Abstract

<h3>Study Objective</h3> Educate on procedures for endometriosis removal. <h3>Design</h3> Educational surgical video. <h3>Setting</h3> Patient placed in dorsal lithotomy position, with robot docked initially for excision of lesions in superior abdomen, followed by undocking and repositioning of robot for approach of inferior abdominal cavity and pelvis. <h3>Patients or Participants</h3> Single patient selected following referral from outside hospital system. <h3>Interventions</h3> Robotic-assisted excision of endometriosis throughout abdominal cavity, with complete resection of visible lesions. <h3>Measurements and Main Results</h3> Biopsies of pericardium, right diaphragm, falciform ligament, hepatic lesion, rectum, bladder, right and left pelvic sidewall, and right and left upper abdominal wall positive for endometriosis. <h3>Conclusion</h3> Complete excision of endometriosis has been shown to potentially eradicate disease and should be attempted. Atypical endometriosis can be found throughout the abdominal cavity, which requires proficiency in both anatomy and surgical technique outside of the pelvis.

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