Robotic surgery in gynaecology

Published:October 28, 2022DOI:


      Gynaecological surgery is rapidly changing with innovations in technology and minimally invasive surgery is now the main route of operating in pelvis. This is associated with improved perioperative outcomes especially length of stay and readmissions leading to early recovery as compared to open procedure. Open hysterectomy is still undertaken in many parts of the world due to complex pathology with higher conversion rates with laparoscopy as complexity increases. Innovations in minimally invasive surgery with development of wristed computerized surgical tools has led to implementation of robotic surgery in healthcare. Robotic surgery is very intuitive and precise with improved ergonomics and ability for surgeon to control the camera and utilized extra arms for manipulation. The limitation of wider use of this latest technology is due to higher capital cost of the equipment. However, with full healthcare economic analysis and competition between numerous platforms will make robotic surgery the method of choice especially for patients with complex pelvic pathology. There is need for surgeons and surgical team to obtain training in both technical and non-technical aspects of a procedure. Training is best done within a standardized curriculum and implementation of robotic surgery should be within clinical governance framework.


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