Hysterectomy via robotic assisted versus traditional transva
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A robotic hysterectomy is a feasible approach to surgery when compared to traditional hysterectomy, finds a recent study published in The Journal of Minimally Invasive Gynecology.

The objective of this study was to evaluate the safety and feasibility of robotic-assisted transvaginal natural orifice transluminal endoscopic surgery (R-vNOTES) hysterectomy when compared to traditional vNOTES (T-vNOTES) hysterectomy.

114 patients with benign gynecologic indication for hysterectomy were enrolled. T-vNOTES or R-vNOTES hysterectomy performed by a single minimally invasive gynecologic surgeon in the study period.

The primary outcome of this study was surgical equivalence, measured principally by the total operative time between T-vNOTES and R-vNOTES hysterectomy. Secondary operative outcomes measured included estimated blood loss, length of hospital stay reported postoperative pain levels, and a number of conversions.

--79 women underwent T-vNOTES hysterectomy and 35 women underwent R-vNOTES hysterectomy without differences in operative time, estimated blood loss, length of hospital stay, or reported postoperative pain levels at weeks 1, 2, and 3 after surgery.

--6 patients underwent conversion in the T-vNOTES hysterectomy group compared to 0 in the R-vNOTES hysterectomy group; however this was not statistically significantly different, and there were no conversions to laparotomy.

Conclusively, robotic vNOTES hysterectomy is a feasible approach to surgery when compared to traditional vNOTES hysterectomy and warrants further consideration as a skillset in a gynecologic surgeon's toolbox. Wristed instruments may allow surgeons unexperienced in single-site laparoscopy to more quickly adopt vNOTES as a new technique when performing hysterectomy through a comparable minimally invasive approach.

Source: https://doi.org/10.1016/j.jmig.2021.05.014
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