Robotics in Gynaecology: Robotic-Assisted Ovariotomy with Adhesiolysis By Dr Usha B R

A 52-year-old woman presented with abdominal pain and tenderness in both iliac fossae. Her surgical history was significant and complex: a complicated open hysterectomy 10 years ago, followed by a ureteric stricture that required multiple interventions, including an attempted uretero-ureterostomy and later a Boari flap uretero-cystostomy. In addition, she was prediabetic (HbA1c – 6.4%), which further increased the risks associated with surgery.

Clinical Challenge

Operating on a patient with three prior laparotomies and dense adhesions is always a formidable task. Conventional surgery in such cases carries higher risks of blood loss, prolonged operative time, injury to adjacent structures, and delayed recovery. In this case, the surgical team chose a robot-assisted bilateral ovariotomy with adhesiolysis, leveraging the precision and safety of robotic technology.

The Procedure

The robotic approach allowed meticulous dissection through dense adhesions, ensuring minimal blood loss and maximal surgical precision. The advanced 3D vision and enhanced dexterity of robotic instruments helped the team manage this high-risk case successfully.

Recovery and Outcomes

The patient’s recovery was smooth and uneventful:

• Ambulated by the end of the day
• Started on oral intake within 24 hours
• Drain removed at 48 hours
• Discharged in stable condition just 48 hours after surgery

Such a rapid recovery after a high-complexity procedure highlights the advantages of robotic surgery in gynecology.

Redefining Surgical Outcomes with Robotics

This case emphasizes how robot-assisted surgery is transforming outcomes for women with complex surgical histories. Benefits include:

• Safer dissection in difficult surgical fields
• Reduced blood loss
• Faster recovery and discharge
• Better overall patient comfort

By combining advanced technology with surgical expertise, robotic-assisted procedures are opening new possibilities even in the most challenging gynecological cases.