Minimally-Invasive Robotic Surgery Program

St. Anthony Hospital

11600 W 2nd Pl
Lakewood, Colorado 80228

39.7161899, -105.1298377

Latitude: 39.7161899, Longitude: -105.1298377

Minimally-Invasive Robotic Surgery Program

St. Anthony Hospital

About Gynecologic Procedures

When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding.

For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.

Fortunately, minimally-invasive gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. For complex hysterectomies and other gynecologic procedures, minimally invasive robot-assisted surgery with the da Vinci ® Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.* Also referred to as the da Vinci® robot

*While clinical studies support the effectiveness of the da Vinci ® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits

Gynecologic Surgeries

  • Hysterectomy

    If your doctor recommends hysterectomy, you may be a candidate for da Vinci® Hysterectomy, one of the most effective, least invasive treatment options for a range of uterine conditions.

    da Vinci® Hysterectomy is performed using the da Vinci® Surgical System, which enables surgeons to perform with unmatched precision and control - using only a few small incisions.

    For most patients, da Vinci® Hysterectomy can offer numerous potential benefits over traditional approaches to vaginal, laparoscopic or open abdominal hysterectomy, particularly when performing more challenging procedures like radical hysterectomy for gynecologic cancer.

    This is NOT your grandmother's hysterectomy image

    Potential benefits of da Vinci® Hysterectomy include:

    • Significantly less pain
    • Less blood loss
    • Fewer complications
    • Less scarring
    • A shorter hospital stay
    • A faster return to normal daily activities  
    Diagram of open vs. da Vinci hysterectomy incisions

    Moreover, da Vinci® provides the surgeon with a superior surgical tool for dissection and removal of lymph nodes during cancer operations, as compared to traditional open or minimally invasive approaches.1 da Vinci® Hysterectomy also allows your surgeon better visualization of anatomy, which is especially critical when working around delicate and confined structures like the bladder. This means that surgeons have a distinct advantage when performing a complex, radical hysterectomy involving adhesions from prior pelvic surgery or non-localized cancer, or an abdominal hysterectomy.2

    As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While radical hysterectomy or abdominal hysterectomy performed using the da Vinci Surgical System are considered safe and effective, these procedures may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

    1. Boggess JF. da Vinci ® Hysterectomy for Endometrial Cancer with Staging. Presented at ISI WWSSM 1/06. 871391_rev B_dVH Endometrial Cancer Presentation 
    2. UNC Department of Obstetric & Gynecology Health & Healing in the Triangle Vol 8 No 3 pp 22-23.

    While clinical studies support the effectiveness of the da Vinci ® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

  • Myomectomy - removal of fibroids

    Minimally Invasive Fibroid Treatment
    Myomectomy is a uterine-preserving procedure performed to remove uterine fibroids.

    Uterine fibroids* are benign (non-cancerous) tumors occurring in at least one quarter of all women.1 They can grow underneath the uterine lining, inside the uterine wall, or outside the uterus. Many women don't feel any symptoms with uterine tumors or fibroids. But for others, these fibroids can cause excessive menstrual bleeding (also called menorrhagia), abnormal periods, uterine bleeding, pain, discomfort, frequent urination and infertility.2

    Treatments include uterine fibroid embolization - which shrinks the tumor - and surgery. Surgical treatment for uterine tumors most often involves the surgeon removing the entire uterus, via hysterectomy.3  While hysterectomy is a proven way to resolve fibroids, it may not be the best surgical treatment for every woman. If, for example, you hope to later become pregnant, you may want to consider alternatives to hysterectomy like myomectomy. 

    Diagram of open vs. da Vinci incisions for myomectomy

    Types of Myomectomy
    A new category of minimally invasive myomectomy, da Vinci ® Myomectomy, combines the best of open and laparoscopic surgery. With the assistance of the da Vinci Surgical System - the latest evolution in robotics technology - surgeons may remove uterine fibroids through small incisions with unmatched precision and control.

