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Robot-assisted laparoscopic trachelectomy after supracervical hysterectomy

Authors
Journal
Fertility and Sterility
0015-0282
Publisher
Elsevier
Publication Date
Volume
90
Issue
3
Identifiers
DOI: 10.1016/j.fertnstert.2007.08.042
Keywords
  • Trachelectomy
  • Supracervical Hysterectomy
  • Complications
  • Robotic Surgery
  • Laparoscopy
  • Cervical Stump
Disciplines
  • Medicine

Abstract

Objective To present a case of successful robotic assisted laparoscopic trachelectomy. Design Case report. Setting Tertiary care facility. Patient(s) A 40-year-old female with history of severe endometriosis and adhesions presented with persistent pain and bleeding after abdominal supracervical hysterectomy after failed attempt for laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy. Intervention(s) Robot-assisted laparoscopic trachelectomy and treatment of associated pelvic disease. Main Outcome Measure(s) Successful completion of robot-assisted trachelectomy. Result(s) There were no intraoperative or postoperative complications and minimal blood loss. At 10 months' follow-up the patient was doing well with resolution of her symptoms. Conclusion(s) Robotic surgery may bridge the gap between laparotomy and laparoscopy for trachelectomy in complicated cases.

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