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Reproductive Surgery and Computer-Assisted Laparoscopy: The New Age of Subspecialty Surgery Is Here

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Biennial Review of Infertility

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Abstract

Reproductive endocrinology and infertility subspecialists enjoy a unique perspective of their patients’ reproductive endeavor as well as a deep understanding of the medical, technological, and surgical armamentarium to overcome infertility. As such, it is their privilege and their ethical duty to take full charge of the field of reproductive surgery. Advanced laparoscopic surgery is an indispensable tool for all specialists caring for women seeking fertility preservation, but the individual surgical aptitude and extensive training it requires are formidable hurdles to its adoption within our subspecialty. We illustrate the transforming capabilities of computer-assisted laparoscopy in reproductive surgery and highlight the current and future potential of this robotic technology in fertility preservation. Although this is a technical review mostly intended for a surgical audience, its broader goal is to sensitize all reproductive specialists to the rebirth of high-specialty reproductive surgery.

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References

  1. Azziz R. Role of reproductive surgeons and the society of reproductive surgeons. Fertil Steril. 2002;78(5):916–7.

    Article  PubMed  Google Scholar 

  2. Adamson GD. The modern role of reproductive surgery. Clin Obstet Gynecol. 2011;54(4):710–9.

    Article  PubMed  Google Scholar 

  3. Practice Committee of American Society for Reproductive Medicine in collaboration with Society of Reproductive Surgeons et al. Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery. Fertil Steril. 2008;90(5 Suppl):S144–9.

    Google Scholar 

  4. Gutt CN, Oniu T, Schemmer P, et al. Fewer adhesions induced by laparoscopic surgery? Surg Endosc. 2004;18(6):898–906.

    Article  PubMed  CAS  Google Scholar 

  5. Rodgers AK, Goldberg JM, Goldberg JM, Hammel JP, Falcone T, et al. Tubal anastomosis by robotic compared with outpatient minilaparotomy. Obstet Gynecol. 2007;109(6):1375–80.

    Article  PubMed  Google Scholar 

  6. Chandra V, Nehra D, Parent R, et al. A comparison of laparoscopic and robotic assisted suturing performance by experts and novices. Surgery. 2010;147(6):830–9.

    Article  PubMed  Google Scholar 

  7. Passerotti CC, Passerotti AM, Dall’Oglio MF, Leite KR, et al. Comparing the quality of the suture anastomosis and the learning curves associated with performing open, freehand, and robotic-assisted laparoscopic pyeloplasty in a swine animal model. J Am Coll Surg. 2009;208:576–86.

    Article  PubMed  Google Scholar 

  8. Stefanidis D, Wang F, Korndorffer Jr JR, et al. Robotic assistance improves intracorporeal suturing performance and safety in the operating room while decreasing operator workload. Surg Endosc. 2010;24(2):377–82.

    Article  PubMed  Google Scholar 

  9. Yohannes P, Rotariu P, Pinto P, et al. Comparison of robotic versus laparoscopic skills: is there a difference in the learning curve? Urology. 2002;60(1):39–45; discussion

    Google Scholar 

  10. Lenihan Jr JP, Kovanda C, Seshadri-Kreaden U. What is the learning curve for robotic assisted gynecologic surgery? J Minim Invasive Gynecol. 2008;15(5):589–94.

    Article  PubMed  Google Scholar 

  11. Payne TN, Dauterive FR. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. J Minim Invasive Gynecol. 2008;15(3):286–91.

    Article  PubMed  Google Scholar 

  12. Seamon LG, Fowler JM, Richardson DL, et al. A detailed analysis of the learning curve: robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer. Gynecol Oncol. 2009;114(2):162–7.

    Article  PubMed  Google Scholar 

  13. Gargiulo AR, Srouji SS, Missmer SA, et al. Robot-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy. Obstet Gynecol. 2012;120(2 Pt 1):284–91.

