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Updated: May 22, 2025
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Published on: May 19, 2022
First Case Series of Robotic-Assisted Hysterectomy Below the Bikini Line: 'Diamond' Port Placement Using the Hugo RAS
Ikuko Sakamoto1, Yoshihiko Ito1, Kosuke Matsuda1
1Department of Obstetrics & Gynecology, Yamanashi Central Hospital, Yamanashi, Japan.
Background:
Traditional robot-assisted hysterectomy port placement causes visible scarring. We developed a novel diamond-shaped lower abdominal port placement technique using the Hugo RAS System, designed to minimise scarring while maintaining surgical efficacy through the system's modular design.
Methods:
We analysed records of 72 robot-assisted hysterectomies performed between November 2023 and August 2024, including six cases using diamond port placement. We evaluated demographics, operative metrics, complications, and pain scores.
Results:
Median operative time was 70 min, with minimal blood loss and no complications. Postoperative pain scores at 24 h (median 2.5) were significantly lower than preoperative expectations (median 7.0, p = 0.00409).
Conclusions:
The lower abdominal diamond port placement technique for Hugo RAS System hysterectomy appears safe and effective, potentially improving cosmetic outcomes while maintaining surgical efficiency.
