Surgery is never a simple decision. We aim to provide our patients with the resources to make well informed choices for treatment of their fibroids. We are equipped with the latest advancements to provide an array of surgical options. Surgical treatment options include fibroid removal (myomectomy) and hysterectomy procedures performed by board certified physicians of the American Board of Obstetrics and Gynecology.
UCLA is proud to offer the latest technology and surgical expertise in robotic and laparoscopic hysterectomy.
A hysterectomy is the surgical removal of all or part of the uterus. The doctor may also remove the fallopian tubes, ovaries and, the cervix during the same surgery. However, most women undergoing hysterectomy, regardless of their age, DO NOT need to have their ovaries removed if there are no ovarian masses or concerning issues seen preoperatively or at the time of surgery.
Hysterectomies are commonly performed as final treatment option for chronic issues such as uterine fibroids, endometriosis, pelvic support problems (i.e uterine prolapse), abnormal uterine bleeding, cancer, and chronic pelvic pain. There are two types of hysterectomy procedures. Depending upon the patient’s history, preferences and the surgeon’s specific expertise, a hysterectomy can be performed via vaginal, laparoscopic, robotic and abdominal techniques.
Types of Hysterectomy
In laparoscopic hysterectomy, surgeons can view and access the pelvis through a few, small incisions, and remove the uterus through the vagina. In cases in which the uterus is large or in partial hysterectomies, the surgeon will remove the uterus through the small incisions in the abdomen. The procedure is associated with faster recovery and fewer complications compared to abdominal (open) hysterectomy. Patients with extensive inflammation, infection or abdominal scarring from previous surgeries may not be appropriate candidates for laparoscopic hysterectomy. Laparoscopic hysterectomy usually requires only 1 day or less in the hospital and 2- 6 weeks of recovery time.
Watch video >
While still done through the laparoscope, robotic assisted hysterectomy has the added benefit of allowing more complex surgery to be performed avoiding the need for a large incision. This enhancement has been shown to reduce recovery time and pain when compared to traditional abdominal hysterectomy. Robotic assisted hysterectomy usually requires only 1 day or less in the hospital and less than 2- 6week of recovery time.
Vaginal hysterectomy is surgical removal of the uterus through an incision inside the vagina. There are no incisions made on the patient’s abdomen during this procedure. This hysterectomy method uses a smaller incision inside the vagina to detach the uterus internally. This minimally invasive technique carries the advantage of shorter hospital stay and recovery time, less pain, lower cost, and no external abdomen scars. Vaginal hysterectomies usually require a 1-night hospital stay and 2-6 weeks of recovery time.
An abdominal hysterectomy removes the entire uterus by extracting the uterus through an incision in the abdomen. Abdominal hysterectomy allows the surgeon to easily see pelvic organs so it is especially useful for extremely large fibroids or when additional complications exist. The hospital stay can last from 1-3 days and recovery time is generally 4-8 weeks.
UCLA Health Library:
What is a robotic hysterectomy? >