Abstract
<h3>Study Objective</h3> To show an example of using minimally invasive approach instead of laparotomy during hysterectomy complicated by severe pelvic adhesions, to demonstrate the feasibility of robotic surgery in cases with severe pelvic adhesions, demonstrate that robotic surgery might be a potentially superior alternative for hysterectomy complicated by severe adhesions and to review tips and tricks to prevent bowel and bladder injuries. <h3>Design</h3> Video presentation. <h3>Setting</h3> Surgical procedure. <h3>Patients or Participants</h3> N/A. <h3>Interventions</h3> N/A. <h3>Measurements and Main Results</h3> N/A. <h3>Conclusion</h3> Evidence of benefits of robotic surgery over laparoscopy have been implemented multiple times but there is not consensus to declare superiority of robotic over laparoscopic surgery. One of the major benefits of robotic surgery already demonstrated is the lower rate of unplanned conversion to open surgery. In conclusion Robotic surgery might be a potentially superior alternative for hysterectomy complicated by severe adhesions.
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