    Article  PubMed  Google Scholar 

  14. Park A, Lee G, Seagull FJ, et al. Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg. 2010;210(3):306–13.

    Article  PubMed  Google Scholar 

  15. Lee G, Lee T, Dexter D, et al. Ergonomic risk associated with assisting in minimally invasive surgery. Surg Endosc. 2009;23(1):182–8.

    Article  PubMed  Google Scholar 

  16. van Det MJ, Meijerink WJ, Hoff C, et al. Optimal ergonomics for laparoscopic surgery in minimally invasive surgery suites: a review and guidelines. Surg Endosc. 2009;23(6):1279–85.

    Article  PubMed  Google Scholar 

  17. Sutton E, Youssef Y, Meenaghan N, et al. Gaze disruptions experienced by the laparoscopic operating surgeon. Surg Endosc. 2010;24(6):1240–4.

    Article  PubMed  Google Scholar 

  18. Wiegmann DA, ElBardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;142(5):658–65.

    Article  PubMed  Google Scholar 

  19. Lallas CD, Davis and Members of the Society of Urologic Robotic Surgeons JW. Robotic surgery training with commercially available simulation systems in 2011: a current review and practice pattern survey from the society of urologic robotic surgeons. J Endourol. 2012;26(3):283–93.

    Article  PubMed  Google Scholar 

  20. Abboudi H, Khan MS, Aboumarzouk O, et al. Current status of validation for robotic surgery simulators – a systematic review. BJU Int. 2013;111(2):194–205.

    Article  PubMed  Google Scholar 

  21. Sunkara SK, Khairy M, El-Toukhy T, et al. The effect of intramural fibroids without uterine cavity involvement on the outcome of IVF treatment: a systematic review and meta-analysis. Hum Reprod. 2010;25(2):418–29.

    Article  PubMed  Google Scholar 

  22. Klatsky PC, Tran ND, Caughey AB, et al. Fibroids and reproductive outcomes: a systematic literature review from conception to delivery. Am J Obstet Gynecol. 2008;198(4):357–66.

    Article  PubMed  Google Scholar 

  23. Shavell VI, Thakur M, Sawant A, et al. Adverse obstetric outcomes associated with sonographically identified large uterine fibroids. Fertil Steril. 2012;97(1):107–10.

    Article  PubMed  Google Scholar 

  24. Jin C, Hu Y, Chen XC, et al. Laparoscopic versus open myomectomy–a meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol. 2009;145(1):14–21.

    Article  PubMed  Google Scholar 

  25. Bulletti C, Polli V, Negrini V, et al. Adhesion formation after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 1996;3(4):533–6.

    Article  PubMed  CAS  Google Scholar 

  26. Palomba S, Zupi E, Russo T, et al. A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: short-term outcomes. Fertil Steril. 2007;88(4):942–51.

    Article  PubMed  Google Scholar 

  27. Takeuchi H, Kinoshita K. Evaluation of adhesion formation after laparoscopic myomectomy by systematic second-look microlaparoscopy. J Am Assoc Gynecol Laparosc. 2002;9(4):442–6.

    Article  PubMed  Google Scholar 

  28. Garnet JD. Uterine rupture during pregnancy. An analysis of 133 patients. Obstet Gynecol. 1964;23:898–905.

    PubMed  CAS  Google Scholar 

  29. Parker WH, Einarsson J, Istre O, et al. Risk factors for uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 2010;17(5):551–4.

    Article  PubMed  Google Scholar 

  30. Spong CY, Landon MB, Gilbert S, et al. Risk of uterine rupture and adverse perinatal outcome at term after cesarean delivery. Obstet Gynecol. 2007;110(4):801–7.

    Article  PubMed  Google Scholar 

  31. Pitter MC, Gargiulo AR, Bonaventura LM, et al. Pregnancy outcomes following robot-assisted myomectomy. Hum Reprod. 2013;28(1):99–108.

