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Myomectomy with ArtiSential fully articulating laparoscopic instruments: A prospective multicenter study.

Seyeon Won¹, Kidong Kim², Keun Ho Lee³

¹Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Republic of Korea.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics

|February 15, 2024

Summary

This study found that myomectomy using the innovative ArtiSential instrument is feasible and safe, offering potential benefits over conventional laparoscopic surgery. Further research is needed for direct comparisons.

Keywords:

laparoscopy robotic surgical procedures uterine fibroids uterine myomectomy

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Area of Science:

Minimally Invasive Surgery
Gynecological Surgery
Surgical Instrumentation

Background:

Innovative ArtiSential instruments offer 360° wrist-like articulation, overcoming limitations of conventional laparoscopic surgery.
These devices aim to provide dexterity comparable to robotic surgery for enhanced surgical procedures.

Purpose of the Study:

To evaluate initial clinical experiences with ArtiSential instruments during myomectomy procedures.
To report on the surgical outcomes and feasibility of using this novel technology in myomectomy.

Main Methods:

A multicenter prospective study included 77 women undergoing myomectomy between January 2021 and June 2022.
Surgeons utilized ArtiSential instruments based on their preference, with data collected on baseline characteristics, outcomes, and surgeon feedback.
Surgical outcomes, trocar placement, and operator survey results were analyzed.

Main Results:

The study involved patients with a mean age of 39.9 years and BMI of 22.4 kg/m².
No transfusions or laparotomy conversions were necessary; only one case of ileus occurred postoperatively.
Surgeons found ArtiSential instruments more convenient than conventional laparoscopic tools but less so than robotic systems.

Conclusions:

Myomectomy performed with ArtiSential instruments appears to be a safe and feasible surgical option.
Further comparative studies are required to fully assess the benefits of ArtiSential against robotic and conventional laparoscopic approaches.