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Am J Obstet Gynecol. 2010 Nov;203(5):499.e1-5. doi: 10.1016/j.ajog.2010.07.022.

Evaluation of the introduction of robotic technology on route of hysterectomy and complications in the first year of use.

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  • 1Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.

Abstract

OBJECTIVE:

We sought to determine the differential rates and complications of hysterectomy type in the year prior to and following the introduction of robotic technology.

STUDY DESIGN:

This was a retrospective chart review of 461 hysterectomies performed from July 2007 through June 2008 (period 1) and July 2008 through June 2009 (period 2) at Virginia Commonwealth University Medical Center.

RESULTS:

In all, 199 vs 262 hysterectomies were performed in periods 1 and 2: open, 52.3% vs 43.1%; laparoscopic, 18.1% vs 8.0%; robotic, 2.5% vs 24.8%; and vaginal, 27.4% vs 24.1%, respectively. The increase in robotic hysterectomies in period 2 was associated only with a decline in laparoscopic hysterectomy (P < .0001). Major morbidity by route was 23.04% open, 11/1% vaginal, 7.02% laparoscopic, and 4.29% robotic (P < .0001).

CONCLUSION:

Route of hysterectomy changed significantly after the introduction of robotic technology primarily due to a change in management of pelvic organ prolapse. Open hysterectomy was associated with significantly higher complication rates.

Copyright © 2010. Published by Mosby, Inc.

PMID:
21055514
[PubMed - indexed for MEDLINE]
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