    Article  PubMed  Google Scholar 

  32. Liu G, Zolis L, Kung R, et al. The laparoscopic myomectomy: a survey of Canadian gynaecologists. J Obstet Gynaecol Can. 2010;32(2):139–48.

    PubMed  Google Scholar 

  33. Advincula AP, Song A, Burke W, et al. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004;11(4):511–8.

    Article  PubMed  Google Scholar 

  34. Bedient CE, Magrina JF, Noble BN, et al. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol. 2009;201(6):566.e1–5.

    Google Scholar 

  35. Advincula AP, Xu X, Goudeau S, et al. Robot-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparison of short-term surgical outcomes and immediate costs. J Minim Invasive Gynecol. 2007;14(6):698–705.

    Article  PubMed  Google Scholar 

  36. Mais V, Ajossa S, Guerriero S, et al. Laparoscopic versus abdominal myomectomy: a prospective, randomized trial to evaluate benefits in early outcome. Am J Obstet Gynecol. 1996;174(2):654–8.

    Article  PubMed  CAS  Google Scholar 

  37. Barakat EE, Bedaiwy MA, Zimberg S, et al. Robotic-assisted, laparoscopic, and abdominal myomectomy: a comparison of surgical outcomes. Obstet Gynecol. 2011;117(2 Pt 1):256–65.

    Article  PubMed  Google Scholar 

  38. Meredith SM, Sanchez-Ramos L, Kaunitz AM. Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and metaanalysis. Am J Obstet Gynecol. 2009;201(1):107.e1–6.

    Google Scholar 

  39. Moghadam R, Lathi RB, Shahmohamady B, et al. Predictive value of magnetic resonance imaging in differentiating between leiomyoma and adenomyosis. JSLS. 2006;10(2):216–9.

    PubMed  Google Scholar 

  40. Goto A, Takeuchi S, Sugimura K, et al. Usefulness of Gd-DTPA contrast-enhanced dynamic MRI and serum determination of LDH and its isozymes in the differential diagnosis of leiomyosarcoma from degenerated leiomyoma of the uterus. Int J Gynecol Cancer. 2002;12(4):354–61.

    Article  PubMed  CAS  Google Scholar 

  41. Bush AJ, Morris SN, Millham FH, et al. Women’s preferences for minimally invasive incisions. J Minim Invasive Gynecol. 2011;18(5):640–3.

    Article  PubMed  Google Scholar 

  42. Gargiulo AR, Bailey AP, Srouji SS. Robot-assisted single-incision laparoscopic myomectomy: initial report and technique. J Robot Surg. 2012. doi: 10.1007/s11701-012-0356-1.

  43. Hillis SD, Marchbanks PA, Tylor LR, et al. Poststerilization regret: findings from the United States collaborative review of sterilization. Obstet Gynecol. 1999;93(6):889–95.

    Article  PubMed  CAS  Google Scholar 

  44. Roberts DL, Solow AR. Flightless birds: when did the dodo become extinct? Nature. 2003;426(6964):245.

    Article  PubMed  CAS  Google Scholar 

  45. Deffieux X, Morin Surroca M, Faivre E, et al. Tubal anastomosis after tubal sterilization: a review. Arch Gynecol Obstet. 2011;283(5):1149–58.

    Article  PubMed  Google Scholar 

  46. Yoon TK, Sung HR, Kang HG, et al. Laparoscopic tubal anastomosis: fertility outcome in 202 cases. Fertil Steril. 1999;72(6):1121–6.

    Article  PubMed  CAS  Google Scholar 

  47. Falcone T, Goldberg J, Garcia-Ruiz A, et al. Full robotic assistance for laparoscopic tubal anastomosis: a case report. J Laparoendosc Adv Surg Tech A. 1999;9(1):107–13.

