Endoscopic Management of Leiomyomata

Advincula, Arnold P.; Song, A.H.

doi:10.1055/s-2004-828621

Cited by 17 publications

(2 citation statements)

References 30 publications

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“…The study reported mean EBL to be 169 ± 198 ml with average operative times of 230 ± 83 min. [ 8 ] As surgical experience increases the operative times decrease. [ 9 ]…”

Section: Robotic Myomectomymentioning

confidence: 99%

Robotic surgery in gynecology

et al. 2015

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FDA approved Da Vinci Surgical System in 2005 for gynecological surgery. It has been rapidly adopted and it has already assumed an important position at various centers where this is available. It comprises of three components: A surgeon's console, a patient-side cart with four robotic arms and a high-definition three-dimensional (3D) vision system. In this review we have discussed various robotic-assisted laparoscopic benign gynecological procedures like myomectomy, hysterectomy, endometriosis, tubal anastomosis and sacrocolpopexy. A PubMed search was done and relevant published studies were reviewed. Surgeries that can have future applications are also mentioned. At present most studies do not give significant advantage over conventional laparoscopic surgery in benign gynecological disease. However robotics do give an edge in more complex surgeries. The conversion rate to open surgery is lesser with robotic assistance when compared to laparoscopy. For myomectomy surgery, Endo wrist movement of robotic instrument allows better and precise suturing than conventional straight stick laparoscopy. The robotic platform is a logical step forward to laparoscopy and if cost considerations are addressed may become popular among gynecological surgeons world over.

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“…The study reported mean EBL to be 169 ± 198 ml with average operative times of 230 ± 83 min. [ 8 ] As surgical experience increases the operative times decrease. [ 9 ]…”

Section: Robotic Myomectomymentioning

confidence: 99%

Robotic surgery in gynecology

et al. 2015

View full text Add to dashboard Cite

show abstract

“…These issues are thought to affect conversion rates to laparotomy and may play a role in cases of uterine rupture. Much of the steadfast adherence to the open approach has been due to the difficulties encountered with conventional laparoscopy and its associated learning curves [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical techniques: robot-assisted laparoscopic myomectomy with the da Vinci® surgical system

Senapati

Advincula

2007

J Robotic Surg

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Myomectomy remains the surgical option of choice for women with symptomatic leiomyomata who desire uterine conservation or in particular future fertility. The ability to enucleate leiomyomata and repair the uterus with a multilayer-sutured closure is both crucial and technically challenging. Advanced gynecologic pathology and the surgical limitations of conventional laparoscopy have often been cited as impediments to not only these critical steps but also to converting a myomectomy from a procedure predominantly performed by laparotomy to one accomplished by laparoscopy. Recently, the use of robotic technology as a means to facilitate the laparoscopic completion of a myomectomy was introduced. Advantages to this approach have been the improved dexterity and precision of the instruments coupled with three-dimensional imaging. Published preliminary data have shown the feasibility and safety to this approach. This paper will outline a safe and efficient surgical technique for completing a robot-assisted laparoscopic myomectomy with the da Vinci® surgical system.

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Fibroids and Infertility: Principles and Techniques of Management

Amoako

Ola

2015

Reproductive Surgery in Assisted Conception

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Endoscopic Management of Leiomyomata

Cited by 17 publications

References 30 publications

Robotic surgery in gynecology

Robotic surgery in gynecology

Surgical techniques: robot-assisted laparoscopic myomectomy with the da Vinci® surgical system

Fibroids and Infertility: Principles and Techniques of Management

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