Youssef Y, Alkatout I, Ayoubi J M, Feki A, Moawad G
Facts Views Vis Obgyn. 2024 Sep;16(3):365-368. doi: 10.52054/FVVO.16.3.034.
Adenomyosis is a chronic, debilitating condition characterised by the presence of endometrial- like glands and stroma within the myometrium. While hysterectomy remains the definitive treatment, uterus- sparing surgeries may be a possible option for patients desiring to maintain fertility. Surgical management, along with medical treatment and/or Assisted Reproductive Technology (ART), can improve outcomes.
To provide a step-by-step video demonstration of robotic-assisted excision of diffuse adenomyosis affecting the posterior uterine wall.
This video article describes the use of a robotic platform in conjunction with intracavitary indocyanine green (ICG) for the uterus-sparing excision of diffuse adenomyosis.
Perioperative data, specifics of the surgical approach, and both objective and subjective outcomes of this surgical approach.
A 38-year-old nulligravid patient with a history of chronic pelvic pain and infertility underwent surgical management of adenomyosis following two unsuccessful IVF cycles. The excisional surgery resulted in minimal blood loss (60 ml) and the patient was discharged on the same day of surgery with no complications.
In select patients, robotic-assisted surgical management of diffuse adenomyosis can be advantageous. Leveraging the benefits of robotic technology, combined with appropriate surgical techniques, facilitates the performance of extensive surgeries with minimal morbidity and favourable outcomes.
子宫腺肌病是一种慢性、使人衰弱的疾病，其特征是子宫肌层内存在类似子宫内膜的腺体和间质。虽然子宫切除术仍然是最终的治疗方法，但对于希望保留生育能力的患者，保留子宫的手术可能是一种选择。手术管理，连同药物治疗和/或辅助生殖技术（ART），可以改善治疗效果。
提供一个逐步的视频演示，展示机器人辅助切除影响子宫后壁的弥漫性子宫腺肌病。
本文视频描述了使用机器人平台结合腔内吲哚菁绿（ICG）进行弥漫性子宫腺肌病的保留子宫切除。
围手术期数据、手术方法细节以及该手术方法的客观和主观结果。
一名38岁未孕患者，有慢性盆腔疼痛和不孕史，在两次体外受精周期失败后接受了子宫腺肌病的手术治疗。切除手术导致失血极少（60毫升），患者在手术当天出院，无并发症。
在特定患者中，机器人辅助手术治疗弥漫性子宫腺肌病可能具有优势。利用机器人技术的优势，结合适当的手术技术，有助于进行广泛的手术，同时发病率极低且治疗效果良好。
