“H-Incision” Technique for Robotic-Assisted Laparoscopic Adenomyosis Resection

Abstract

<h3>Study Objective</h3> The purpose of this video is to present a case of a robotic-assisted laparoscopic adenomyomectomy using an "H-Incision" technique. This minimally invasive approach is a novel application of a uterine-sparing adenomyosis resection previously reported only in open cases. <h3>Design</h3> N/A. <h3>Setting</h3> The patient was placed in dorsal lithotomy with Allen stirrups. <h3>Patients or Participants</h3> This video presents a single surgical case. <h3>Interventions</h3> The patient received a robotic-assisted laparoscopic adenomyomectomy. <h3>Measurements and Main Results</h3> The patient received a robotic-assisted laparoscopic adenomyomectomy using an H-incision technique. <h3>Conclusion</h3> This surgical video demonstrates the steps of the "H-incision" technique for adenomyomectomy using a robotic-assisted laparoscopic approach. Since the H-incision technique was originally proposed for use in open surgery, widespread use has been limited in traditional laparoscopy. However, with advances in robotic-assisted surgery, the H-Incision technique offers an alternative approach to traditional resection methods that may enhance outcomes for patients pursuing future pregnancy. This video presents one of the first cases in the literature of robotic-assisted laparoscopic adenomyomectomy using the H-Incision technique.