Laparoscopic/robotic total hysterectomy and removal of ovaries and fallopian tubes.
This is an operation to remove the entire uterus (i.e. uterine body and cervix), as well as the fallopian tubes and ovaries. It is one of the most common gynecologic procedures. The most common indications for this procedure are: uterine fibroids, abnormal uterine bleeding (metrorrhagia) and uterine prolapse (relaxation).
In gynecologic oncology surgery, total hysterectomy is the most common procedure in case of endometrial cancer (or simply put, of uterine cancer) and is an integral part of surgical staging for endometrial cancer.
Occasionally, patients with early stage endometrial cancer may have to undergo total hysterectomy and removal of the fallopian tubes and ovaries without comprehensive surgical staging, on condition that they understand and accept, once duly informed, that they may have to undergo a second comprehensive staging procedure as a result of the findings in the final uterine and ovarian histological examination.
This surgery is being performed for many years now using laparoscopic or robot-assisted techniques, provided that the surgical team is properly trained and experienced.
In 2009, Dr. G. Hilaris and his team performed the first ever robot-assisted surgical staging in Greece, for endometrial cancer in a 39-year-old patient.
Hysteroscopy (from the Greek word “ύστερον”= uterus and endoscopy) is the detailed examination of the uterus (or endometrial cavity).
Laparoscopic surgery has gained popularity over the last decades as an alternative method for performing a multitude of procedures.