Complex Robotic Hysterectomy Made Easy: Advice on Fibroids & Adhesions

By far, the most common condition treated by hysterectomy is fibroids. Uterine fibroids are benign tumors of the uterine muscle that can cause abnormal bleeding, pain, and/or infertility. Because they come from the uterine wall, as they grow and enlarge, the uterus becomes enlarged along with them. Each individual fibroid is a tumor, and often multiple fibroids exist at the same time. Each tumor adds to the size of the uterus, causing enlargement of the uterus as a whole. Some fibroids are very small, the size of a pea. Others are as large as basketballs. In some cases, they can essentially take over the uterus, replacing the normal uterine muscle with multiple fibroid tumors. Because uterine fibroids do not respond predictably to a woman’s natural hormonal cycles and because they induce the formation of a rich network of blood vessels, they can cause abnormal and heavy vaginal bleeding.

Here is a narrated video of a robotic hysterectomy  I performed on a woman with fibroids and adhesions.  The hysterectomy advice video shows that while fibroids and adhesions can make a hysterectomy more difficult, the surgery is simply performed given the nature of robotic surgery. Not Your Mother’s Hysterectomy, my robotic hysterectomy book, contains far more in-depth information on the subject, as well as informative and entertaining personal anecdotes and stories from patients.