What is a hysterectomy and what is a specialist who performs this procedure?
Meet with Ulas Bozdogan, MD, FACOG
Endometriosis & Fibroids Specialist located in Hackensack, NJ and New York City, NYBook Online
Hysterectomy: A hysterectomy is the surgical removal of the uterus (the womb). Because it is what holds a pregnancy, it is a procedure that is performed only for legitimate indications and when childbearing is no longer desired.
Hysterectomy Specialist: Dr. Ulas Bozdogan is a specialist in performing hysterectomies, as he is a gynecologist, board-certified by the American Congress of Obstetricians and Gynecologists. This is the highest achievement an OBGYN doctor can attain in the specialty. But Dr. Bozdogan uses the latest state-of-the-art technology and surgical techniques. This sets him apart from other gynecologists in that he also a specialist in robotic hysterectomy, due to his vast experience (thousands) in performing hysterectomies and other surgeries using minimally invasive robotic procedures which increase the safety, decrease the blood loss, and make complications of this procedure less; additionally it also significantly decreases recovery time and postoperative pain. In fact, he even teaches the procedure to other doctors who want to begin using the robot.
FREQUENTLY ASKED QUESTIONS
Is a hysterectomy a major operation?
Any surgery that involves entering your abdomen is considered a “major” surgery, because a complication can result in major risks to your health, such as bleeding and infection.
Why would I need a hysterectomy?
Hysterectomies are done to improve the quality of life for a woman suffering from debilitating periods, endometriosis, chronic pain, painful sex, or anemia due to heavy periods. Of course, if a woman wanted to preserve her options for pregnancy, hysterectomy is the exact wrong procedure. Instead, alternatives for her problems would be used, such as hormonal therapy, thinning the inner lining of her uterus, removing fibroids while sparing the uterus (also done robotically), or uterine suspension for prolapse.
What are the complications of a robotic hysterectomy?
A robotic hysterectomy’s complications are no different from the complications of any other type of hysterectomy or—in fact—any type of surgery. Surgery, in general, includes 3 inherent risks:
3. Damage to other structures.
BLEEDING: Hysterectomy is no exception. However, it is noteworthy that bleeding is minimal with robotic surgery. Although it is possible, but unlikely, it rarely can be of such a volume to require a transfusion.
INFECTION: Any opening of your abdomen (and entering your pelvis certainly counts!) can introduce germs from the outside world into this normally sterile part of your body. Usually your immune system is more than qualified to nip any invaders in the bud, invisibly and in the background, but antibiotics are given before, during, and/or after surgery to lower the chances even more.
DAMAGE TO TISSUE: Surgery involves cutting, whether it’s done with a scalpel, surgical scissors, a cautery, or a laser. As such, it is always possible another structure may be damaged. The huge advantage of the robot is that its capability for meticulous surgery using 3-D stereoscopic views and micromanipulations of its instruments makes this complication rare.
How does a specialist like Dr. Bozdogan perform a robotic hysterectomy?
Under a general anesthetic, small cosmetic incisions are made through which are passed long, thin instruments that are coupled to a computer linked to your surgeon’s control booth in the same OR room. He dons stereoscopic viewing glasses that render a 3-D view inside your pelvis and his fingers are attached to movement sensors that correspond to the meticulous movements of the miniature surgical devices at the end of the thin, long instruments. Using his knowledge of anatomy and physiology, he carefully seals the blood supply to your uterus and the ligaments that hold your uterus in place, and free from these attachments he then can remove your uterus. The incisions are then cosmetically closed with glue, staples, or tiny sutures.
Can anyone undergoing a hysterectomy choose to have a robotic hysterectomy?
No. A woman must meet certain criteria to qualify for this approach, which Dr. Bozdogan thinks is first choice, due to its respect for other tissue, minimal bleeding, and a great track record for avoiding complications. However, such criteria are based on your surgeon’s familiarity with the robot and your anatomy, and the more skilled or experienced a surgeon is will allow more women to qualify. While a surgeon who has done fewer robotic hysterectomies will have a more stringent qualifying checklist, a surgeon with the experience of Dr. Bozdogan will feel comfortable doing almost all of his hysterectomies with the robot.