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Robotic single-site myomectomy: initial report and technique

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Presentation on theme: "Robotic single-site myomectomy: initial report and technique"— Presentation transcript:

1 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 e1 (May 2015) DOI: /j.fertnstert Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

2 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  , e1DOI: ( /j.fertnstert ) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

3 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  , e1DOI: ( /j.fertnstert ) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

4 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  , e1DOI: ( /j.fertnstert ) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

5 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  , e1DOI: ( /j.fertnstert ) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions


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