Single Port Robotic Hysterectomy of an Enlarged Uterus

Study Objective

This video depicts a hysterectomy using single port robotic assistance and describes the inherent differences between operating with this console versus multiport setups.

Design

Single patient case report.

Setting

Academic medical center.

Patients or Participants

The patient is a 44-year-old G0 with a history of previous multiport robotic myomectomy. She presented with recurrent bulk symptoms and new fibroid burden. She desired definitive management and had no interest in fertility.

Interventions

Patient underwent uncomplicated single port robotic hysterectomy with bilateral salpingectomy. The patient's procedure was uncomplicated, and she recovered without difficulty and with excellent pain control.

Measurements and Main Results

Single port robotic surgery provides similar functionality to multiport robotics with potentially decreased postoperative pain and improved cosmesis. Surgical technique for single port hysterectomy is similar to multiport hysterectomy. Special considerations in single port surgery include instrument selection and movement of instruments and camera as a unit.

Conclusion

Further implementation and study of single port robotics in gynecology should be considered.