Robot-Assisted Excision of Abdominal Wall Endometrioma Utilizing Intra-Operative Ultrasound and Transabdominal Needle Placement

Abstract

Study Objective Demonstrate technique for robot-assisted laparoscopic excision of abdominal wall endometriosis with intra-operative ultrasound-guided needle placement. Design Description and demonstration of surgical technique. Setting Tertiary care, academic center. Patients or Participants Patient with previous history of 2 cesarean sections and right lower quadrant cyclic abdominal wall pain. Interventions Intra-operative ultrasound-guided needle placement to map location of the lesion. Minimally invasive resection of the lesion with the advancement of needles to confirm clear margins. Measurements and Main Results Complete resection via a minimally invasive approach. Conclusion Minimally invasive resection of abdominal wall endometriosis using intra-operative ultrasound guided needle placement to guide surgical dissection accomplishes clear surgical margins as well as successful treatment. Demonstrate technique for robot-assisted laparoscopic excision of abdominal wall endometriosis with intra-operative ultrasound-guided needle placement. Description and demonstration of surgical technique. Tertiary care, academic center. Patient with previous history of 2 cesarean sections and right lower quadrant cyclic abdominal wall pain. Intra-operative ultrasound-guided needle placement to map location of the lesion. Minimally invasive resection of the lesion with the advancement of needles to confirm clear margins. Complete resection via a minimally invasive approach. Minimally invasive resection of abdominal wall endometriosis using intra-operative ultrasound guided needle placement to guide surgical dissection accomplishes clear surgical margins as well as successful treatment.