Ewha Med J.  2019 Apr;42(2):20-23. 10.12771/emj.2019.42.2.20.

Lack of Haptic Feedback Is Replaced by More Developed Visual Sense during Robotic Myomectomy

Affiliations
  • 1Department of Obstetrics and Gynecology, Gynecologic Oncology Branch & Robot Surgery Center, Ewha Womans University College of Medicine, Seoul, Korea. mhsmhs@ewha.ac.kr

Abstract

In the reproductive age, many women have several uterine myomas and present with abnormal uterine bleeding, dysmenorrhea, and occasionally infertility. There are three surgical approaches to perform myomectomy, including robotic-assisted, laparoscopic, and abdominal myomectomy. Compared to laparoscopic procedures, robotic myomectomy allows free approach of myoma bases using fine instruments and endoscopes. Fine uterine wall sutures can be performed layer-by-layer with robots. However, robotic surgery is difficult to perform because there is no sense of touch during the operation. We report two clinical myomectomy cases with replaced lack of haptic feedback during robot surgery. The patients received robotic myomectomy with/without right ovarian cystectomy and adhesiolysis. Sixty-five leiomyomas were removed in case 1. Forty-six leiomyomas were removed in case 2. Lack of haptic feedback is replaced by more developed visual sense during robot myomectomy of multiple tiny intramural myomas, and robotic surgery can be performed much more effectively even in complicated cases.

Keyword

Uterine myomectomy; Myoma; Robotic surgical procedures

MeSH Terms

Cystectomy
Dysmenorrhea
Endoscopes
Female
Humans
Infertility
Leiomyoma
Myoma
Robotic Surgical Procedures
Sutures
Uterine Hemorrhage
Uterine Myomectomy
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