To report the initial experience and outcomes of robotic-assisted vaginal hysterectomy using the da Vinci® Single-Port system (RSP-vNOTES) in Europe, highlighting its significance in advancing minimally invasive surgical techniques.
Key Findings:
The first RSP-vNOTES hysterectomy was successfully performed on October 23, 2024.
The patient experienced minimal blood loss and was discharged the same day with low postoperative pain (VAS score of 1).
The procedure was completed without intraoperative complications, and further data on recovery times and patient satisfaction will be reported.
Interpretation:
The integration of robotic assistance into vaginal hysterectomy may enhance surgical outcomes by improving precision and reducing recovery times, thus expanding the indications for this minimally invasive approach.
Limitations:
The study is limited to a single center and a small case series, which may affect the generalizability of the findings.
Initial selection criteria favored patients with favorable anatomical conditions, potentially introducing bias in outcomes.
Conclusion:
Robotic-assisted single-port vaginal hysterectomy shows promise as a safe and effective technique, warranting further investigation and broader application to validate these initial findings.
A case report described delayed diagnosis of primary abdominal ectopic pregnancy after a patient presented with persistent upper abdominal pain and nondiagnostic ultrasound findings.
