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Exploring robotic total hysterectomies: a multi-site experience with the Senhance Surgical System
Burghard Abendstein1, Michael Prugger2, Attila Rab2
1Department of Gynaecology, Academic Teaching Hospital Feldkirch, Carinagasse 47, 6800, Feldkirch, Austria. burghard.abendstein@vlkh.net.
Journal of Robotic Surgery
|June 26, 2024
Summary
This multi-site study demonstrates the Senhance Surgical System is safe and feasible for total hysterectomies. The robotic system showed minimal complications and reduced patient pain, confirming its viability in gynecological surgery.
Area of Science:
- Minimally Invasive Surgery
- Gynecological Oncology
- Surgical Robotics
Background:
- Robotic-assisted surgery is a significant advancement in gynecology.
- The Senhance Surgical System is increasingly used for total hysterectomies.
- Multi-site data on the Senhance system for hysterectomies is limited.
Purpose of the Study:
- To evaluate the safety and feasibility of total hysterectomies using the Senhance Surgical System.
- To analyze outcomes from a multi-site study involving the Senhance system.
- To assess the established routine and efficiency of the Senhance system in gynecological procedures.
Main Methods:
- A multi-site study involving 295 total hysterectomies.
- Data collection on procedure times, patient demographics, conversion rates, adverse events, and robotic malfunctions.
- Assessment of postoperative pain using a visual analog scale.
Main Results:
- The study involved 295 patients with a median age of 53.5 years and average BMI of 25.6 kg/m².
- Low rates of conversion (1%) and adverse events (2%) were observed.
- Robotic malfunctions were minimal (4.1%), and postoperative pain significantly decreased from 2.7 to 0.9.
Conclusions:
- The Senhance Surgical System demonstrates good control, feasibility, and safety for total hysterectomies.
- The system is a viable option for gynecological surgeons performing hysterectomies.
- Established routines contribute to efficient and safe surgical outcomes with the Senhance system.

