Robotic single-site myomectomy: initial report and technique

Slides:

Advertisements

Similar presentations

Ectopic pregnancy: laparoendoscopic single-site surgery—laparoscopic surgery through a single cutaneous incision Ricardo Francalacci Savaris, M.D., Leandro.

Advertisements

Uterine artery embolization, hysterectomy, or myomectomy for symptomatic uterine fibroids: a cost-utility analysis Joyce H.S. You, Pharm.D., B.C.P.S.,

Benefit of uterine artery ligation in laparoscopic myomectomy

Stephan Gordts, M. D. , Sylvie Gordts, M. D. , Patrick Puttemans, M. D

Complete septate uterus with longitudinal vaginal septum

Soyoung Bae, M.D., Joseph Karnitis, M.D. Fertility and Sterility

Anton Langebrekke, M.D., Erik Qvigstad, M.D., Ph.D.

Edward G. Hughes, M.B., F.R.C.S.(C.), Deirdre DeJean, M.Sc.

Gynecological and obstetrical outcomes after laparoscopic repair of a cesarean scar defect in a series of 38 women Olivier Donnez, M.D., Ph.D., Jacques.

Influencing factors of adhesion development and the efficacy of adhesion-preventing agents in patients undergoing laparoscopic myomectomy as evaluated.

Appearance of uterine perforation by hysterosalpingography

One patient, two uteri, two endometrial ablations: case report of thermal balloon ablation in uterine didelphys Hector O. Chapa, M.D., Gonzalo Venegas,

Fernando Zegers-Hochschild, M.D. Fertility and Sterility

Michael M. Alper, M.D. Fertility and Sterility

Laparoscopy for differential diagnosis of a pelvic mass in a patient with Mayer- Rokitanski-Küster-Hauser (MRKH) syndrome Malgorzata Lanowska, M.D., Giovanni.

Angel Chao, M. D. , Ph. D, An-Shine Chao, M. D. , Tzu-Hao Wang, M. D

Robotic tubal anastomosis: surgical technique and cost effectiveness

Alexandre Lazard, M. D. , Sabine Poizac, M. D. , Blandine Courbiere, M

Conservative management of cervical ectopic pregnancy

Zhi-Da Qian, M.D., Qing-Yun Guo, M.D., Li-Li Huang, M.D.

A laparoscopic approach to Nuck’s duct endometriosis

Aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy Osamu Wada-Hiraike, M.D., Ph.D.,

Laparoendoscopic single-site and natural orifice surgery in gynecology

Robotic-assisted surgery in gynecologic oncology

How old is too old? Challenges faced by clinicians concerning age cutoffs for patients undergoing in vitro fertilization Robert L. Klitzman, M.D. Fertility.

Giant uterine leiomyomata

In-bag manual versus uncontained power morcellation for laparoscopic myomectomy: randomized controlled trial Roberta Venturella, M.D., Morena L. Rocca,

Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis See-Tong Pang, M.D., Ph.D., Angel Chao,

Laparoscopic metroplasty in bicornuate and didelphic uteri

Oocyte cryopreservation

Conservative surgical management for diffuse uterine adenomyosis

Two interesting cases of ovarian pregnancy after in vitro fertilization–embryo transfer and its successful laparoscopic management Selvaraj Priya, M.D.,

Live birth of a normal mature healthy baby by in vitro fertilization–embryo transfer (IVF- ET) after an exploratory laparotomy and multiple myomectomy.

Roberto Angioli, M. D. , Cleonice Battista, M. D

Gadolinium radiologic contrast is a useful alternative for hysterosalpingography in patients with iodine allergy Dorette Noorhasan, M.D., Michael J.

Parasitic myomas after laparoscopic myomectomy: case report

Stefano Palomba, M. D. , Errico Zupi, M. D. , Angela Falbo, M. D

Jhansi Reddy, M.D., Marc R. Laufer, M.D. Fertility and Sterility

Cervical fragmentation: a successful end-to-end anastomosis

Andrea Tinelli, M.D., Raffaele Tinelli, M.D., Antonio Malvasi, M.D.

