Tips and Tricks: Single-Site Robotic-Assisted Myomectomy.

J Minim Invasive Gynecol

Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC.

Published: July 2017

AI Article Synopsis

  • The study offers tips for performing a single-site robotic-assisted myomectomy, a less invasive surgical option.
  • It highlights that this technique, while challenging, can be made safer and more reproducible with proper training and the use of robotic systems.
  • The findings suggest that single-site myomectomy, which maintains good aesthetic results, is comparable in outcomes to traditional multiport procedures for selected patients.

Article Abstract

Study Objective: To describe some tips and tricks that facilitate a single-site robotic- assisted (RA) myomectomy.

Design: Stepwise surgical tutorial using a narrated video (Canadian Task Force classification III).

Setting: Academic tertiary care hospital.

Interventions: Single-incision RA myomectomy is a novel technique that presents unique surgical challenges. Although similar in outcomes to multiport myomectomy, single-site myomectomy is more cosmetically appealing. Traditional laparoscopic single- site myomectomy has been associated with a steep learning curve. The robotic single-site platform mitigates some of these difficulties, which allows for the reproducibility and safety of this technique in appropriately selected patients. In this surgical tutorial, we present a case of a 7-cm type 2-5 fibroid removed with this approach.

Conclusion: Single-site RA myomectomy is a safe, minimally invasive option for appropriately selected patients. Although it is a challenging procedure, it provides excellent cosmesis and is reproducible with adequate training and expertise.

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Source
http://dx.doi.org/10.1016/j.jmig.2016.04.003DOI Listing

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