Advantages of robotics in benign gynecologic surgery

Truong, Mireille; Kim, Jin Hee; Scheib, Stacey A.; Patzkowsky, K.E.

doi:10.1097/gco.0000000000000293

Cited by 59 publications

(38 citation statements)

References 59 publications

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“…These trends are noteworthy. Robot‐assisted laparoscopy has several advantages over conventional laparoscopy such as improved ergonomics, a wider range of motion and dexterity, and greater ease of intracorporeal suturing . It has also been suggested that robot‐assisted surgery could serve as a better tool for general gynecologists to transition to advanced laparoscopic procedures such as RAM .…”

Section: Discussionmentioning

confidence: 99%

Temporal trends in minimally invasive myomectomy before and after the US Food and Drug Administration recommendation against electric morcellation

Pereira

Frankel

Hutchinson

et al. 2017

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 99%

Temporal trends in minimally invasive myomectomy before and after the US Food and Drug Administration recommendation against electric morcellation

Pereira

Frankel

Hutchinson

et al. 2017

Intl J Gynecology & Obste

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“…With advances in technology and surgical skill with robotic surgical equipment, more complex GYN and GYN‐oncology surgeries are now being completed as minimally invasive procedures, which results in a shorter length of stay and decreased patient morbidity . The resulting change in operative acuity necessitates that perioperative nurses must continually reassess and adjust roles and responsibilities as more procedures are moved from the inpatient operative setting to an ambulatory surgical site.…”

Section: Obstetrics and Gynecology (Ob‐gyn) Patient Carementioning

confidence: 99%

Perioperative Nursing Care in Obstetrics and Gynecology

Will¹

2019

AORN Journal

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MS, APRN-CNS, RNC-OB, C-EFM N ursing education, with its scientific and holistic approach to health care, provides the foundation for nurses to assess a clinical situation and identify, implement, and evaluate evidence-based interventions for optimal patient and system health outcomes. The first step for any nurse interested in providing or improving patient care on any level is achieving role competence and expertise in his or her area of clinical focus. The authors of a comprehensive literature review identified that perioperative nursing requires competence in two domains: specialized knowledge and human factors. 1The first domain, specialized knowledge, includes familiarity and expertise with perioperative guidelines and standards of care. This includes knowledge of operative and other invasive procedures, procedure flow, surgical instruments and equipment, infection control principles, and patient safety considerations. Mastery of this domain is fundamental to success as a perioperative nurse and is the stepping stone to achieving competence in the higherlevel leadership and collaborative aspects of perioperative care. The second domain, human factors, includes consideration of the interpersonal and social aspects of team interactions in the perioperative setting. These include the critical aspects of teamwork such as leadership and communication. 1Nurses who attain competence in the domains of specialized knowledge and human factors are in a good position to identify actionable ways to advance nursing practice and improve patient care. Expert nurses can choose to use these skills in bedside practice and focus on providing high-quality, evidence-based care to a select patient population, or they can expand their influence on patient care by identifying and operationalizing improvement processes across entire patient populations or health care systems. When an expert nurse recognizes the need for and feasibility of a change in practice, he or she can assume roles in nursing leadership, patient safety, quality improvement, program or policy development, or staff member or patient education. OBSTETRICS AND GYNECOLOGY (OB-GYN) PATIENT CAREObstetrics and gynecology is one specialty area in which nurses can positively influence women's health and operative outcomes. Women seek or require specialized OB-GYN surgical care for many reasons. These include, but are not limited to, pregnancy termination, infertility procedures, fetal surgery, cesarean birth, sterilization, hysterectomy, myomectomy, cancer exoneration, and pelvic organ reconstruction. Providing patient-centered care with advocacy, caring, and shared decision making is vital for women in all these situations. 2,3 Obstetric and gynecologic surgeries represent 26.5% of all surgical procedures performed on adult women. 4 Hysterectomy is one of the most frequently performed operative procedures, 5 and currently, one out of every three mothers gives birth by cesarean delivery. 6 Development and implementation of perioperative pathways called Enhanced Recovery ...

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“…Another advantage of the robotic single-site platform may be its shorter learning curve when compared with single-site laparoscopic hysterectomy 26. At this time, the preliminary outcomes reported for single-site robotic hysterectomy appear promising, but most authors agree that more studies are needed to define the appropriate applications for this approach prior to widespread adoption 27. In particular, at this time, the single-site robotic platform is unlikely to replace the multiport robotic platform when operating cases with high surgical complexity.…”

Section: Single-site Hysterectomy Via Laparoscopic and Robotic Approachmentioning

confidence: 99%

Robotic-assisted hysterectomy: patient selection and perspectives

Smorgick¹

2017

IJWH

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Minimally invasive hysterectomy via the laparoscopic or vaginal approach is beneficial to patients when compared with laparotomy, but has not been offered in the past to all women because of the technical difficulties and the long learning curve required for laparoscopic hysterectomy. Robotic-assisted hysterectomy for benign indications may allow for a shorter learning curve but does not offer clear advantages over conventional laparoscopic hysterectomy in terms of surgical outcomes. In addition, robotic hysterectomy is invariably associated with increased costs. Nevertheless, this surgical approach has been widely adopted by gynecologic surgeons. The aim of this review is to describe specific indications and patients who may benefit from robotic-assisted hysterectomy. These include hysterectomy for benign conditions in cases with high surgical complexity (such as pelvic adhesive disease and endometriosis), hysterectomy and lymphadenectomy for treatment of endometrial carcinoma, and obese patients. In the future, additional evidence regarding the benefits of single-site robotic hysterectomy may further modify the indications for robotic-assisted hysterectomy.

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Advantages of robotics in benign gynecologic surgery

Cited by 59 publications

References 59 publications

Temporal trends in minimally invasive myomectomy before and after the US Food and Drug Administration recommendation against electric morcellation

Temporal trends in minimally invasive myomectomy before and after the US Food and Drug Administration recommendation against electric morcellation

Perioperative Nursing Care in Obstetrics and Gynecology

Robotic-assisted hysterectomy: patient selection and perspectives

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