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Robotic-Assisted Total Hysterectomy: Hysterectomy Techniques for the Large Uterus

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Hysterectomy

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Abstract

Objective: The aim of this chapter is to describe minimally invasive techniques applicable in patients with very large uteri who have an indication for hysterectomy. With a few exceptions, the approaches described here are relevant to any minimally invasive surgery, not only to the robotic platform. In addition, the same principles apply to any routine or very complex surgery and it is the author’s hope that his fellow surgeons will have their patients benefit from this knowledge.

Methods: Each segment of the operation is described separately since complex surgeries cannot follow the same string of operative steps for each patient. All steps are necessary to complete the surgery, but the surgeon needs to orchestrate them and sometimes modify them as necessary, with the intent of completing the surgery in the shortest time possible and with the best outcome for the patient.

Results: Since the introduction of the robotic system at our institution in 2007, no conversions to laparotomy were needed when performing robotic hysterectomies for very large uteri. The average hospital stay was 1.2 days.

Conclusions: Very large uteri can be resected using minimally invasive techniques and robotic surgery is a useful adjunct to accomplish these procedures.

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Authors and Affiliations

  1. Division of Gynecologic Oncology, Yale School of Medicine, New Haven, CT, USA

    Dan-Arin Silasi MD

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  1. Dan-Arin Silasi MD
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Correspondence to Dan-Arin Silasi MD .

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Editors and Affiliations

  1. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Ibrahim Alkatout

  2. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Liselotte Mettler

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Silasi, DA. (2018). Robotic-Assisted Total Hysterectomy: Hysterectomy Techniques for the Large Uterus. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_65

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  • DOI: https://doi.org/10.1007/978-3-319-22497-8_65

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22496-1

  • Online ISBN: 978-3-319-22497-8

  • eBook Packages: MedicineMedicine (R0)

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