Pasco, Hillsborough & Pinellas, FLRenuka Ramappa, MD successfully completed the first single–site robotic hysterectomy at Medical Center of Trinity, giving women a less invasive option for this complex operation. Hysterectomy removes a woman’s uterus and is the second most common surgery for women in America with approximately one–third of all women undergoing the operation by the time they are 60. Hysterectomy is often recommended to treat serious and sometimes painful conditions such as endometriosis, excessive menstrual bleeding or uterine fibroids.

In a traditional open hysterectomy, physicians perform the procedure through a five to seven inch incision in the woman’s abdomen. This leaves a noticeable scar and approximately one to two months recovery time. Laparoscopic hysterectomies can be performed using multiple, smaller, but still readily visible incisions. However, the da Vinci robotic–assisted single–site surgery is less invasive and allows women to return to their regular activities more quickly.

During the single–site hysterectomy, Dr. Ramappa made a single, one inch incision in the navel. She controls the surgical instruments from a console in the operating room, which displays a three–dimensional, high–definition image of the patient’s anatomy. The system translates her hand, wrist and finger movements into more precise movements of the miniaturized instruments inside the patient.

The benefits of a single–site hysterectomy may include:

  • Less pain
  • Reduced trauma to body
  • Less scarring
  • Short hospital stay (usually about 24 hours)
  • Reduced blood loss and need for transfusion
  • Quicker recovery and return to normal activities

“This is a technology that produces a wonderful cosmetic outcome following gynecologic surgery and I’m very excited to be able to offer it to my patients,” said Dr. Ramappa. “There is less scarring, less post–operative pain, and less recovery time compared to a traditional hysterectomy,” she added.

Dr. Ramappa is an obstetrician/gynecologist who has been providing service to women of Pasco County since 1983. She completed both her internship and residency at Jackson Memorial Hospital, Miami. She is a graduate of Mysore Medical College.