Journal of robotic surgery
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We aimed to compare perioperative outcomes of robotic-assisted hysterectomy versus vaginal hysterectomy in patients with benign gynecologic conditions, using a retrospective chart review of 240 consecutive benign hysterectomies from May 2008 to April of 2010 performed by a single surgical team at the Eisenhower Medical Center. The analysis included an equal number of cases in each group: 120 robotic-assisted total laparoscopic hysterectomies and 120 total vaginal hysterectomies. Consecutive cases met the inclusion criteria of benign disease. ⋯ Length of hospital stay was 1 day for both groups. The perioperative complication rates were equivalent between groups (6.7 vs. 11.7%, p = 0.180), but there were more major complications in the vaginal group (0 vs. 3.3%, p = 0.044). We conclude that, in a comparable group of patients, robotic-assisted hysterectomy takes longer to complete but results in fewer major complications.
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Robotically assisted laparoscopy is a superior technique for the management of abdominopelvic splenosis, which is an often unsuspected cause of pelvic pain. A 25-year-old female with a distant history of traumatic splenic rupture and splenectomy was diagnosed with splenosis at the time of laparoscopy for vague abdominopelvic pain. ⋯ Splenosis is a potential cause of pelvic pain in a patient with a history of splenic injury. Robotically assisted laparoscopy provides the manual dexterity and the enhanced field of view necessary for the meticulous nature of this surgery.