robotic assisted hysterectomy s kapurubandara 12 y nikam 234 1 westmead hospital 2 university of...

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Robotic Assisted Hysterectomy S Kapurubandara12 Y Nikam234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University of Western Sydney

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Page 1: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University

Robotic Assisted Hysterectomy

S Kapurubandara12

Y Nikam234

1 Westmead Hospital

2 University of Sydney

3 Sydney West Area Pelvic Surgery (SWAPS)

4 University of Western Sydney

Page 2: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University

Case Preparation Largest OT room Dorsal lithotomy position and trendelenburg

buttock just off the table. Securely positioned The arms padded in neutral position OGT IDC EUA + Uterine manipulator Once the robot is dockedCannot change the setup

Page 3: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University

Port placement & Docking

Page 4: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University

Case 38 yr old G3 P3 – 3 NVD Background – severe dysmenorrhea and menorrhagia

OCP 6/12 Mirena 8/12 Declined endometrial ablation

Clinically BMI 22 12/40 bulky uterus Minimal prolapse and no significant vaginal decent

Normal US

Option of Robotic vs Total laparoscopic hysterectomy (financial incentive was the same)

Page 5: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University

Page 6: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University

Which one would you choose?

Page 7: Robotic Assisted Hysterectomy S Kapurubandara 12 Y Nikam 234 1 Westmead Hospital 2 University of Sydney 3 Sydney West Area Pelvic Surgery (SWAPS) 4 University

Thank you

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