Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy: A Comparison of Surgical Outcomes

Barakat, Ehab E.; Bedaiwy, Mohamed A.; Zimberg, Stephen; Nutter, Benjamin; Nosseir, Mohsen; Falcone, Tommaso

doi:10.1097/aog.0b013e318207854f

Cited by 223 publications

(147 citation statements)

References 22 publications

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“…18,20 Technical advantages of robotic-assisted laparoscopic surgery may help overcome these challenges and perhaps improve the adoption of the laparoscopic technique. 8,11 These advantages include 3-dimensional visualization, instrument articulation, improved dexterity, and the elimination of tremor and counterintuitive movements. 21,22 Specifically, these advantages offer the community-based gynecologist greater facility with which to suture and surgically dissect laparoscopically.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Gobern

Barter

Steren

2011

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 99%

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Gobern

Barter

Steren

2011

Journal of Minimally Invasive Gynecology

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“…Other studies have confirmed the longer operating time and shorter length of stay [51,52] [55]. There are few published studies assessing the role of robot-assisted surgery in fertility.…”

Section: Fertility: Myomectomymentioning

confidence: 89%

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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“…The cost of surgery can be minimized when performed by an experienced surgeon with decreased operative time and may be further offset by the decreased length of inpatient stay compared with laparotomy. 39 Initial hospital charges have been found to be higher with lower physician reimbursement for robot-assisted surgery. 17 However, as the costs secondary to depreciation of the robot decrease in combination with lower complication rates, length of stay, and nursing costs, robot-assisted technology may become the more optimal financial option.…”

Section: Discussionmentioning

confidence: 99%

“…39 Compared to laparotomy, patients undergoing RALM have been shown to have a significantly less blood loss, a smaller change in postoperative hematocrit, and a shorter length of stay. 17 Furthermore, RALM may avoid complications associated with myomectomy performed by laparotomy, including postoperative hemorrhage, ileus, bowel obstruction, cystotomy, and pelvic abscess formation.…”

Section: Discussionmentioning

confidence: 99%

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Reproductive outcomes following robotic myomectomy

Shaia

Sekhon

Rosen

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: To assess pregnancy outcomes of patients following robotic myomectomy.Methods: Retrospective chart review was performed of 336 patients following robotic myomectomy at a university hospital from June 2006 to May 2013. Patients were called to obtain delivery outcomes.Results: Three hundred and thirty-six women had the following: mean age of 41.97 +/- 12.3 years (range 24-55), mean BMI of 24.6 +/- 4.96, mean of 3.37 +/- 3.1 fibroids removed (range 1-21), and mean weight of 352.28 +/- 339.56 grams of fibroids removed. Approximately 66.9% (N=250) provided pregnancy outcome data with 119 (47.6%) attempting pregnancy after surgery. Eighty-three (69.7%) achieved a total of 91 pregnancies. Less than half of these patients underwent cesarean section, and no cases of uterine rupture. Eighty-seven patients had known infertility pre-surgery; 22 underwent intrauterine insemination resulting in 12 pregnancies, and 34 underwent in vitro fertilization resulting in 25 pregnancies. A total of 53 (60.9%) of patients with infertility achieved 60 total pregnancies.Conclusions: The fertility rate after robotic myomectomy for patients attempting to conceive (69.7%) and for those with known infertility who continued to attempt pregnancy postoperatively (60.9%) were similar. There was a low incidence of complications associated with pregnancies conceived after robotic myomectomy.

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Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy: A Comparison of Surgical Outcomes

Abstract: II.

Cited by 223 publications

References 22 publications

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Gynecological Surgery and the Robot

Reproductive outcomes following robotic myomectomy

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