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Current Uses of Robotic Surgery for the Treatment of Benign Adnexal Conditions

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Background: Robotic-assisted laparoscopy can be safely utilized to surgically treat multiple gynecological conditions. Few studies have evaluated its role in performing adnexal surgeries.

Objective: To identify which adnexal surgeries are more commonly being performed robotically and review safety and efficacy outcomes.

Method: A literature search was performed using electronic databases using keywords robotic, adnexal surgery, ovarian, tubal, endometriosis, infertility, and pediatrics.

Results: A limited number of studies were identified that evaluated the role of robotic technology in adnexal surgeries such as oophorectomy or cystectomy for benign adnexal masses, removal of ovarian remnant, tubal reanastomosis, adnexal surgeries performed during pregnancy, and in the pediatric population for ovarian pathology. The results of these studies are based largely on a small number of retrospective data. These studies suggest similar perioperative complication rates for robotic surgery and conventional laparoscopy for the treatment of these conditions.

Conclusion: Robotic assisted laparoscopy has been demonstrated to treat adnexal pathology with favorable outcomes. However, the benefit of this technology compared to conventional laparoscopy for these procedures is undetermined and larger prospective studies are necessary to better understand its advantages and disadvantages.
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Keywords: Robotic surgery; adnexal; endometriosis; ovarian remnant; pediatric; pregnancy; tubal reanastomosis

Document Type: Review Article

Publication date: February 1, 2018

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  • Current Women's Health Reviews publishes frontier reviews on all the latest advances on obstetrics and gynecology. The journal's aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all clinicians and researchers in the fields of obstetrics and gynecology.
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