Robotic Radical Resection of Endometriosis

Robotic Surgery for Endometriosis and Chronic Pelvic Pain

Robotic radical resection of endometriosis is performed in order to alleviate the pain associated with endometriosis and decrease the chances that our patients will require additional surgery at a later date. It is often performed together with robotic salpingo-oophorectomy (surgical removal of the ovaries and fallopian tubes), robotic hysterectomy, and robotic presacral neurectomy procedures. Surgeons are increasingly recognizing that the use of robot-assisted surgery for this condition allows for better identification of abnormal versus normal areas of tissue, thanks to the excellent visualization offered by the da Vinci Si's magnified, 3-D high-definition camera. This technical advantage is likely to result in improved overall pain outcomes, as well as a reduced likelihood the patient will need future surgery.

How Robotic Radical Resection of Endometriosis is Performed

In this procedure, four standard quarter-inch incisions are made for the robot's camera and instrument arms. The surgeon then carefully identifies relevant and critical anatomic structures, restores normal pelvic anatomy, and works carefully to excise all areas of abnormal tissue that can be safely removed.

Fertility-Sparing Robotic Radical Resection of Endometriosis

The majority of women undergoing surgery for endometriosis have a desire to retain their reproductive organs for future pregnancy. Surgeons at NYU can carefully work around the vital reproductive structures to give the patient excellent pain relief by removing maximal amounts of endometriosis, while still preserving her ability to bear children.

Advantages of Robotic Radical Resection of Endometriosis

Enhanced tissue removal. In robotic radical resection of endometriosis, the surgeon will often be able to remove more of the patient's relevant abnormal tissue than is possible with open or laparoscopic surgery, due to the da Vinci's superior visualization.
Less scarring than with open surgery. As with other robotic procedures, there is less external scarring with robotic radical resection of endometriosis, since the procedure is performed through small quarter-inch incisions rather than a single large incision. In addition, compared to the open (large incision) version of the procedure, robotic resection of endometriosis may result in less internal scarring, due to decreased manipulation of tissue.
Less post-operative pain. Because there is less manipulation of the laparoscopic ports in robotic resection of endometriosis, there is likely to be less pain at the site of the port incisions compared to traditional laparoscopic surgery.
Faster recovery. Most patients are able to resume normal activities within 2 weeks, compared to 6 weeks for open surgery.

Robotic Radical Resection of Endometriosis at NYULMC

The robotic gynecologic surgeons at NYU Langone's Robotic Surgery Center are among the most highly skilled in the New York City area. Our surgical program for the management of benign gynecologic conditions is spearheaded by Dr. Kenneth Levey, who specializes in the surgical treatment of endometriosis, uterine fibroids, abnormal uterine bleeding, and chronic pelvic pain. Dr. Levey is one of New York's most experienced surgeons at both robotic and laparoscopic minimally-invasive gynecological procedures, and has used the da Vinci Si surgical system extensively to perform robotic radical resections for endometriosis.

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