Robotic-assisted gynaecological surgery using the Da Vinci system is a minimally invasive approach that generally allows for faster recovery compared to traditional open surgery. However, recovery is gradual and varies depending on the procedure performed and your individual circumstances.
This guide provides a general timeline based on typical recovery after robotic gynaecological procedures. Your surgeon will provide specific advice tailored to your operation.
Day of Surgery
- The procedure is performed under general anaesthetic
- Small keyhole incisions (typically 8-12mm) are used
- Most patients are awake and mobile within a few hours
- Pain is managed with a combination of medications
- You may experience some bloating or shoulder-tip pain from the gas used during surgery — this resolves within 24-48 hours
Days 1-3: Hospital and Early Home Recovery
- Most patients are discharged within 1-2 days
- You may feel tired and experience mild-to-moderate discomfort
- Light walking is encouraged — it helps reduce bloating and the risk of blood clots
- Avoid lifting anything heavier than a kettle
- Eat light meals and stay well hydrated
- Take prescribed pain relief regularly, rather than waiting for pain to build
Week 1: Rest and Gentle Movement
- Continue gentle walking, gradually increasing distance
- Fatigue is normal — listen to your body and rest when needed
- Incision sites may feel tender but should not be red, hot, or oozing
- Avoid driving until you can perform an emergency stop comfortably (usually 1-2 weeks)
- Avoid baths and swimming until wounds are fully healed — showers are fine
Weeks 2-3: Gradual Increase in Activity
- Most patients begin to feel significantly better
- You can usually return to light desk-based work
- Continue to avoid heavy lifting, strenuous exercise, and sexual intercourse
- You may still tire more easily than usual
- Follow-up appointment is typically arranged during this period
Weeks 4-6: Return to Normal Activities
- Most patients are back to normal daily activities by 4 weeks
- You can gradually reintroduce exercise, starting with walking and gentle core work
- Heavy lifting and high-impact exercise should wait until 6 weeks
- Sexual intercourse can usually resume after 4-6 weeks (your surgeon will advise)
- If you had a hysterectomy, full internal healing takes approximately 6-8 weeks
When to Contact Your Surgeon
Contact the practice or hospital if you experience: - Fever or temperature above 38°C - Increasing pain not controlled by medication - Heavy vaginal bleeding (more than a normal period) - Wound redness, swelling, or discharge - Difficulty passing urine or opening your bowels - Any concerns about your recovery
Recovery Compared to Open Surgery
One of the key advantages of robotic surgery is the faster recovery profile. Compared to traditional open surgery, patients typically experience: - Less postoperative pain - Shorter hospital stay (1-2 days vs 3-5 days) - Faster return to work and daily activities (2-4 weeks vs 6-8 weeks) - Smaller scars and better cosmetic outcome - Lower risk of wound complications
Prof Mahmood has performed over 300 robotic-assisted gynaecological procedures at Bon Secours Hospital Limerick with a complication rate of less than 5%.