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Hi-Tech Advances the Practice of Minimally Invasive Gynecology at AAGL Global Congress
Date:11/6/2008

there was also a radical laparoscopic hysterectomy for cervical cancer that was broadcasted live from India to the conference in Las Vegas, Nevada.

Other cutting-edge highlights included:

Robotics. Use of robotic instruments helps surgeons perform minimally invasive gynecologic procedures with greater precision and less fatigue. A number of studies were presented on the experience of surgeons using robotics to treat a variety of gynecological problems, including hysterectomies, myomectomies (removal of fibroids), ovarian cystectomies (removal of ovarian cysts), oophorectomies (removal of the ovaries), salpingectomies (removal of the fallopian tubes), adhesiolysis (removal of scar tissue), peritoneal biopsies (taking tissue samples), and endometrial cancer.

These sessions provided evidence that robotic-assisted operative laparoscopy is feasible and effective in multiple conditions. The technology enables more surgeons to perform endoscopic surgery because of its advantages in 3-dimensional visualization, improved dexterity, reduced tension tremor for the surgeon, and shorter learning curve. Because the surgeon manipulates the instruments remotely while watching a monitor, robotics may usher in a new era of telesurgery that will enable surgeons to treat patients who are physically removed from them by hours and miles.

Single Port Access. This novel surgical technique employs one small incision instead of the three small ("keyhole") incisions usually employed in laparoscopic surgery. Several presentations demonstrated how standard laparoscopic procedures can be performed through a single one-inch incision in the navel, including removal of the ovaries and fallopian tubes, correction of stress urinary incontinence, hysterectomy, and treatment of various gynecological cancers. The single point of entry offers cosmetic advantages to the patient, since the small scar of the incision is hidden in the navel.

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