Single port robotic hysterectomy technique improving on multiport procedure
A 46 year old white female presented to the office for surgical management of menorrhagia and fibroid uterus. She was a physically fit aerobics instructor who had one previous pregnancy, no medical problems other than chronic anemia, and a negative hematologic work-up. Ultrasound showed a 13 week size uterus with multiple leiomyoma varying in size however no significant endometrial pathology. She had previously undergone, hormonal therapy management, Hysteroscopy, Dilatation and Curative and Nova sure endometrial ablation without success. Endometrial biopsy pathology revealed disordered proliferative endometrium, however, no evidence of atypia or malignancy. The patient had been given an Invasive Radiology consult for possible Uterine Artery Embolization, however wished to have the uterus removed robotically. The patient wished to minimize any abdominal scars as she prided herself on her figure and bikini modeling. She underwent a single port robotic hysterectomy. There were no intraoperative or postoperative complications. Blood loss was 25 milliliters and the average operative time was 180 minutes.