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Robot-Assisted Hysterectomy Using the Double-Bipolar Method.

Yoshifumi Ochi¹, Masaaki Andou¹, Ryou Taniguchi¹

¹Department of Gynecology, Kurashiki Medical Center, Okayama, Japan.

Journal of Minimally Invasive Gynecology

|March 30, 2024

Summary

This summary is machine-generated.

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The double-bipolar method, using Maryland forceps, offers a versatile approach for robot-assisted hysterectomy. This technique efficiently manages bleeding and reduces instrument changes during gynecological surgery.

Area of Science:

Minimally Invasive Surgery
Gynecological Oncology
Surgical Technology

Background:

The double-bipolar method, introduced in 2011, is increasingly adopted in Japan.
Robot-assisted hysterectomy can face challenges with unexpected bleeding, often requiring prolonged corrective measures and instrument exchanges.
Maryland forceps offer four functions (incision, dissection, grasping, coagulation), enabling swift responses to intraoperative bleeding and potentially reducing costs.

Purpose of the Study:

To demonstrate the efficacy and utility of the double-bipolar method in robot-assisted hysterectomy.
To highlight the advantages of using versatile instrumentation for managing surgical bleeding.

Main Methods:

A stepwise demonstration of the double-bipolar technique using Maryland forceps and the ForceTriad™ Energy Platform.

Keywords:

Benign indication Gynecology Robotic surgery

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The procedure involved a 45-year-old female patient with a uterine myoma, undergoing robot-assisted hysterectomy.

Utilized macro mode with 60 W output for consistent energy delivery and precise incisions.

Main Results:

The robot-assisted hysterectomy was completed in 60 minutes with an estimated blood loss of only 5 mL.
The double-bipolar method, utilizing Maryland forceps, proved effective in managing surgical hemostasis.
The technique facilitated efficient dissection and coagulation, minimizing the need for instrument changes.

Conclusions:

The double-bipolar method is a highly versatile tool for gynecological surgery, integrating multiple functions into a single instrument.
Its application in robot-assisted hysterectomy demonstrates significant utility in managing bleeding and improving surgical efficiency.
This technique offers a valuable alternative for surgeons seeking to optimize outcomes in minimally invasive gynecological procedures.