Robotic single-port (SP) vaginal hysterectomy: the first cases in Europe and surgical steps
By
Layanna Otrante
Louise Moniod
Clement Rousseau
Celine Chauleur
May 12, 2026
Clinical Scorecard: First European Cases of Robotic Single-Port Vaginal Hysterectomy: Surgical Techniques and Insights
At a Glance
Category Detail
Condition
Key Mechanisms
Target Population Women undergoing hysterectomy with favorable anatomical conditions (e.g., multiparity, no severe pelvic adhesions).
Care Setting
Key Highlights
Robotic Single-Port (SP) system enhances access and maneuverability in vaginal surgery, supported by initial case data. RSP-vNOTES associated with reduced postoperative pain (VAS scores) and shorter hospital stays (specific duration needed). Initial case series demonstrates feasibility and safety of RSP-vNOTES with specific outcomes.
Guideline-Based Recommendations
Diagnosis
Management
Consider GnRH analogue for pre-operative management of anemia and uterine volume. Explore additional management options such as iron supplementation or blood transfusion if necessary.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Selection criteria expanded over time to include nulliparous patients and larger uterine volumes; specific examples of cases should be provided.
Clinical Best Practices
Utilize robotic assistance to optimize vaginal hysterectomy techniques. Perform thorough pre-operative assessments using tools like MRI and ultrasound to identify suitable candidates.
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