Robotic-assisted laparoscopic ovarian tissue transplantation

Clomiphene citrate at 50: the dawning of assisted reproduction

Laparoscopically assisted uterovestibular anastomosis in patients with uterine cervix atresia and vaginal aplasia Luigi Fedele, M.D., Stefano Bianchi,

Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility Olivier Donnez, M.D.,

Evaluation of diagnostic testis biopsy and the repetition of testicular sperm extraction surgeries in infertility patients Alayman Hussein, M.B.B.C.H.,

Uterine artery embolization, hysterectomy, or myomectomy for symptomatic uterine fibroids: a cost-utility analysis Joyce H.S. You, Pharm.D., B.C.P.S.,

Interstitial pregnancy

Laparoscopic myomectomy for symptomatic uterine myomas

Computer-assisted reproductive surgery: why it matters to reproductive endocrinology and infertility subspecialists Antonio R. Gargiulo, M.D. Fertility.

One intrauterine device lost, two found

María A. Higón, M. D. , Santiago Domingo, M. D. , Celia Bauset, M. D

Fertility and Sterility: an evaluation

Temporary endovascular balloon occlusion of the bilateral internal iliac arteries for control of hemorrhage during laparoscopic-assisted myomectomy in.

Da Vinci-assisted abdominal cerclage

Impact of subclinical hypothyroidism in women with recurrent early pregnancy loss Lia A. Bernardi, M.D., Ronald N. Cohen, M.D., Mary D. Stephenson, M.D.,

Ovarian cystic teratoma with a pathognomonic appearance of multiple floating balls: a case report and investigation of common characteristics of the cases.

Eric S. Surrey, M. D. , Debra A. Minjarez, M. D. , John M. Stevens, B

Current evaluation of amenorrhea

Genetic evaluation procedures at sperm banks in the United States

A simplified novel laparoscopic formation of neovagina for cases of Mayer-Rokitansky- Küster-Hauser syndrome Atef Mohammad Darwish, M.D. Fertility and.

David H. Barad, M.D., M.S., Norbert Gleicher, M.D.

Radiologic and surgical demonstration of uterine polyposis

In vitro sildenafil citrate use as a sperm motility stimulant

Obstructed uteri with a cervix and vagina

Endometrial polyps affect uterine receptivity

Anat Hershko-Klement, M.D., Ronnie Tepper, M.D.

The use of recombinant luteinizing hormone in patients undergoing assisted reproductive techniques with advanced reproductive age: a systematic review.

Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance Ching-Hui.

Decreasing bleeding due to uterine fibroid with electroacupuncture

Does cold loop hysteroscopic myomectomy reduce intrauterine adhesions

Presentation transcript:

Robotic single-site myomectomy: initial report and technique Erin I. Lewis, M.D., Serene S. Srouji, M.D., Antonio R. Gargiulo, M.D. Fertility and Sterility Volume 103, Issue 5, Pages 1370-1377.e1 (May 2015) DOI: 10.1016/j.fertnstert.2015.02.021 Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A) Final docking for Da Vinci Single-Site surgical platform. Multiple-channel single port with: 1 and 2) curved instrument cannulas; 3) cannula for 8.5-mm laparoscope; 4) assistant cannula; and 5) insufflation channel. Original image courtesy of Intuitive Surgical, used with permission. (B) Wristed needle driver. Original image courtesy of Intuitive Surgical, used with permission. (C) Demonstration of side docking during RSS myomectomy, which allows for access to uterine manipulation by a single bedside assistant. Fertility and Sterility 2015 103, 1370-1377.e1DOI: (10.1016/j.fertnstert.2015.02.021) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Figure 2 (A) Fibroid enucleation with the use of: 1) assistant tenaculum; 2) Flexguide and wristed needle driver; 3) fenestrated bipolar instrument. (B) Hysterotomy repair with two wristed needle drivers (1 and 2). (C) Barbed suture is used to string together the enucleated fibroids (1 and 2). (D) Adhesion prevention barrier over uterine incision. Fertility and Sterility 2015 103, 1370-1377.e1DOI: (10.1016/j.fertnstert.2015.02.021) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Figure 3 (A) Eco Sac specimen retrieval bag inserted through the Alexis retractor. (B) Laparoscopic fibroid placement in Eco Sac with the Gelpoint Mini. (C) Eco Sac strings pulled through the trocar. (D) Eco Sac brought through the Alexis retractor. (E) Alexis retractor placed inside Eco Sac bag. (F) Tissue extraction through Alexis retractor. Fertility and Sterility 2015 103, 1370-1377.e1DOI: (10.1016/j.fertnstert.2015.02.021) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 (A) Umbilical port site immediately after repair in operating room. (B) Umbilical port site 1 month after surgery (same patient). Fertility and Sterility 2015 103, 1370-1377.e1DOI: (10.1016/j.fertnstert.2015.02.021) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions