Robot-assisted laparoscopic trachelectomy after supracervical hysterectomy.

OBJECTIVE

To present a case of successful robotic assisted laparoscopic trachelectomy.

DESIGN

Case report.

SETTING

Tertiary care facility.

PATIENT(S): A 40-year-old female with history of severe endometriosis and adhesions presented with persistent pain and bleeding after abdominal supracervical hysterectomy after failed attempt for laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy.

INTERVENTION(S): Robot-assisted laparoscopic trachelectomy and treatment of associated pelvic disease.

MAIN OUTCOME MEASURE(S): Successful completion of robot-assisted trachelectomy.

RESULT(S): There were no intraoperative or postoperative complications and minimal blood loss. At 10 months' follow-up the patient was doing well with resolution of her symptoms.

CONCLUSION(S): Robotic surgery may bridge the gap between laparotomy and laparoscopy for trachelectomy in complicated cases.