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Robotic assist makes hysterectomy operation much less invasive


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Gynecologist Renuka Ramappa has performed the first single-site robotic hysterectomy at Medical Center of Trinity, giving women a less-invasive option for this complex operation.

The new method requires an incision of about one inch, compared to a cut up to seven inches in the traditional procedure. Recovery time also is much shorter.

Hysterectomy removes a woman’s uterus and is the second most common surgery for women in America, Mary Sommise, a spokeswoman for the hospital, said in a press release.

About one-third of all women will have the operation by the time they reach age 60.

Hysterectomy is often recommended to treat serious and sometimes painful conditions such as endometriosis, excessive menstrual bleeding or uterine fibroids.

In a traditional open hysterectomy, physicians perform the procedure through an abdominal incision of from five to seven inches long.

Not only can it leave a scar, the older method often requires one to two months of recovery. Laparoscopic hysterectomies can be performed using multiple, smaller but still readily visible incisions.

The da Vinci robotic-assisted single-site surgery is even less invasive and allows women to return to their regular activities more quickly. The hospital stay often is shortened to about 24 hours.

During the single-site hysterectomy, Ramappa made a single, one-inch incision in the navel. She controls the surgical instruments from a console in the operating room, which displays a three-dimensional, high-definition image of the patient’s anatomy.The system translates her hand, wrist and finger movements into more precise movements of the miniaturized instruments inside the patient.

Other benefits of a single-site hysterectomy may include less pain, reduced trauma to body, less scarring, reduced blood loss and less need for transfusions.

“This is a technology that produces a wonderful cosmetic outcome following gynecologic surgery and I’m very excited to be able to offer it to my patients,” Ramappa said in a press release. “There is less scarring, less post-operative pain, and less recovery time compared to a traditional hysterectomy,” she added.

Ramappahas been practicing in Pasco County since 1983. She completed both her internship and residency at Miami’s Jackson Memorial Hospital. She is a graduate of Mysore Medical College, In India.

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