Society of Reproductive Surgeons Telesurgery - Robotic Surgery Myomectomy
Time:11:15 am - 1:00 pm
Location:Ballroom 6 - San Diego Convention Center
Stephen F. Palter, M.D. (Chair), Gold Coast IVF
Antonio R. Gargiulo, M.D. (Surgeon), Brigham and Women’s Hospital
Needs Assessment and Description
Laparoscopic myomectomy is the ideal reproductive
surgery operation. The indication for surgery is often based
on a highly specialized understanding of a complex
longitudinal clinical picture, and microsurgical technique
is essential. Yet, laparoscopic myomectomy has eluded
adoption by many reproductive surgeons due to its
objective technical challenges and poor ergonomics.
Robot-assisted laparoscopy represents the long-awaited
enabling interface between reproductive surgeons
and advanced laparoscopy. The addition of robotic
myomectomy, a high-specialty surgery performed by
a reproductive endocrinology and infertility specialist,
expands patient surgical options. This course will enable
participants to view a televised live surgical procedure and
is designed for reproductive surgeons and other healthcare
At the conclusion of this session, participants should be able
- Describe the standard operating room set-up for robotic
myomectomy, including the choice of specific
instruments, sutures and energy sources.
- Identify clinical cases for which robotic myomectomy is
an appropriate or inappropriate treatment choice.
- Consider variations on the theme of standard robotic
myomectomy, such as cosmetic port set-up, hybrid
robotic myomectomy and use of photonic energy.
Which of the following statements best describes robotic
- Robotic platforms allow full range of motion (seven
degrees of freedom) of the ultrasonic knife.
- Robotic platforms are scientifically-proven laparoscopic
- Robotic instruments must be inserted through port sites in
the upper abdomen.
- Transvaginal sonography is ideal for preoperative
mapping of the myomas.
- The technique is clearly superior to conventional
laparoscopic myomectomy in terms of perioperative
- Advanced laparoscopic training is required in order to
become a safe robotic surgeon.