Robot-assisted laparoscopy for infertility treatment: current views

Comparison of Long-Term Fertility and Bleeding Outcomes after Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy

“…This is a novel contribution to the literature regarding myomectomy and several authors have cited a need for this type of long-term outcome data [20, 21]. Many prior publications are case series from an individual surgeon at a single hospital reporting on relatively small numbers of patients.…”

Robotic Shaving Technique in 25 Patients Affected by Deep Infiltrating Endometriosis of the Rectovaginal Space

“…This technologic advantage offers numerous advantages over conventional laparoscopy, well described in literature [14]. RAL provides for precise dissection of the pelvic area, allowing good visualization of the pelvic plexus nerves, thereby allowing resection without nerve injury.…”

“…The advantages offered by RAL may be highly valuable in the management of infertility with the assimilation of microsurgery principles into fertility-promoting procedures. Owing to the numerous drawbacks of laparoscopic surgery in DIE and the very limited data available to date [14], consideration should be given to the potential role of robotics for this indication. Here we present our results and evaluate the feasibility and long-term outcomes of RAL for treating DIE of the RVS, including complications, pain relief, and recurrence rate.…”

The Role of Hysteroscopic and Robot-assisted Laparoscopic Myomectomy in the Setting of Infertility

“…In the subsequent years, nascent gynecologic robotic surgeons have demonstrated the safety and effectiveness of RALM in the treatment of fibroids. [6][7][8][9][10][11][12] Minimally invasive techniques allow careful dissection of tissues, causing minimal damage, while still removing the entirety of fibroid tumors. In fact, the risk of uterine rupture after minimally invasive myomectomy seems tobelessthanabdominal myomectomy (AM),0%to 1.1% versus 0% to 4%, respectively.…”

“…Although initially, RALMs have showntoincurlongeroperatingtimes,they have also allowed many surgeons overcome the technical and ergonomic challenges of laparoscopic surgery. [7][8][9][10][11] Given that any type of myomectomy can beabloodysurgery,stepsshouldbetakento minimize intraoperative blood loss before proceeding with RALM. Since 2000, GnRH analog treatment before undergoing AM or hysterectomy surgery has been utilized to reduce uterine size and volume to minimize blood loss, vertical abdominal incisions, and postoperative complications.…”