Robotic Shaving Technique in 25 Patients Affected by Deep Infiltrating Endometriosis of the Rectovaginal Space

Pellegrino, A.; Damiani, Gianluca Raffaello; Trio, C.; Faccioli, Paolo; Croce, P; Tagliabue, Fulvio; Dainese, Emanuele

doi:10.1016/j.jmig.2015.06.002

Cited by 17 publications

(10 citation statements)

References 27 publications

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“…Among them, 11 studies were non-comparative, i.e. included women operated with RAL only (Abo et al, 2016;Bedaiwy et al, 2013;Brudie et al, 2012;Collinet et al, 2014;Ercoli et al, 2012;Lim et al, 2011;Morelli et al, 2016;Neme et al, 2013;Nezhat et al, 2011;Pellegrino et al, 2015;Siesto et al, 2014), whereas six studies were comparative, i.e. compared two series of women operated with RAL and SL (Cassini et al, 2014;Dulemba et al, 2013;Magrina et al, 2015;Nezhat et al, 2010Nezhat et al, , 2015Nezhat and Sirota, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the patients and the perioperative data of the non-comparative studies are reported in Table 2. Four studies were prospective (Abo et al, 2016;Lim et al, 2011;Neme et al, 2013;Pellegrino et al, 2015) and seven were retrospective (Bedaiwy et al, 2013;Brudie et al, 2012;Collinet et al, 2014;Ercoli et al, 2012;Morelli et al, 2016;Nezhat et al, 2011;Siesto et al, 2014). In total, 445 patients were evaluated, with a mean age of 39 years.…”

Section: Non-comparative Studiesmentioning

confidence: 99%

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‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

Berlanda

Frattaruolo

Aimi

et al. 2017

Reproductive BioMedicine Online

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Section: Resultsmentioning

confidence: 99%

Section: Non-comparative Studiesmentioning

confidence: 99%

‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

Berlanda

Frattaruolo

Aimi

et al. 2017

Reproductive BioMedicine Online

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“…They also suggested that RS bowel resection surgery for the treatment of deep infiltrating bowel endometriosis is feasible, effective, and safe. In addition, Vitobello et al [45], Siesto et al [46], Pellegrino et al [47], and Abo et al [48] published reports of their successful experiences using RS for bowel endometriosis, including rectal shaving and segmental bowel resection. Most cases were successful and without complication, and the authors all argued for the feasibility of RS.…”

Section: Die In Bowelmentioning

confidence: 99%

The role of robotic surgery for endometriosis

Kang

Kim

2020

Gyne Robot Surg

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Endometriosis is a chronic gynecologic disorder characterized by chronic pelvic pain and infertility that affects approximately 11% of reproductive-aged women. Medical or surgical treatment is essential to manage symptoms and reduce recurrence. When surgical treatment is needed, laparoscopy is considered the gold standard treatment. However, the severity of the disease varies from simple endometrioma to bowel and urinary tract endometriosis, which require radical surgery. With severe endometriosis, even experienced surgeons often need to use laparotomy because of the technical limitations of laparoscopy. Robotic surgery (RS) can be an alternative treatment option because of the advanced visualization, wristed instruments, and ergonomic positioning that it offers to the surgeon. We reviewed previous studies to evaluate the role of RS for endometriosis. Compared with conventional laparoscopy, RS shows similar surgical outcomes, including blood loss and perioperative complications, but it is generally a more time-consuming procedure. RS has no added value for the treatment of early stage endometriosis. However, it does seem to have considerable advantages in complex endometriosis surgery, such as that for advanced stage, bowel, and urinary tract endometriosis, although that has not been shown statistically due to a lack of study. RS can also help prevent conversion to laparotomy and reduce the training period required for inexperienced surgeons. We cannot yet define the definitive role of RS in endometriosis due to its short history, but we note its value for complex surgery. Therefore, RS should be considered in selected patients.

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“…60 Further refining of the technique to allow rectal preservation has been reported 61 as well as treatment of deep endometriosis of the rectovaginal space. 62 Both bladder and ureteral endometriosis have been managed robotically. [63][64][65] Endometriomas represent deep involvement of endometriosis in the ovaries.…”

Section: Benign Adnexal Massesmentioning

confidence: 99%

Robotics and Reproductive Surgery

2017

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Robotic technology applied to laparoscopy augments the armamentarium of the reproductive specialist. Uterine leiomyomas, adenomyosis, endometriosis, adnexal masses, sterilization reversal, and fertility preservation techniques can all be addressed with a robotic surgery skill set. Additionally, new approaches with single site and natural orifice surgery will continue to maximize advanced opportunities for safe, effective, and cosmetically conscious (patient-centered) approaches to surgical care. Enhanced postoperative recovery pathways are fully adaptable to these robotic procedures and improve patient acceptability while controlling costs.

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Robotic Shaving Technique in 25 Patients Affected by Deep Infiltrating Endometriosis of the Rectovaginal Space

Cited by 17 publications

References 27 publications

‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

The role of robotic surgery for endometriosis

Robotics and Reproductive Surgery

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