A novel method to facilitate uterine delivery at robotic hysterectomy

Manolitsas T

Following completion of robotic hysterectomy, the uterus is usually delivered via the vagina. Where the vaginal capacity is inadequate, or uterine size is too great, vaginal delivery may not be possible. The surgeon then has a number of options including uterine morcellation, enlargement of the vaginal introitus by Schuchardt Incision or abdominal delivery of the specimen. Uterine morcellation is contraindicated in cases of malignancy or suspected malignancy due to the risk of dissemination of malignant cells and destruction of the anatomical structure of the specimen.. Another method, previously unreported in the literature, is to enlarge the vaginal vault be making a full thickness linear incision down the midline of the anterior vaginal wall, posterior wall, or both.

The surgical technique will be described and outcomes of 17 cases provided. Alternatively a narrated, edited video can be presented.