Robot-assisted laparoscopic adenomyomectomy: A review of literature

Abstract

Adenomyosis is a benign gynecologic disease characterized by the presence of endometrial glands and stroma within the myometrium. The reported prevalence is 5-70% among symptomatic women. Patients can exhibit various symptoms, but most likely present with heavy menstrual bleeding and dysmenorrhea. Management generally begins with medical treatment, in those who are refractory, hysterectomy has been the standard of treatment. However, uterine conserving options should be available for women who wish to maintain fertility. Robot-assisted laparoscopic adenomyomectomy is a relatively new technique used in the management of adenomyosis. We conducted a literature review using PubMed, Google Scholar, and MEDLINE (2000-2021) to define the role of robot-assisted laparoscopic adenomyomectomy in the conservative management of adenomyosis. The objective of this review is to summarize the role of robot-assisted laparoscopic adenomyomectomy and its current state. Robot-assisted adenomyomectomy may be an option that provides the benefits of a minimally invasive approach while allowing the surgeon to properly perform a technically challenging surgery. Data is still sparse and is of low quality, further prospective multicenter trials using a standardized technique and addressing the long-term surgical outcomes, effects on fertility and pregnancy outcomes will help further define the role of robot-assisted adenomyomectomy in the management of adenomyosis.