    Article  PubMed  CAS  Google Scholar 

  48. Dharia Patel SP, Steinkampf MP, Whitten SJ, Whitten SJ, Malizia BA, et al. Robotic tubal anastomosis: ­surgical technique and cost effectiveness. Fertil Steril. 2008;90(4):1175–9.

    Article  PubMed  Google Scholar 

  49. Caillet M, Vandromme J, Rozenberg S, Paesmans M, et al. Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study. Fertil Steril. 2010;94(5):1844–7.

    Article  PubMed  Google Scholar 

  50. Degueldre M, Vandromme J, Huong PT, et al. Robotically assisted laparoscopic microsurgical tubal reanastomosis: a feasibility study. Fertil Steril. 2000;74(5):1020–3.

    Article  PubMed  CAS  Google Scholar 

  51. Gargiulo AR. Fertility preservation and the role of robotics. Clin Obstet Gynecol. 2011;54(3):431–48.

    Article  PubMed  Google Scholar 

  52. Practice Committee of the American Society for Reproductive Medicine. Committee opinion: role of tubal surgery in the era of assisted reproductive technology. Fertil Steril. 2012;97(3):539–45.

    Google Scholar 

  53. Jacobson TZ, Duffy JM, Barlow D, et al. Laparoscopic surgery for subfertility associated with endometriosis. Cochrane Database Syst Rev. 2010;1:CD001398.

    PubMed  Google Scholar 

  54. Marcoux S, Maheux R, Berube S. Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian collaborative group on endometriosis. N Engl J Med. 1997;337(4):217–22.

    Article  PubMed  CAS  Google Scholar 

  55. Parazzini F. Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: a randomized trial. Gruppo Italiano per lo Studio dell’Endometriosi. Hum Reprod. 1999;14(5):1332–4.

    Article  PubMed  CAS  Google Scholar 

  56. Practice Committee of the American Society for Reproductive Medicine. Endometriosis and infertility: a committee opinion. Fertil Steril. 2012;98(3):591–8.

    Google Scholar 

  57. Celik HG, Dogan E, Okyay E, et al. Effect of laparoscopic excision of endometriomas on ovarian reserve: serial changes in the serum antimullerian hormone levels. Fertil Steril. 2012;97(6):1472–8.

    Article  PubMed  CAS  Google Scholar 

  58. Coccia ME, Rizzello F, Mariani G, et al. Ovarian surgery for bilateral endometriomas influences age at menopause. Hum Reprod. 2011;26(11):3000–7.

    Article  PubMed  Google Scholar 

  59. Crosignani PG, Vercellini P, Biffignandi F, et al. Laparoscopy versus laparotomy in conservative surgical treatment for severe endometriosis. Fertil Steril. 1996;66(5):706–11.

    PubMed  CAS  Google Scholar 

  60. Kuroda M, Kuroda K, Arakawa A, et al. Histological assessment of impact of ovarian endometrioma and laparoscopic cystectomy on ovarian reserve. J Obstet Gynaecol Res. 2012;38(9):1187–93.

    Article  PubMed  Google Scholar 

  61. Li CZ, Liu B, Wen ZQ, et al. The impact of electrocoagulation on ovarian reserve after laparoscopic excision of ovarian cysts: a prospective clinical study of 191 patients. Fertil Steril. 2009;92(4):1428–35.

    Article  PubMed  Google Scholar 

  62. Barton SE, Gargiulo AR. Robot-assisted laparoscopic myomectomy and adenomyomectomy with a flexible CO2 laser device. J Robot Surg. 2012. doi: 10.1007/s11701-012-0360-5.

  63. Donnez J, Lousse JC, Jadoul P, et al. Laparoscopic management of endometriomas using a combined technique of excisional (cystectomy) and ablative surgery. Fertil Steril. 2010;94(1):28–32.

    Article  PubMed  Google Scholar 

  64. Muzii L, Panici PB. Combined technique of excision and ablation for the surgical treatment of ovarian endometriomas: the way forward? Reprod Biomed Online. 2010;20(2):300–2.

