Surgical techniques: robot-assisted laparoscopic myomectomy with the da Vinci(®) surgical system
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. Advance...
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Published in | Journal of robotic surgery Vol. 1; no. 1; pp. 69 - 74 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
England
Springer Nature B.V
01.03.2007
Springer-Verlag |
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Abstract | 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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AbstractList | 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. 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. 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. |
ArticleNumber | 69 |
Author | Senapati, Sangeeta Advincula, Arnold P |
Author_xml | – sequence: 1 givenname: Sangeeta surname: Senapati fullname: Senapati, Sangeeta organization: Department of Obstetrics and Gynecology, University of Michigan Medical Center, L4000 Women's Hospital, 1500 East Medical Center Drive, Ann Arbor, MI 48109 USA – sequence: 2 givenname: Arnold P surname: Advincula fullname: Advincula, Arnold P organization: Department of Obstetrics and Gynecology, University of Michigan Medical Center, L4000 Women's Hospital, 1500 East Medical Center Drive, Ann Arbor, MI 48109 USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25484940$$D View this record in MEDLINE/PubMed |
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SubjectTerms | Anesthesia Cameras Fertility Fibroids Infertility Laparoscopy Laparotomy Multilayers Original Patients Robotics Robots Surgeons Surgery Surgical techniques Three dimensional imaging Uterus |
Title | Surgical techniques: robot-assisted laparoscopic myomectomy with the da Vinci(®) surgical system |
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