Procedure
Total Robotic Hysterectomy
A total robotic hysterectomy is a minimally invasive surgical procedure to remove the uterus and cervix using robotic‑assisted laparoscopic technology. The procedure offers enhanced precision and visualisation while maintaining the benefits of keyhole surgery.
Removal of the ovaries and fallopian tubes may be performed at the same time, depending on the indication for surgery and individual circumstances.
Indications for Surgery
A total robotic hysterectomy may be recommended for women with:
Heavy or irregular menstrual bleeding not responding to other treatments
Symptomatic uterine fibroids
Adenomyosis
Chronic pelvic pain
Endometriosis not adequately controlled by conservative surgery
Precancerous or early cancerous conditions of the uterus or cervix
Surgery is considered after careful consultation, particularly when fertility is no longer desired and other treatment options have been explored.
How the Surgery Is Performed
The procedure is performed under general anaesthesia. Several small incisions are made in the abdomen to allow insertion of a high‑definition camera and robotic surgical instruments, which are controlled by the surgeon.
The robotic system provides improved dexterity and precision, allowing meticulous dissection and suturing while minimising trauma to surrounding tissues. The uterus and cervix are detached internally and removed through the vagina. The vaginal cuff is then securely closed.
Most patients are discharged the same day or after an overnight hospital stay.
Risks and Recovery
Robotic hysterectomy is a safe and well‑established procedure; however, all surgery carries risks. These include bleeding, infection, injury to surrounding organs (such as bladder, bowel or ureters), blood clots, and anaesthetic risks.
Recovery is typically faster than open surgery, with most women returning to normal activities within 2–4 weeks. Post‑operative follow‑up ensures healing is progressing well and ongoing care needs are addressed.
Dr Michael Wynn-Williams
MBChB (Otago), FRANZCOG
Gynaecologist, Advanced Laparoscopic Surgeon, Endometriosis and Pelvic Pain Specialist
Dr Michael Wynn-Williams is a highly experienced Auckland gynaecologist and laparoscopic surgeon, specialising in the treatment of endometriosis, fibroids, pelvic pain, and ovarian cysts. With a commitment to minimally invasive surgery and evidence-based practice, he helps women across tNew Zealand achieve better outcomes with empathy, precision, and respect