Keith Reisler, MD, of Plano, TX, has been in private practice for over 24 years. Dr. Keith Reisler completed his OBGYN residency at highly regarded, Southwestern Medical School/Parkland Hospital. Among the issues that women are confronted with are whether to have a hysterectomy, and which approach to use.
Hysterectomy involves the surgical removal of the womb or uterus. There are many reasons why it is performed, the most common being the presences of uterine fibroids. These are benign growths which can cause medical complications.
The various hysterectomy methods include abdominal, vaginal, laparoscopic, and robotic-assisted. Abdominal hysterectomy is the more traditional approach and requires a 6-to-12-inch incision in the abdominal wall. Vaginal hysterectomy involves the removal of the uterus through the vagina. Laparoscopic hysterectomy involves three to four small incisions in the abdominal wall and is considered non-evasive. The robotic-assisted procedure is relatively new, and its effectiveness vis-a-vis other methods is still under study. It is currently the most expensive approach.
There are many factors to consider in which method to use, including technical, medical, financial, and even the availability of medical equipment. One major consideration, of course, is that the surgeon performing the operation be highly skilled in the method used.