everywhere in her uterus; since she was 50 years old and future childbearing was not an issue, I recommended that she consider having a total laparoscopic hysterectomy (uterus, cervix, tubes and ovaries) via the robotic approach which uses 4 small incisions on the abdomen. Needless to say, the next morning she was grateful not to hurt anymore and she went home to have a brief recovery period of 2-3 weeks before returning to work without any further pain or periods! This is an amazing advancement in the field of gynecological surgery, now known as MIS (Minimally Invasive Surgery). More and more surgical procedures are being done this way; it causes minimal postoperative pain, overnight stays in the hospital or outpatient ambulatory care units are brief, and less postoperative complications occur. Why wouldn’t most women not want this type of surgery if given the choice! Be sure and check with your doctor to make sure he or she has had the proper training and the hospital has the appropriate equipment and training on hand. Technology can be wonderful and beneficial for all concerned.
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