Robot-assisted laparoscopic cervical cerclage as an interval procedure

Cronin, C. C.; Hewitt, Matt; Harley, Ian; O’Donoghue, Keelin; O’Reilly, Barry

doi:10.1007/s10397-012-0725-9

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…The systematic search in PubMed and in Scopus databases revealed a total of 42 and 123 search results, respectively, among which 14 studies (four case series and 10 case reports) were identified as eligible for inclusion in this review, according to the inclusion criteria. [11][12][13][14][15][16][17][18][19][20][21][22][23][24] One additional study was identified through the search of references of the included studies. 25 The selected studies for inclusion were presented in details in Figure 1…”

Section: Resultsmentioning

confidence: 99%

Robotic assisted laparoscopic cerclage: A systematic review

Iavazzo

Minis

Gkegkes

2018

Robotics Computer Surgery

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Introduction The gold standard in the management of cervical incompetence is cerclage via vaginal approach. Minimally invasive techniques, such as robotic, have been also described. Materials and Methods A systematic search was performed in PubMed and Scopus, searching evidence on robotic assisted laparoscopic cerclage in both pregnant and non pregnant women. Results Sixty‐four patients were included in this study. Cervical insufficiency, failure of transvaginal cerclage, and short cervix were the most frequent indications for robotic assisted cerclage. Mean operative time was 107.3 minutes. Mean estimated blood loss was 62.8 mL. Four patients converted to laparotomy. No postoperative complications were reported. Pregnancy after robotic cerclage was reported in 59 patients with mean gestational age at delivery of 36.4 weeks. The majority of pregnant women who underwent robotic assisted cerclage gave birth to live neonates. Conclusion Till now, evidence does not show a clear advantage of robotic over laparoscopic approach, under the evaluation of the current literature. However, further comparative studies might be essential to clarify the possible role of da Vinci robot in this field; this might be quite difficult even in the near future based on the fact that only five cases per year are described in the current literature.

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Section: Resultsmentioning

confidence: 99%

Robotic assisted laparoscopic cerclage: A systematic review

Iavazzo

Minis

Gkegkes

2018

Robotics Computer Surgery

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“…They concluded that robotic cerclage was a safe alternative to the traditional laparotomy approach and is associated with quicker recovery. Cronin et al . describe two cases of robotic interval cerclage in women with cervical insufficiency followed by pregnancies and term deliveries of two healthy infants.…”

Section: Robotic Cerclagementioning

confidence: 99%

Robotic surgery in gynaecology

Nair

Killicoat

Ind

2016

The Obstetric & Gynaecologis

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Robotic surgery has gained popularity in the last decade and the da Vinciâ Surgical System has been increasingly used for complex gynaecological surgery. The advantages of robotic surgery over conventional laparoscopic surgery are: greater degree of movement, precise dissection, 3D vision, tremor filtration and a shorter learning curve. The disadvantages are mainly the high cost and lack of haptic feedback. The current role of robotics in gynaecological surgery. Learning objectivesTo provide an overview of the advantages and drawbacks of robotic surgery over conventional open and laparoscopic surgery.To review the latest evidence and evaluate the role of robotics in general gynaecology and the subspecialties, including oncology and urogynaecology. To discuss training issues for individuals and for theatre teams. Ethical issuesIs it ethical to deny patients who would benefit from robotic surgery this option because of the cost?Robotic surgery offers all of the advantages of minimally invasive surgery, including decreased blood loss, quicker recovery, decreased length of hospital stay, less pain and ª 2016 Royal College of Obstetricians and Gynaecologists

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“…Persson et al identified that cervical suture placement at the time of robot-assisted trachelectomy is significantly more precise [61]. Case reports have been published detailing successful pregnancies following robot-assisted suture placement [62,63].…”

Section: Fertility: Interval Cervical Suture Placementmentioning

confidence: 99%

“…However, it didn't gain FDA approval for gynecological surgery until 2005, while in Europe it has had full regulatory clearance and the CE (Conformité Européenne) mark since 1999 [2]. Over the past eight years, the role of the robot has expanded exponentially with many gynecological procedures now being performed with robot assistance, including prolapse surgery (sacrocolpopexy/hysteropexy), myomectomy, tubal surgery, endometriosis surgery, hysterectomy (benign and malignant), cervical surgery (benign and malignant) and adnexal surgery [3,4]. The benefits for the Surgeon include the potential for greater precision, lower error rates, shorter learning curves and superior ergonomics than conventional laparoscopy.…”

Section: Introductionmentioning

confidence: 99%

Gynecological Surgery and the Robot

O’Sullivan¹,

O’Reilly²

2014

ENG

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As the only robotic device with FDA approval for gynecological surgery, the da Vinci ® Surgical System dominates robot-assisted surgery in the field. Benefits to the Surgeon include decreased risk of neck and back injury secondary to improved ergonomics. However, patients benefit greatly due to decreased length of stay, decreased blood loss and analgesic requirements. Unfortunately the initial economic impact of purchasing and maintaining a robot is great but must be balanced with the potential savings from reduced length of stay and earlier return to normal activity. This article looks at the indications for robot-assisted surgery in gynecology. Assessing the efficacy of this modality compared to both straight stick (Laparoscopy) and open procedures. We discuss the impact and implications for surgical training imposed by robotic surgery. Furthermore, we assess the safety of robotic surgery from both the surgeons prospective and as a surgical modality.

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Robot-assisted laparoscopic cervical cerclage as an interval procedure

Cited by 5 publications

References 23 publications

Robotic assisted laparoscopic cerclage: A systematic review

Robotic assisted laparoscopic cerclage: A systematic review

Robotic surgery in gynaecology

Gynecological Surgery and the Robot

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