Total Robotic Hysterectomy: Thailand's First Case Report of Gynecologic Robotic Surgery

Korakot Sirimai; Perapong Inthasorn; Pavit Sutchritpongsa; Prasong Tanmahasamut

doi:10.14456/smj.2016.5

Total Robotic Hysterectomy: Thailand's First Case Report of Gynecologic Robotic Surgery

Korakot Sirimai, Perapong Inthasorn, Pavit Sutchritpongsa, Prasong Tanmahasamut

In: Siriraj Medical Journal, Vol 68, Iss 1, Pp 42-46 (2016) · 2016 · doi:10.14456/smj.2016.5 · W2465381634

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This report describes the first total robotic hysterectomy performed in Thailand for a patient with adenomyosis, demonstrating a safe and feasible surgical approach with no complications.

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This case report details the first total robotic hysterectomy performed in Thailand, conducted at Siriraj Hospital. The procedure was utilized to treat a patient suffering from adenomyosis and uterine fibroids, marking a significant milestone in local gynecologic surgical capabilities. The authors highlight the technical feasibility and safety of using robotic assistance for complex pelvic surgeries within their institution. This paper is centrally about adenomyosis — specifically, it documents its surgical management via total robotic hysterectomy as part of the initial introduction of this technology in Thailand.

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Abstract

Objective: This study aimed to report the feasibility, trouble shooting and surgical technique in the total robotic hysterectomy for the patient with adenomyoma uteri. Methods: A 51 year-old patient was diagnosed with adenomyosis. Total robotic hysterectomy was performed. Results: Total operating time was 350 min, estimated blood loss was 50 ml, and length of hospitalization was 6 days. The pathologic section revealed adenomyosis with myoma uteri. The intraoperative and post-operative complications were unremarkable. The patient was in good conditions at 6th week, 3rd, 6th, 12th and 24th month. Conclusion: Total robotic hysterectomy for benign gynecologic condition, such as adenomyosis, is safe and feasible. However, the sustained high consuming cost must be weighted with the patient’s advantages. Keywords: Robotic, hysterectomy, adenomyosis, myoma uteri

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