    Article  PubMed  Google Scholar 

  65. Muzii L, Bellati F, Bianchi A, et al. Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part II: Pathological results. Hum Reprod. 2005;20(7):1987–92.

    Article  PubMed  Google Scholar 

  66. Muzii L, Bianchi A, Bellati F, et al. Histologic analysis of endometriomas: what the surgeon needs to know. Fertil Steril. 2007;87(2):362–6.

    Article  PubMed  Google Scholar 

  67. Muzii L, Miller CE. The singer, not the song. J Minim Invasive Gynecol. 2011;18(5):666–7.

    Article  PubMed  Google Scholar 

  68. Carvalho L, Abrao MS, Deshpande A, Falcone T, et al. Robotics as a new surgical minimally invasive approach to treatment of endometriosis: a systematic review. Int J Med Robot. 2012;8(2):160–5. doi:10.1002/rcs.451.

    Article  PubMed  Google Scholar 

  69. Nezhat C, Hajhosseini B, King LP. Robotic-assisted laparoscopic treatment of bowel, bladder, and ureteral endometriosis. JSLS. 2011;15(3):387–92.

    Article  PubMed  Google Scholar 

  70. Nezhat C, Lewis M, Kotikela S, Veeraswamy A, et al. Robotic versus standard laparoscopy for the treatment of endometriosis. Fertil Steril. 2010;94(7):2758–60.

    Article  PubMed  Google Scholar 

  71. Bisharah M, Tulandi T. Laparoscopic preservation of ovarian function: an underused procedure. Am J Obstet Gynecol. 2003;188(2):367–70.

    Article  PubMed  Google Scholar 

  72. Morice P, Thiam-Ba R, Castaigne D, et al. Fertility results after ovarian transposition for pelvic malignancies treated by external irradiation or brachytherapy. Hum Reprod. 1998;13(3):660–3.

    Article  PubMed  CAS  Google Scholar 

  73. Terenziani M, Piva L, Meazza C, et al. Oophoropexy: a relevant role in preservation of ovarian function after pelvic irradiation. Fertil Steril. 2009;91(3):31.

    Article  Google Scholar 

  74. Hwang JH, Yoo HJ, Park SH, et al. Association between the location of transposed ovary and ovarian function in patients with uterine cervical cancer treated with (postoperative or primary) pelvic radiotherapy. Fertil Steril. 2012;97(6):1387–93.e1–2.

    Google Scholar 

  75. Barton SE, Politch JA, Benson CB, et al. Transabdominal follicular aspiration for oocyte retrieval in patients with ovaries inaccessible by transvaginal ultrasound. Fertil Steril. 2011;95(5):1773–6.

    Article  PubMed  Google Scholar 

  76. Molpus KL, Wedergren JS, Carlson MA. Robotically assisted endoscopic ovarian transposition. JSLS. 2003;7(1):59–62.

    PubMed  Google Scholar 

  77. Al-Badawi I, Al-Aker M, Tulandi T. Robotic-assisted ovarian transposition before radiation. Surg Technol Int. 2010;19:141–3.

    PubMed  Google Scholar 

  78. Grynberg M, Poulain M, Sebag-Peyrelevade S, le Parco S, et al. Ovarian tissue and follicle transplantation as an option for fertility preservation. Fertil Steril. 2012;97(6):1260–8.

    Article  PubMed  Google Scholar 

  79. Oktay K, Oktem O. Ovarian cryopreservation and transplantation for fertility preservation for medical indications: report of an ongoing experience. Fertil Steril. 2010;93(3):762–8.

    Article  PubMed  Google Scholar 

  80. Mayerhofer K, Ott J, Nouri K, et al. Laparoscopic ovarian tissue harvesting for cryopreservation: an effective and safe procedure for fertility preservation. Eur J Obstet Gynecol Reprod Biol. 2010;152(1):68–72.

