Robot-assisted laparoscopic presacral neurectomy: feasibility, techniques, and operative outcomes

Journal of Minimally Invasive Gynecology
Ceana Nezhat, Vadim Morozov

Abstract

To report the feasibility and description of robot-assisted presacral neurectomy (RPSN) and to compare outcomes with laparoscopic presacral neurectomy (LPSN). Prospective case series (Canadian Task Force classification III). Tertiary care center. Eighteen patients with central pelvic pain who underwent RPSN and 12 patients with central pelvic pain who underwent conventional LPSN in a metropolitan hospital between July 1, 2006, and April 30, 2008. The da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA) was used for the robotic portion of the procedure. Availability of the robot was the sole determining factor for the procedure chosen. Bipolar, monopolar, and ultrasonic instruments were used for conventional laparoscopy. All patients underwent several additional procedures performed laparoscopically including adhesiolysis, treatment of endometriosis, appendectomy, enterolysis, and salpingo-ovariolysis. All presacral neurectomies in both groups were successfully completed by excising the hypogastric nervous plexus within the interiliac triangle. Presence of nerve ganglion and fibers was confirmed at pathologic analysis in all cases. Mean duration of presacral neurectomy, from incision of the posterior peritoneum at ...Continue Reading

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Citations

Nov 28, 2012·Obstetrics and Gynecology Clinics of North America·Erica C Dun, Ceana H Nezhat
Jul 27, 2010·Journal of Minimally Invasive Gynecology·Demetrio LarraínGérard Mage
Jun 11, 2016·Current Opinion in Obstetrics & Gynecology·Sangeeta SenapatiMark Frank F Tu
Oct 11, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Vasilis KapetanakisJavier Magrina
Jul 7, 2017·Current Opinion in Obstetrics & Gynecology·Christina Ramirez, Nicole Donnellan
Jun 1, 2011·Journal of Robotic Surgery·Mary Downes GastrichAdrian Balica

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