Robotic Surgery in Gynecology: Program Initiation and Early Outcomes at a Community Hospital

Salim Abunnaja, MD, Lucian Paniat, MD, Mark Albini, MD, Issa Mirmehdi, MS, Jinesh Shah, MS, Juan Sanchez, MD. Saint Mary’s Hospital


Robotic surgery has become an integral part of gynecological surgery in major academic hospitals across the United States. Many smaller community hospitals are now initiating their own robotic programs. Our robotic gynecology surgery program was recently initiated we review our experience to date.

We conducted a retrospective medical chart review of the first 215 robotic gynecological procedures from February 2010 to April 2011.

A total of 215 patients with benign or malignant conditions were operated on by five robotic surgeons using a double-console da Vinci surgical system. The procedures included 77 total hysterectomies, 65 total hysterectomies with salpingo-oopherectomy, 29 supracervical hysterectomies, and 44 other gynecological procedures. The average hospital stay was one day with only four patients staying more than 3 days.
There were no mortalities in our series; only five procedures were converted to open procedures, with a conversion rate of 2.33%. The only significant early post operative complication was an incarcerated port site dehiscence in one patient.

Our early experience with robotic surgery in gynecology shows that it is safe and feasible in a community setting. Patient recovery is excellent, and hospital stays are short .Use of the double console system increases participation by residents and new surgeons in robotic surgeries and appears to be a promising educational tool.

Session Number: Poster – Poster Presentations
Program Number: P581
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