    Article  PubMed  Google Scholar 

  81. Donnez J, Jadoul P, Pirard C, et al. Live birth after transplantation of frozen-thawed ovarian tissue after bilateral oophorectomy for benign disease. Fertil Steril. 2012;98(3):720–5.

    Article  PubMed  Google Scholar 

  82. Sonmezer M, Oktay K. Orthotopic and heterotopic ovarian tissue transplantation. Best Pract Res Clin Obstet Gynaecol. 2010;24(1):113–26.

    Article  PubMed  Google Scholar 

  83. Akar ME, Carrillo AJ, Jennell JL, Yalcinkaya TM, et al. Robotic-assisted laparoscopic ovarian tissue transplantation. Fertil Steril. 2011;95(3):1120.e5–8

    Google Scholar 

  84. Bedaiwy MA, Falcone T. Whole ovary transplantation. Clin Obstet Gynecol. 2010;53(4):797–803.

    Article  PubMed  Google Scholar 

  85. Silber SJ. Ovary cryopreservation and transplantation for fertility preservation. Mol Hum Reprod. 2012;18(2):59–67.

    Article  PubMed  CAS  Google Scholar 

  86. Silber SJ, DeRosa M, Pineda J, et al. A series of monozygotic twins discordant for ovarian failure: ovary transplantation (cortical versus microvascular) and cryopreservation. Hum Reprod. 2008;23(7):1531–7.

    Article  PubMed  CAS  Google Scholar 

  87. Silber SJ, Grudzinskas G, Gosden RG. Successful pregnancy after microsurgical transplantation of an intact ovary. N Engl J Med. 2008;359(24):2617–8.

    Article  PubMed  CAS  Google Scholar 

  88. Boggi U, Vistoli F, Signori S, et al. Robotic renal transplantation: first European case. Transpl Int. 2011;24(2):213–8. doi:10.1111/j.1432-2277.2010.01191.x.

    Article  PubMed  Google Scholar 

  89. Falk V, Jacobs S, Gummert JF, et al. Computer-enhanced endoscopic coronary artery bypass grafting: the da Vinci experience. Semin Thorac Cardiovasc Surg. 2003;15(2):104–11.

    Article  PubMed  Google Scholar 

  90. Semm K, Mettler L. Technical progress in pelvic surgery via operative laparoscopy. Am J Obstet Gynecol. 1980;138(2):121–7.

    PubMed  CAS  Google Scholar 

  91. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: robotic-assisted laparoscopic surgery in benign gynecology. J Minim Invasive Gynecol. 2013;20(1):2–9.

    Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA, USA

    Shane T. Lipskind M.D. & Antonio R. Gargiulo M.D.

  2. Center for Robotic Surgery, Brigham and Women’s Health Care, Center for Infertility and Reproductive Surgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA

    Antonio R. Gargiulo M.D.

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  1. Shane T. Lipskind M.D.
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Correspondence to Antonio R. Gargiulo M.D. .

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Editors and Affiliations

  1. Weill Cornell Medical Center, Dept. Urology, New York Presbyterian Hospital, East 68th St. 525, New York, 10021, New York, USA

    Peter N. Schlegel

  2. , Department of Reproductive Medicine, University Medical Center Utrecht, PO Box 85500, Utrecht, 3508 GA, Netherlands

    Bart C. Fauser

  3. S. Arapeen Drive 675, Salt Lake, 84108, Utah, USA

    Douglas T. Carrell

  4. and Infertility, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinlogy, Francis St. 75, Boston, 02115, Massachusetts, USA

    Catherine Racowsky

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Lipskind, S.T., Gargiulo, A.R. (2013). Reproductive Surgery and Computer-Assisted Laparoscopy: The New Age of Subspecialty Surgery Is Here. In: Schlegel, P., Fauser, B., Carrell, D., Racowsky, C. (eds) Biennial Review of Infertility. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7187-5_8

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