Abstract

Surgeons who practice robotic surgery in benign gynecological conditions agree that in some cases, blood loss and transfusions are reduced, the time of hospital stay and of reintegration to daily activities is less, although commonly in the first cases of each surgeon surgical time may be longer than laparoscopic surgery depending on the learning curve of each. As in any other surgical technique, it is important that the surgeon is trained and certified in accordance with the guidelines that each hospital institution indicates for the practice of robotic surgery and is constantly updated through the tools provided by robotic surgery to ensure the correct use of this technology and always maintain the skill looking for the safety of the patient at all times. Uterine fibroids, are the most common benign tumors that appear in women of reproductive age. Depending on their location, number and size, the symptoms they produce vary in frequency and severity. Robotic myomectomy has shown that with a surgical team that operates frequently, it is superior to conventional laparoscopic myomectomy, even in the area of ​​cost/benefit. Robotic myomectomy is an accessible, efficient and flattering pathway for patients with fibroids who want a pregnancy.

Highlights

  • Laparoscopic surgery has evolved rapidly in various specialties, in the area of gynecology, robot-assisted surgery is used in different procedures, mainly in hysterectomy for benign diseases and myomectomy, in cases of tubal recanalization, lymphadenectomy, endometriosis and sacrocolpopexy

  • Surgeons who practice robotic surgery in benign gynecological conditions agree that in some cases, blood loss and transfusions are reduced, the time of hospital stay and of reintegration to daily activities is less, commonly in the first cases of each surgeon surgical time may be longer than laparoscopic surgery depending on the learning curve of each

  • A meta-analysis carried out by Sunkara and Rikhraj years later indicated that the presence of intramural fibroids that do not distort the cavity is associated with an adverse outcome in women undergoing treatment of In Vitro Fertilization (IVF), it is mentioned that the live newborn rate in patients with fibroids is 21% lower than in women without fibroids [3, 4]

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Summary

Introduction

Invasive surgery is at the forefront of technology and robotic surgery is part of this new development. This review includes the main gynecological surgeries that greatly benefit from the use of this robotic technology, such as: hysterectomy, myomectomy, tubal recanalization, sacrocolpopexy, endometriosis, and transabdominal cerclage. Laparoscopic surgery has evolved rapidly in various specialties, in the area of gynecology, robot-assisted surgery is used in different procedures, mainly in hysterectomy for benign diseases and myomectomy, in cases of tubal recanalization, lymphadenectomy, endometriosis and sacrocolpopexy. Surgeons who practice robotic surgery in benign gynecological conditions agree that in some cases, blood loss and transfusions are reduced, the time of hospital stay and of reintegration to daily activities is less, commonly in the first cases of each surgeon surgical time may be longer than laparoscopic surgery depending on the learning curve of each. As in any other surgical technique, it is important that the surgeon is trained and certified in accordance with the guidelines that each hospital institution indicates for the practice of robotic surgery and is constantly updated through the tools provided by robotic surgery to ensure the correct use of this technology and always maintain the skill looking for the safety of the patient at all times

Fundamental principles to consider
Robotic myomectomy: step by step
Findings
Conclusion
Full Text
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