Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of...
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Transcript of Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of...
![Page 1: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University.](https://reader035.fdocuments.net/reader035/viewer/2022070403/56649f315503460f94c4c4c9/html5/thumbnails/1.jpg)
Robotic Assisted Hysterectomy
S Kapurubandara12
Y Nikam234
1 Westmead Hospital
2 University of Sydney
3 Sydney West Area Pelvic Surgery (SWAPS)
4 University of Western Sydney
![Page 2: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University.](https://reader035.fdocuments.net/reader035/viewer/2022070403/56649f315503460f94c4c4c9/html5/thumbnails/2.jpg)
Case Preparation Largest OT room Dorsal lithotomy position and trendelenburg
buttock just off the table. Securely positioned The arms padded in neutral position OGT IDC EUA + Uterine manipulator Once the robot is dockedCannot change the setup
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Port placement & Docking
![Page 4: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University.](https://reader035.fdocuments.net/reader035/viewer/2022070403/56649f315503460f94c4c4c9/html5/thumbnails/4.jpg)
Case 38 yr old G3 P3 – 3 NVD Background – severe dysmenorrhea and menorrhagia
OCP 6/12 Mirena 8/12 Declined endometrial ablation
Clinically BMI 22 12/40 bulky uterus Minimal prolapse and no significant vaginal decent
Normal US
Option of Robotic vs Total laparoscopic hysterectomy (financial incentive was the same)
![Page 5: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University.](https://reader035.fdocuments.net/reader035/viewer/2022070403/56649f315503460f94c4c4c9/html5/thumbnails/5.jpg)
![Page 6: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University.](https://reader035.fdocuments.net/reader035/viewer/2022070403/56649f315503460f94c4c4c9/html5/thumbnails/6.jpg)
Which one would you choose?
![Page 7: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University.](https://reader035.fdocuments.net/reader035/viewer/2022070403/56649f315503460f94c4c4c9/html5/thumbnails/7.jpg)
Thank you