Cirugía robótica en ginecología: revisión de la literatura

Rivas-López, Radamés; Sandoval-García-Travesí, Francisco A

doi:10.24875/ciru.18000636

Cited by 10 publications

(3 citation statements)

References 17 publications

(29 reference statements)

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“…Uterine myomas are the most frequent gynecologic disease, with an incidence of 70-80% at 50 years of age and represent the rst indication of hysterectomy in the USA [1]. Numerous surgical techniques are available for symptomatic uterine broids such as hysterectomy, myomectomy, myolysis, RMN-guided focused ultrasound surgery and uterine artery embolization [2][3][4]. Around 30-39% of hysterectomies are performed for myomas in the United States, but this treatment could be improper in young women who want to maintain fertility [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Around 30-39% of hysterectomies are performed for myomas in the United States, but this treatment could be improper in young women who want to maintain fertility [5][6][7]. Myomectomy is traditionally performed laparotomically; however, during the past decades, endoscopic alternatives have been widely used, including laparoscopic surgery, endoscopic and robotic surgery [3,4,8]. The main step of myomectomy is the suture of the uterine breach, which requires an experienced surgeon.…”

Section: Introductionmentioning

confidence: 99%

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The use of sealing hemostat patch (HEMOPATCH®) in laparotomic myomectomy: a prospective case–control study

Montera

Ficarola

Plotti

et al. 2023

Arch Gynecol Obstet

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Purpose: Uterine myomas are the most frequent gynecologic disease. In these cases, myomectomy is performed, traditionally laparotomically. However, alternatives have been widely used, including laparoscopic surgery, endoscopic and robotic surgery. During these techniques the diffuse parenchymatous bleeding remains one of the main intra and postoperative complications and sometime requires unplanned hysterectomies. Recently, hemostatic agents and sealants have been used to prevent excessive blood loss during surgical repair.Methods: We propose a prospective case-control study on the use of sealing hemostat patch (HEMOPATCH) on uterine sutures in laparotomic myomectomy. In the period between July 2016 to April 2017, 46 patients suffering from symptomatic uterine bromatosis underwent surgery. They were divided into 2 groups of 23 patients, with different treatment in the haemostatic phase of oozing bleeding: HEMOPATCH is applied in group A, spray electrocoagulation in group B.Results: In group A, we achieve faster hemostasis (p<0,05), than group B. We report a signi cantly lower PCR value in the 2 nd and 3 rd day postoperative for group A compared to group B. Conclusion: HEMOPATCH, during laparotomic myomectomy is a valid alternative solution for obtaining rapid hemostasis and consequently intraoperative and postoperative bleeding. Also, we suggest a lower in ammatory peritoneal state probably correlated to the barrier effect of the patch on the suture.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The use of sealing hemostat patch (HEMOPATCH®) in laparotomic myomectomy: a prospective case–control study

Montera

Ficarola

Plotti

et al. 2023

Arch Gynecol Obstet

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“…This could be improved with the learning curve of the surgeon and surgical team. 3 A recent analysis regarding our initial experience with roboticassisted procedures revealed that patients undergoing robotic approach stayed less in the hospital and experienced less blood loss. Moreover, after the first robotic procedures, we concluded that the necessary time for operation was comparable to the time needed for laparoscopic approaches.…”

Section: Introductionmentioning

confidence: 99%

“Iavazzo score”, a preoperative score to predict duration of robotic‐assisted gynaecological surgeries

Iavazzo

Fotiou

Kokkali

et al. 2022

Robotics Computer Surgery

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Background: Long operation time remains a disadvantage of robotic-assisted gynaecological procedures. A score that predicts the duration of such surgeries could be useful. Methods:A retrospective analysis of robotic-assisted gynaecological surgeries in our institution were conducted. We assessed preoperative values such as body mass index, uterine size, previous abdominal surgeries, way of previous deliveries and pathology that led patients to the theatre and we created a preoperative predictive score, the 'Iavazzo score'. Thereafter, we correlated this score with duration of surgery.Results: 57 patients were included. Mean 'Iavazzo' score was 7.96, while mean surgery and overall time were 140 and 208.8 min, respectively. Correlation between Iavazzo score and operation time was statistically significant (p < 0.001). Using median operation time, we found an area under curve of 0.86 and a cut-off value of 7.5 for Iavazzo score.Conclusions: 'Iavazzo' score can be a useful predictive score that evaluates duration of robotic-assisted gynaecological surgeries.

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Risk factors for perioperative blood transfusion in patients undergoing hysterectomy for benign disease in a teaching institution

Saad-Naguib

Ulker

Timmons

et al. 2021

Arch Gynecol Obstet

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Purpose: The purpose is to identify risk factors for perioperative blood transfusion in patients undergoing hysterectomy for benign disease.Methods: This study is a retrospective chart review including all the patients who underwent hysterectomy for benign disease between January 1 st 2018 and December 31 st 2019. Patients who received perioperative blood transfusion were identi ed and compared to those who did not. The following risk factors for blood transfusion were analyzed: route of hysterectomy, BMI, presence of adhesions, history of cesarean section, uterine weight. Descriptive statistics was used to analyze the data.Results: A total of 517 patients were identi ed and included in the study. Forty-seven patients (9.09 %) received a perioperative blood transfusion. The abdominal hysterectomy route (TAH) was a signi cant risk factor for receiving blood transfusion (p=0.012). Other identi ed risk factors for blood transfusion included: Body mass index above 33.0 (p=0.002), and uterine weight (p=0.002). There was no association between the presence of pelvic adhesions (p=0.91) or a personal history of cesarean section (p=0.89) and receiving perioperative blood transfusion. When analyzing only the patients who underwent TLH, the presence of pelvic adhesion was found as a risk factor for perioperative blood transfusion (p=0.024) Conclusion: The abdominal hysterectomy route, the presence of a large uterus, and obesity are risk factors for receiving a blood transfusion. Early identi cation of the patient at risk of requiring perioperative blood transfusion provides better patient counseling and surgical preparation.

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Cirugía robótica en ginecología: revisión de la literatura

Cited by 10 publications

References 17 publications

The use of sealing hemostat patch (HEMOPATCH®) in laparotomic myomectomy: a prospective case–control study

The use of sealing hemostat patch (HEMOPATCH®) in laparotomic myomectomy: a prospective case–control study

“Iavazzo score”, a preoperative score to predict duration of robotic‐assisted gynaecological surgeries

Risk factors for perioperative blood transfusion in patients undergoing hysterectomy for benign disease in a teaching institution

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