top of page
  • _

ACOG questions benefit of robotic hysterectomy

The President of the American Congress of Obstetricians Gynecologists James T. Breeden, MD released a statement this month recommending the advantages of vaginal and laparoscopic hysterectomies (including Single Incision Laparoscopic Surgery or SILS hysterectomy) over daVinci robotic hysterectomies.

In May of last year, a randomized trial between vaginal and (multi-incision) laparoscopic hysterectomies found laparoscopic hysterectomies were associated with less pain, quicker return to work than vaginal hysterectomies. Vaginal hysterectomies were associated with less cost to the system but more pain.

My spin is one should avoid an open incision (abdominal hysterectomy). They may be necessary but should be rare. Go with laparoscopic hysterectomy for less pain and quicker recovery; go with SILS hysterectomy for even less incisions than traditional laparoscopic hysterectomies. Whatever you do make sure you get a second opinion or at least feel very comfortable with your doctor's experience and plan of care.


2 views0 comments

Recent Posts

See All

600th SILS hysterectomy

600 SILS hysterectomies...Complication rate less than 0.5%... It still amazes me that surgeons will not embrace this technique. The rapid return to activity and the patients genuine appreciation for i

500 SILS hysterectomies

Well, we just completed our 500th SILS hysterectomy. It reinforces the premise that when patients are given an option of multiple incisions vs 1 incision the choice is obvious... 1000 less incisions

COEMIG designation

We were recently awarded the Center of Excellence in Minimally Invasive Gynecological Surgery (COEMIG) designation from the Surgical Review Corporation (SRC) and the American Association of Gynecoloic


bottom of page