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
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
Port placement & Docking
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)
Which one would you choose?
Thank you
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