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Robotic-assisted hysterectomy for the management of severe endometriosis: a retrospective review of short-term surgical outcomes.

Authors :
Bedaiwy MA
Rahman MY
Chapman M
Frasure H
Mahajan S
von Gruenigen VE
Hurd W
Zanotti K
Source :
JSLS : Journal of the Society of Laparoendoscopic Surgeons [JSLS] 2013 Jan-Mar; Vol. 17 (1), pp. 95-9.
Publication Year :
2013

Abstract

Objectives: The primary objective was to examine the safety and feasibility of robotic-assisted laparoscopy in a cohort of women treated surgically for stage III and IV endometriosis. The secondary objective was to explore whether the stage of endometriosis affected surgical outcome.<br />Methods: In this cohort study, 43 women with severe endometriosis were treated with robot-assisted laparoscopic hysterectomy with unilateral or bilateral salpingooophorectomy for stage III (n = 19) or stage IV (n = 24) disease.<br />Results: Histopathologic evaluation confirmed endometriosis in all patients, and fibroids were also shown in 12 patients. The median actual operative time was 145 min (range, 67-325 min), and the median blood loss was 100 mL (range, 20 - 400 mL). All but one of the procedures were completed successfully robotically. The length of hospital stay was 1 d for 95% of patients (41 of 43), and 2 patients had prolonged stays of 4 d and 5 d, respectively. One patient was readmitted for a vaginal cuff abscess; this represented the only complication identified in this series.<br />Conclusions: Robot-assisted laparoscopic surgery appears to be a reasonably safe and feasible method for the definitive surgical management of women with severe endometriosis.

Details

Language :
English
ISSN :
1086-8089
Volume :
17
Issue :
1
Database :
MEDLINE
Journal :
JSLS : Journal of the Society of Laparoendoscopic Surgeons
Publication Type :
Academic Journal
Accession number :
23743378
Full Text :
https://doi.org/10.4293/108680812X13517013317275