Multidisciplinary Approach to Robotic Resection of Abdominal
Robotic resection of abdominal wall endometriosis and mesh repair provides a surgical option with less morbidity, finds a study by The Journal of Minimally Invasive Gynecology.

The objective was to demonstrate a technique for robot-assisted laparoscopic excision of abdominal wall endometriosis and mesh reinforcement of the subsequent defect.

Abdominal wall endometriosis most commonly takes hold following the seeding of a previous cesarean scar. As of 2018 31.9% of deliveries in the US were accomplished by cesarean section. With endometriosis at an estimated incidence of 11% in the US evaluation for, and minimally invasive management of, abdominal wall endometriosis is becoming an essential skill set for the gynecologic surgeon.

The interventions include:
--Robot-assisted laparoscopic evaluation of size and location of the lesion in relation to anatomic landmarks.

--Demonstration of techniques to identify borders of the endometriotic lesions including clinical and microscopic.

--Minimally invasive resection of the lesion with preservation of vital structures. Placement of abdominal wall mesh for reinforcement of rectus muscle and fascial defect.

--Peritoneal closure to minimize adhesions and herniation into the defect.

In particular, minimally invasive resection of abdominal wall endometriosis with subsequent mesh reinforcement provides a surgical option with less morbidity while still accomplishing successful treatment.