    Each year, roughly 65,000 myomectomies are performed in the U.S.4  The conventional approach to myomectomy is open surgery, through a large abdominal incision.5  After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize potential uterine bleeding, infection and scarring. Proper repair is also critical to reducing the risk of uterine rupture during future pregnancies. Menorrhagia is extensive menstrual bleeding. While myomectomy is also performed laparoscopically, this approach can be challenging for the surgeon, and may compromise results compared to open surgery.6 Laparoscopic myomectomies often take longer than open abdominal myomectomies, and up to 28 percent are converted during surgery to an open abdominal incision.7

    *Uterine fibroids are also called fibroids, uterine tumors, leiomyomata (singular - leiomyoma) and myomas or myomata (singular - myoma)

    1. Newbold RR, DiAugustine RP, Risinger JI, Everitt JI, Walmer DK, Parrott EC, Dixon D. Advances in uterine leiomyoma research: conference overview, summary, and future research recommendations. Environ Health Perspect. 2000 Oct;108 Suppl 5:769-73. Review.
    2. National Institutes of Health: Fast Facts about Uterine Fibroids. www.nichd.nih.gov/publications/pubs/fibroids/sub1.htm#where
    3. Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient surgical treatment patterns for patients with uterine fibroids in the United States, 1998-2002. J Natl Med Assoc . 2005 Oct;97(10):1336-42.
    4. Lumsden MA.Embolization versus myomectomy versus hysterectomy: Which is best, when? Hum Reprod. 2002; 17:253-259. Review.
    5. Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient surgical treatment patterns for patients with uterine fibroids in the United States, 1998-2002. J Natl Med Assoc. 2005 Oct;97(10):1336-42.
    6. Kristen A. Wolanske, MD; Roy L. Gordon, MD. Uterine Artery Embolization: Where Does it Stand in the Management of Uterine Leiomyomas? Part 2. Appl Radiol 33(10):18-25, 2004. Medscape.10/27/2004.
    7. Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):511-8.

    While clinical studies support the effectiveness of the da Vinci®System when used in minimally invasive surgery, individual results may vary. Surgery with the da VinciSurgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

  • Ovarian Cystectomy - removal of ovarian cysts

    The da Vinci robot system can be used to treat ovarian cysts using minimally invasive surgery. The da Vinci system with its 3-D High Definition Camera allows for precise removal of ovarian cysts.  Using state of the art technology, a da Vinci Cystectomy requires only a few incisions so you can get back to your life faster. 

  • Vaginal or Uterine Prolapse Repair

    Television's Dr. Oz has called pelvic organ prolapse one of the "last taboo" topics in gynecology, even though nearly half of all women will experience the problem in their lifetimes.
    Here's the story: Normally, muscles and tissues firmly support the organs in a woman's lower abdomen. Genetics, childbirth, hysterectomy and other factors can cause this support to fail, in which case the uterus, vagina, bladder, small intestine and/or rectum can fall or prolapse. Over time, a woman with pelvic organ prolapse may experience incontinence, constipation, sexual dysfunction, lower abdominal discomfort and bulging at the vagina.

    Sacrocolpopexy is a procedure to surgically correct vaginal vault prolapse where mesh is used to hold the vagina in the correct anatomical position. This procedure can also be performed following a hysterectomy to treat uterine prolapse to provide long-term support of the vagina. Sacrocolpopexy has traditionally been performed as an open surgery. A 15-30 cm horizontal incision is made in the lower abdomen in order to manually access the inter-abdominal organs, including the uterus.

    If your doctor recommends sacrocolpopexy, you may be a candidate for a new surgical procedure called da Vinci®Sacrocolpopexy. This procedure uses a state-of-the-art surgical system designed to help your surgeon perform a minimally invasive surgery through small incisions.

    For most women, da Vinci® Sacrocolpopexy offers numerous potential benefits over a traditional open approach:

    • Significantly less pain
    • Less blood loss and need for transfusions
    • Less risk of infection
    • Less scarring
    • Shorter hospital stay
    • Shorter recovery time
    • Quicker return to normal activities