Abstract
Minimally invasive surgery (MIS) is widely utilized across multiple surgical disciplines, including gynecology. To date, laparoscopy is considered a common surgical modality in children and adolescents to treat gynecological conditions. Robotic surgical devices were developed to circumvent the limitations of laparoscopy and have expanded the surgical armamentarium with better magnification, dexterity enhanced articulating instruments with 5-7 degrees of freedom, and ability to scale motion thus eliminating physiologic tremor. There are well-documented advantages of MIS over laparotomy, including decreased post-operative pain, shorter recovery times, and better cosmetic results. Indications for MIS in pediatric gynecology are reported in this review and technical considerations are described to highlight new treatment perspectives in children and adolescents, which have already been described in the literature regarding adult patients.
Highlights
Contributions: GP conception and design, expertise in surgical data, manuscript writing, Hospital Dubai, UAE; 3Pediatric Unit, gynecologic surgery provides additional supervision manuscript, final approval of manu
Robotic l surgical devices were developed to circumvent the limitations of laparoscopy ia and have expanded the surgical c armamentarium with better magnification, r dexterity enhanced articulating instruments e with 5-7 degrees of freedom, and ability to scale motion eliminating physiologic m tremor
Indications for Minimally invasive surgery (MIS) in pediatric - gynecology are reported in this review and n technical considerations are described to o highlight new treatment perspectives in children and adolescents, which have
Summary
Disease limited to the ovary and completely excised; negative peritoneal washing. A minimally invasive surgical approach markers for endometriosis diagnosis.[48,51] standard for a precise diagnosis.[60] More is considered when adnexal torsion the only reliable way to confirm recently, 3D ultrasonography has been used occurs with benign functional ovarian cysts the disease is by visually inspecting the due to the high cost and patient and/or benign masses. O Peritoneal procedures e Endometriosis s Endometriosis is a common benign and u chronic gynecologic disorder related to the l presence of endometrial glands and stroma ia outside of their normal location.[44] The disease often begins in adolescence, but is rc most often recognized after years of dysmenorrhea. Robotic surgery has many advantages over the gold standard laparoscopic approach the improved visualization in narrow spaces, especially for children.[55,56]
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