Robotic surgery in gynecology

FDA approved Da Vinci Surgical System in 2005 for gynecological surgery. It has been rapidly adopted and it has already assumed an important position at various centers where this is available. It comprises of three components: A surgeon′s console, a patient-side cart with four robotic arms and a hi...

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Main Authors: Rooma Sinha, Madhumati Sanjay, B Rupa, Samita Kumari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=1;spage=50;epage=59;aulast=Sinha
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author Rooma Sinha
Madhumati Sanjay
B Rupa
Samita Kumari
author_facet Rooma Sinha
Madhumati Sanjay
B Rupa
Samita Kumari
author_sort Rooma Sinha
collection DOAJ
description FDA approved Da Vinci Surgical System in 2005 for gynecological surgery. It has been rapidly adopted and it has already assumed an important position at various centers where this is available. It comprises of three components: A surgeon′s console, a patient-side cart with four robotic arms and a high-definition three-dimensional (3D) vision system. In this review we have discussed various robotic-assisted laparoscopic benign gynecological procedures like myomectomy, hysterectomy, endometriosis, tubal anastomosis and sacrocolpopexy. A PubMed search was done and relevant published studies were reviewed. Surgeries that can have future applications are also mentioned. At present most studies do not give significant advantage over conventional laparoscopic surgery in benign gynecological disease. However robotics do give an edge in more complex surgeries. The conversion rate to open surgery is lesser with robotic assistance when compared to laparoscopy. For myomectomy surgery, Endo wrist movement of robotic instrument allows better and precise suturing than conventional straight stick laparoscopy. The robotic platform is a logical step forward to laparoscopy and if cost considerations are addressed may become popular among gynecological surgeons world over.
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spelling doaj.art-ac7849a04b344ec98e43a001416b5aa72022-12-22T03:41:27ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212015-01-01111505910.4103/0972-9941.147690Robotic surgery in gynecologyRooma SinhaMadhumati SanjayB RupaSamita KumariFDA approved Da Vinci Surgical System in 2005 for gynecological surgery. It has been rapidly adopted and it has already assumed an important position at various centers where this is available. It comprises of three components: A surgeon′s console, a patient-side cart with four robotic arms and a high-definition three-dimensional (3D) vision system. In this review we have discussed various robotic-assisted laparoscopic benign gynecological procedures like myomectomy, hysterectomy, endometriosis, tubal anastomosis and sacrocolpopexy. A PubMed search was done and relevant published studies were reviewed. Surgeries that can have future applications are also mentioned. At present most studies do not give significant advantage over conventional laparoscopic surgery in benign gynecological disease. However robotics do give an edge in more complex surgeries. The conversion rate to open surgery is lesser with robotic assistance when compared to laparoscopy. For myomectomy surgery, Endo wrist movement of robotic instrument allows better and precise suturing than conventional straight stick laparoscopy. The robotic platform is a logical step forward to laparoscopy and if cost considerations are addressed may become popular among gynecological surgeons world over.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=1;spage=50;epage=59;aulast=SinhaEndometriosishysterectomylaparoscopymyomectomyrobotic
spellingShingle Rooma Sinha
Madhumati Sanjay
B Rupa
Samita Kumari
Robotic surgery in gynecology
Journal of Minimal Access Surgery
Endometriosis
hysterectomy
laparoscopy
myomectomy
robotic
title Robotic surgery in gynecology
title_full Robotic surgery in gynecology
title_fullStr Robotic surgery in gynecology
title_full_unstemmed Robotic surgery in gynecology
title_short Robotic surgery in gynecology
title_sort robotic surgery in gynecology
topic Endometriosis
hysterectomy
laparoscopy
myomectomy
robotic
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=1;spage=50;epage=59;aulast=Sinha
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AT madhumatisanjay roboticsurgeryingynecology
AT brupa roboticsurgeryingynecology
AT samitakumari roboticsurgeryingynecology