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GYNAECOLOGY & OBSTETRICS Procedure

da Vinci Robotic Total Hysterectomy & Salpingo-Oophorectomy

da Vinci robotic-assisted total laparoscopic hysterectomy (TLH) and bilateral salpingo-oophorectomy (BSO) for uterine fibroids, adenomyosis, severe menorrhagia, and early endometrial cancer with 3D keyhole precision.

Robotic hysterectomy
Robotic hysterectomy

Clinical Overview & Disease Information

da Vinci robotic-assisted total laparoscopic hysterectomy (TLH) and bilateral salpingo-oophorectomy (BSO) for uterine fibroids, adenomyosis, severe menorrhagia, and early endometrial cancer with 3D keyhole precision.

Signs & Symptoms

Early Symptoms
  • Menorrhagia (heavy prolonged menstrual bleeding requiring frequent pad changes)
  • Pelvic pressure and lower back ache
Common Symptoms
  • Severe dysmenorrhea (painful cramps)
  • Enlarged bulky uterus causing urinary frequency or constipation
  • Post-menopausal uterine bleeding
Emergency Symptoms
  • Massive acute uterine hemorrhage causing severe anemia / syncope

Causes & Risk Factors

Primary Causes & Etiology

  • Uterine Leiomyomas (Fibroids) & Adenomyosis
  • Endometrial Adenocarcinoma (Stage I-II)
  • Refractory Dysfunctional Uterine Bleeding (DUB)

Who is at Higher Risk?

  • Women with symptomatic uterine fibroids, adenomyosis, or early endometrial cancer seeking minimal-access surgery

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
3D Transvaginal Ultrasound (TVUS) & Pelvic MRI Measures uterine volume, endometrial thickness, myometrial junctional zone, and fibroid mapping
Pipelle Endometrial Biopsy & Diagnostic Hysteroscopy Excludes endometrial hyperplasia or malignancy before hysterectomy

Comprehensive Treatment Options

da Vinci Xi Nerve-Sparing Robotic Total Hysterectomy & Cuff Closure

3D 10x magnified keyhole robotic division of uterine vessels and vaginal cuff suture closure.

Key Advantages:
Preserves pelvic floor autonomic nerves and ureteral integrity
Minimal blood loss (< 50ml) avoiding transfusions
Discharge within 24 to 48 hours

Total Abdominal Hysterectomy (TAH) with Bilateral Salpingo-Oophorectomy (BSO)

Traditional open abdominal hysterectomy for massive enlarged uterus (> 20 weeks size).

Recommended For:
Massive fibroid uterus extending above umbilicus

Advanced Medical Technologies Available in Partner Hospitals

da Vinci Xi Surgical Robot V-Loc Barbed Suture System LigaSure Vessel Sealer

Possible Complications If Untreated

Transient vaginal spotting (1-2 weeks)
Pelvic cuff discomfort
Urinary tract infection (< 2%)

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Ward Recovery & Ambulation 24 to 48 hours
Return to Light Home Activities 1 to 2 weeks
Full Active Living & Sexual Activity Resume 6 weeks

Recommended Post-Treatment Diet

  • High protein & fiber rich diet to prevent post-op constipation
  • Hydration 2.5L/day

Essential Lifestyle Changes

  • Avoid lifting objects > 5kg for 6 weeks
  • No vaginal tampons, douching, or sexual intercourse for 6 weeks
  • Daily walking starting Day 1
When to Contact a Doctor Urgently:
Heavy bright red vaginal bleeding soaking > 2 pads/hour
Fever > 100.4°F (38°C)
Severe lower abdominal pain

Prevention & Long-Term Health

Annual pelvic ultrasound and routine gynecological exams

Frequently Asked Questions

Will I go into immediate menopause after a hysterectomy?

If your ovaries are preserved during hysterectomy, your body continues to produce natural estrogen and you will not enter immediate menopause.

Top Recommended Specialists Available

Dr. Ashutosh Gupta

Dr. Ashutosh Gupta

Head – Medical Genetics

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Dr. Deepika Aggarwal

Dr. Deepika Aggarwal

Chief - Laparoscopic Gynae & Robotic Surgery

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Dr. Renu Raina Sehgal

Dr. Renu Raina Sehgal

Chairperson - Department of Obstetrics & Gynaecology

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Dr. Nidhi Jain

Dr. Nidhi Jain

Sr. Consultant - Obs & Gynae

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Dr. Nutan Agarwal

Dr. Nutan Agarwal

Head of Department - Gynae Endocrinology & DNB Program Director

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Dr. Aditi Dixit

Dr. Aditi Dixit

Sr. Consultant – Women Imaging & Radiology

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Dr. Deepa Maheshwari

Dr. Deepa Maheshwari

Sr. Consultant - Obstetrics & Gynaecology

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Dr. Rupinder Sekhon

Dr. Rupinder Sekhon

Chief - Gynae Oncology & Sr. Consultant: Surgical Oncology

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Dr. Gurpreet Makkar

Dr. Gurpreet Makkar

Head Imaging & Chief DNB Program Director - Radiology

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Dr. Kiran Arora

Dr. Kiran Arora

Unit Head - Reproductive Medicine & IVF (Unit II)

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Dr. Nidhi Rajotia (Goel)

Dr. Nidhi Rajotia (Goel)

Unit Head - Obs & Gynae

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Dr. Renu Raina Sehgal

Dr. Renu Raina Sehgal

Chairperson - Department of Obstetrics & Gynaecology

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Dr. Seerat Sandhu

Dr. Seerat Sandhu

Classified Consultant - Obstetrics & Gynaecology

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Dr. Aanchal Sablok

Dr. Aanchal Sablok

Senior Consultant - Fetal Medicine & Prenatal Genetics

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
Robotic hysterectomy $32,000 $4,800 $8,500 $9,500

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Commonly Prescribed Medications

  • Cefazolin 1g IV
  • Tranexamic Acid 500mg
  • Paracetamol 1g
  • Vaginal Estrogen Cream

International Patient Guide

Estimated Stay in India:
Transvaginal Ultrasound & Biopsy Workup 1 day
Robotic Hysterectomy & Hospital Stay 2 - 3 days
Post-Op Check & Flight Clearance 7 - 9 days total stay
Documents to Bring:
  • Passport & Visa
  • Pelvic Ultrasound & Endometrial Biopsy Reports