HYSTERECTOMY
Hysterectomy Specialists at CIGC
The doctors at CIGC have performed more than 25,000 complex GYN procedures including hysterectomies. CIGC’s surgeons treat hysterectomy patients with careful attention to their physical and emotional well–being throughout their treatment. Patients are treated with dignity and respect, using state-of-the-art minimally invasive procedures to ensure a smooth process.
What is a Hysterectomy?
A hysterectomy is a type of GYN surgery procedure in which the uterus is removed. Not all hysterectomies are the same, though. Other organs may also be removed along with the uterus, including the ovaries, fallopian tubes and cervix. The extent of removal depends on each patient’s individual needs.
A hysterectomy may be used to treat fibroids, endometriosis, pelvic pain, adenomyosis and abnormal bleeding, and may also be performed to permanently prevent pregnancy. There are various surgical procedures used to perform a hysterectomy, but CIGC’s surgeons use one of the safest techniques with the shortest recovery time: DualPort GYN®. This procedure was developed by CIGC’s laparoscopic surgeons and has been proven to provide superior outcomes.
Conditions Treated by Hysterectomy
A hysterectomy can be performed to treat a number of medical conditions, including:
Why CIGC?
A Gynecological Surgery Center of Distinction
CIGC is recognized as a Center of Excellence in Minimally Invasive Surgery by AAGL (the American Association of Gynecologic Laparoscopists).
We care for each patient as a true individual through a detailed and personalized approach that puts your needs as a patient first.
Advanced Techniques
Unlike the standard GYN surgical techniques, our DualPortGYN and LAAM® procedures allow patients to return home the same day. These advanced techniques also provide shorter recovery times and better outcomes.
Compared to open, robotic-assisted and standard laparoscopic techniques, CIGC surgical specialists use fewer and smaller incisions to minimize scarring and speed up recovery, resulting in lower complication rates. We get our patients back to their daily lives in one to two weeks on average — free from their GYN symptoms and worries.
| LAAM Procedure | Standard Laparoscopic | Robotic | Open | |
|---|---|---|---|---|
| Length of Procedure | 74-90min1 | 107-124min1 | 159-252min1 | 229-275min1 |
| Number of Incisions | 21 | 3–45,6 | 4–58,10 | 1 x 10–15 cm13,14 |
| Max Number of Fibroids Removed | 1031 | 181 | 131 | 651 |
| Hospital Stay | 0 Days1 | 1 Day14 | 1 Day4,11 | 2–3 Days4,11 |
| Recovery Time | 10–14 Days1 | Up to 3 Weeks7,17 | Up to 3 Weeks12 | Up to 8 Weeks10,15,16 |
| Conversion to Open Surgery | 0.7%1 | 22.9%1 | 8.2%1 | N/A |
Success Stories: Our Patients Say It Best
“Surgery was exactly as described, and my recovery was as described. Dr. MacKoul explained everything well in advance. Best decision I ever made — my life is so much healthier and vibrant.” – Natalie
“DualPort GYN is the procedure women deserve!” – Valinda
“We were able to schedule very quickly. My incisions are very small and healed quickly. I was in minimal pain post-surgery and now feel so much better.” – Kiera
“What I liked best about my experience was Dr. D’s confidence while still making me feel heard. The two incisions were in places that the body conceals.” – Jessica
Our Doctors
Surgical Centers
CIGC performs GYN procedures in state-of-the-art ambulatory surgical centers (ASCs). You can have peace of mind knowing you are having your hysterectomy in a facility ideally suited to safeguarding against COVID-19. The ASCs are independent from a hospital, smaller and easier to keep clean and sanitized; patients with COVID-19 are not treated here; and fewer people are present in the facility at any given time.
CIGC is located in the Washington, DC, and New York City metro areas, but we welcome patients from around the world. Our specialists offer evaluations onsite or via telemedicine appointments.
Related Blog Posts
References:
1 Danilyants N, MacKoul P, Baxi R, van der Does LQ, Haworth LR. Value-based assessment of hysterectomy approaches. JOGR. 2018.
2 Pasic et al. Comparing Robot-Assisted with Conventional Laparoscopic Hysterectomy: Impact on Cost and Clinical Outcomes. JMIG. 2010 17 (6): 730-738
3 Landeen LB, Bell MC, Hubert HB, Bennis LY, Knutsen-Larson SS, Seshadri-Kreaden U. Clinical and cost comparisons for hysterectomy via abdominal, standard laparoscopic, vaginal and robot-assisted approaches. South Dakota Medicine 2011; 64(6): 197-199
4 Drahonovsky J., Haakova L., Otcenasek M., Krofta L., Kucera E., and Feyereisl J.: A prospective randomized comparison of vaginal hysterectomy, laparoscopically assisted vaginal hysterectomy, and total laparoscopic hysterectomy in women with benign uterine disease. EJOGRB 2010; 148: pp. 172-176
5 Einarsson, J. I., & Suzuki, Y. (2009). Total laparoscopic hysterectomy: 10 steps toward a successful procedure. Reviews in obstetrics & gynecology, 2(1), 57-64.
6 Paraiso MF, Ridgeway B, Park AJ, et al. A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy. AJOG. 2013;208(5):368.e361–367.
7 Wright KN, Jonsdottir GM, Jorgensen S, Shah N, Einarsson JI. Costs and outcomes of abdominal, vaginal, laparoscopic and robotic hysterectomies. JSLS. 2012;16(4):519-24.
8 Aarts JWM, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BWJ, Kluivers KB. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Systematic Reviews 2015, Issue 8. Art. No.: CD003677.
9 Schmitt, J. J., Carranza Leon, D. A., Occhino, J. A., Weaver, A. L., Dowdy, S. C., Bakkum-Gamez, J. N., Pasupathy, K. S., Gebhart, J. B. (2017). Determining Optimal Route of Hysterectomy for Benign Indications: Clinical Decision Tree Algorithm. Obstetrics and gynecology, 129(1), 130-138.
10 Mayo Clinic
11 Paraiso MF, Ridgeway B, Park AJ, et al. A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy. AJOG. 2013;208(5):368.e361–367.
12 Yeung P, Bolden C et al. Patient Preferences of Cosmesis for Abdominal Incisions in Gynecologic Surgery. JMIG. 2013; 20(1): 79-84
13 Jones, H. W., III, & Rock, J. A. (2015). Te Linde’s operative gynecology (Eleventh edition). Philadelphia: Wolters Kluwer.
14 Royal College of Obstetricians & Gynaecologists, London, UK.
