robotic

hysterectomy
by
marefil jane pasaquian
princess brigitte pateÑa

bsn 4f
Table of Contents
1. what is robotic
hysterectomy?
2. pre-operative care
3. position of the patient
4. skin preparation
5. proper draping
6. special instruments,
supplies & equipment
7. type of anesthesia used
8. post-operative care
what is
hysterectomy?
Hysterectomy is the surgical removal
of a woman's uterus. This surgery can
be done through small incisions using
a thin, lighted scope with a camera on
the end (a laparoscope). This is called a
laparoscopic hysterectomy.
 what is robotic
hysterectomy?
In robotic-assisted laparoscopic hysterectomy,
the surgeon uses a computer to control the
surgical instruments. The computer station is in
the operating room. The surgeon is able to
control the robot's movements steadily and
precisely. This lets him or her get into tiny
spaces more easily and have a better view of
the operation than with conventional
laparoscopic surgery.
 pre-operative care
1. Provide detailed information 3. Establish IV line and antibiotics will
regarding the procedure to be be given to avoid infections.
done.

2..Raising awareness of the 4. Urinary catheter will be inserted

procedure's potential dangers. to drain the bladder.
pre-operative care
5. Secure informed consent.
6. Inform the patient to prepare pads since
she might experience bleeding in the vagina
post-surgery.
7. Patient should be in NPO 8 hours
prior to surgery
Trendelenburg Position
 1. Cleaning the operative site will be done with
Savlon/CHG/betadine wash.
2. Apply the solution using sterile gauze with
movements from clean to dirty areas
starting from the centre of the incision site
and moving outwards, maintaining an
aseptic technique.
3. Apply the Betadine paint from cleanest to
the dirtiest area starting from the centre of
the incision site and moving outwards.
skin 4. Allow to dry before the incision.
5. Ensure that the drapes are not soaked after
preparation placing and before starting the incision.
proper draping
 Special instruments,
supplies and equipment

SURGEON CONSOLE PATIENT CART VISION CART

 type of
anesthesia used
general anesthesia
This surgery is usually done under general
anesthesia so the patient will be asleep
during surgery.
 post-operative care
1. Monitor patient in the 5. Keep the incision sites dry for
recovery room. a few days and follow surgeon’s
2. Pain medication will be instructions on bathing and
given as needed. dressing care.
3. Bladder catheter may be 6. Inform patient to avoid lifting
removed in 1 to 2 days. for a few weeks.
4. Encourage the patient to 7. Advise patient to visit her
ambulate when tolerated to surgeon upon recovering when
prevent blood clots from she experiences any
forming on her legs. abnormalities.
references
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/robotic-hysterectomy
https://www.mayoclinic.org/tests-procedures/robotic-hysterectomy/about/pac-20384544
http://www.womenshealthsection.com/content/print.php3?title=gyn027&cat=3&lng=english
https://medical-dictionary.thefreedictionary.com/console+surgeon
https://www.davincisurgery.com/da-vinci-systems/about-da-vinci-systems
https://www.halyardhealth.com/wp-content/uploads/C15851-Robotic-Abdominal-Pelvic-
Draping-Guide.pdf