Robotic Cervical Myomectomy: How to Prevent Pitfalls

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2024-11-01 DOI:10.1016/j.jmig.2024.09.065

K Ha , Soto D Encalada , E Mikhail

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引用次数: 0

Abstract

Study Objective

The objective of this video is to present a simplified approach for robotic-assisted laparoscopic removal of cervical fibroids.

Design

Surgical video.

Setting

Tertiary care academic center.

Patients or Participants

32-year-old G0 with an 8 cm cervical fibroid.

Interventions

Robotic-assisted laparoscopic cervical myomectomy.

Measurements and Main Results

Patient underwent a robotic cervical myomectomy without complications. Estimated blood loss was 100 cc. The postoperative course was uncomplicated and the patient was discharged home in stable condition on postoperative day 1.

Conclusion

Complications of robotic cervical myomectomy can be minimized with the utilization of techniques such as ureteral stenting with indocyanine green injection, injection of the myoma with vasopressin, use of a tenaculum for myoma manipulation, and multi-layer myometrial closure.

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机器人宫颈肌瘤切除术：如何预防陷阱

研究目的本视频旨在介绍一种简化的机器人辅助腹腔镜宫颈肌瘤剔除术的方法.设计手术视频.设置三级医疗学术中心.患者或参与者32岁，G0，宫颈肌瘤8厘米.干预措施机器人辅助腹腔镜宫颈肌瘤剔除术.测量和主要结果患者接受了机器人宫颈肌瘤剔除术，无并发症。估计失血量为 100 毫升。术后过程并不复杂，患者在术后第1天病情稳定出院回家。结论通过使用吲哚菁绿注射输尿管支架、用血管加压素注射肌瘤、使用韧带操纵肌瘤和多层子宫肌层闭合等技术，可以最大限度地减少机器人宫颈肌瘤切除术的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.