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464: Robot Assisted Laparoscopic Management of Advanced Endometriosis
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Journal of Minimally Invasive Gynecology, Vol 14, No 6, November/December Supplement 2007
posturing and excellent surgical site exposure for procedures (including laparoscopically assisted vaginal hysterectomy (LAVH) or total laparoscopic hysterectomy (TLH) that require intraprocedual repositioning. ● In the high lithotomy postion, such as that desired in traditional vaginal hysterectomy and other perineal surgeries,“ABC” stirrups combine proven “Allen Style” patient safety and improved outcomes with the preferred comfortable and convenient access to the perineum for the surgeon and two assistants that is provided by traditional cane stirrups. 464 Robot Assisted Laparoscopic Management of Advanced Endometriosis Wang K, Senapati S, Advincula AP. University of Michigan, Ann Arbor, Michigan The surgical management of advanced stage endometriosis can often be challenging by conventional laparoscopic techniques. Altered tissue planes, dense adhesions, and infiltrative disease can be managed safely with a robot assist device. Enhanced visualization and the degrees of freedom inherent to the Endowrist instruments facilitate precise and
careful dissection. This video demonstrates the utilization of a robotic surgical system in three cases of advanced stage endometriosis. 465 Successful Laparoscopic Removal of Essure Microinserts for Persistent Postprocedural Pain Yang LC. Magee-Womens Hospital, Magee Center for Gynecologic Specialties, Pittsburgh, Pennsylvania Hysteroscopic Essure tubal occlusion has recently become a popular contraceptive method for women desiring permanent sterilization. Hysteroscopic sterilization has been demonstrated to be a safe and effective minimally invasive technique, however, complications of short-term dysmenorrhea and dyspareunia have been reported. Persistent longterm pain following Essure placement may also occur, ultimately requiring removal of the micro-insert devices. By twelve weeks, permanent fibrotic changes within the tubes may complicate removal of the imbedded coils. We present a case of successful management of persistent postprocedural pain using a laparoscopic linear salpingostomy technique for the removal of Essure micro-inserts.
Journal of Minimally Invasive Gynecology, Vol 14, No 6, November/December Supplement 2007
posturing and excellent surgical site exposure for procedures (including laparoscopically assisted vaginal hysterectomy (LAVH) or total laparoscopic hysterectomy (TLH) that require intraprocedual repositioning. ● In the high lithotomy postion, such as that desired in traditional vaginal hysterectomy and other perineal surgeries,“ABC” stirrups combine proven “Allen Style” patient safety and improved outcomes with the preferred comfortable and convenient access to the perineum for the surgeon and two assistants that is provided by traditional cane stirrups. 464 Robot Assisted Laparoscopic Management of Advanced Endometriosis Wang K, Senapati S, Advincula AP. University of Michigan, Ann Arbor, Michigan The surgical management of advanced stage endometriosis can often be challenging by conventional laparoscopic techniques. Altered tissue planes, dense adhesions, and infiltrative disease can be managed safely with a robot assist device. Enhanced visualization and the degrees of freedom inherent to the Endowrist instruments facilitate precise and
careful dissection. This video demonstrates the utilization of a robotic surgical system in three cases of advanced stage endometriosis. 465 Successful Laparoscopic Removal of Essure Microinserts for Persistent Postprocedural Pain Yang LC. Magee-Womens Hospital, Magee Center for Gynecologic Specialties, Pittsburgh, Pennsylvania Hysteroscopic Essure tubal occlusion has recently become a popular contraceptive method for women desiring permanent sterilization. Hysteroscopic sterilization has been demonstrated to be a safe and effective minimally invasive technique, however, complications of short-term dysmenorrhea and dyspareunia have been reported. Persistent longterm pain following Essure placement may also occur, ultimately requiring removal of the micro-insert devices. By twelve weeks, permanent fibrotic changes within the tubes may complicate removal of the imbedded coils. We present a case of successful management of persistent postprocedural pain using a laparoscopic linear salpingostomy technique for the removal of Essure micro-inserts.