Robotic tubal anastomosis: surgical technique and cost effectiveness Sejal P. Dharia Patel, M.D., Michael P. Steinkampf, M.D., Scott J. Whitten, M.D., Beth A. Malizia, M.D.  Fertility and Sterility  Volume 90, Issue 4, Pages 1175-1179 (October 2008) DOI: 10.1016/j.fertnstert.2007.07.1392 Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Standard port placement for robotic tubal anastomosis. The camera port (12 mm) is placed at the umbilicus. The da Vinci ports (8 mm) are placed in the midclavicular line, 1 to 2 cm below the level of the umbilicus and lateral to the rectus muscle. An accessory port (10 mm) is positioned on left side of patient, between the camera and the da Vinci port. Fertility and Sterility 2008 90, 1175-1179DOI: (10.1016/j.fertnstert.2007.07.1392) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 2 (A) Hospitalization times were statistically significantly decreased for patients who underwent a robotic anastomosis, who were sent home the same day of surgery. (B) Postoperative analgesic requirements were statistically significantly greater for patients who underwent open anastomoses. Although patients were given a prescription for analgesic medications, over-the-counter self-medication usage could not be excluded. (C) Time to recovery as measured by independent activities of daily living (IADLS) was accelerated in patients who underwent robotic surgery, which improved the overall cost effectiveness of robotic tubal anastomoses. Fertility and Sterility 2008 90, 1175-1179DOI: (10.1016/j.fertnstert.2007.07.1392) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions