Robotic Assisted - Laparoscopic Excision of Abdominal Wall Endometriosis

Abstract

<h3>Study Objective</h3> The objective is to demonstrate a minimally invasive approach to treating abdominal wall endometriosis with robotic assisted – laparoscopic resection and repair. <h3>Design</h3> We present a video presentation documenting resection and repair of an abdominal wall endometrioma via a robotic assisted - laparoscopic approach, rather than the more traditional and often used open approach. <h3>Setting</h3> This surgical case was performed at a tertiary care center by Minimally Invasive Gynecologic Surgery with General Surgery available for assistance to close abdominal wall defect. Patient was positioned in the low lithotomy position. Robotic ports placed in such a manner to allow triangulation to both the abdominal wall lesion and pelvis. <h3>Patients or Participants</h3> 29-year-old who presented with left sided abdominal pain and palpable mass. Patient had undergone extensive evaluation, eventually leading to ultrasound guided biopsy which demonstrated endometrial glandular tissue within lesion <h3>Interventions</h3> Patient underwent robotic assisted - laparoscopic resection of abdominal wall endometrioma and repair of abdominal wall defect, and as well as ablation and resection of multiple additional endometrial implants within the pelvis. <h3>Measurements and Main Results</h3> The patient has experienced relief of her symptoms in the month following her surgical intervention. <h3>Conclusion</h3> Minimally invasive approaches to complete resection of abdominal wall endometriomas should be considered for lesions within the posterior recuts sheath and may afford patients relief of symptoms with the traditional benefits of minimally invasive surgery.