At Brigham and Women's Center for Robotic Surgery at Faulkner Hospital, gynecologists are using cutting edge technology to treat and care for many gynecological conditions using state-of-the-art robotics to improve reproductive surgery outcomes. This cutting-edge technology's ability to broaden the scope of minimally invasive surgery is compelling more and more of the Center's patients to consider robotic laparoscopic surgery as a safe and effective means of preserving their fertility and, in select cases, enhancing outcomes for subsequent assisted reproductive technology (ART) procedures.

Dr. Antonio Gargiulo and Dr. Serene Srouji of Brigham and Women's Center for Robotic Surgery at Faulkner Hosptial employ the da Vinci Surgical System's miniaturization, precision, dexterity, and enhanced vision to maximize their surgical skills and improve patient outcomes.

Traditional open surgery requires one large incision and retraction to accommodate human hands, but only small incisions are required for the robot's hands. These hands are attached to four available arms - one guides a high definition 3-D camera, two act as the surgeon's main arms, and an optional arm is often used for holding back tissue. The camera gives the surgeon enhanced detail, true depth of field, and a panoramic view, and the robotic hands' broad range of movement gives the surgeon greater dexterity. These capabilities are further enhanced by unique ergonomics that help to ease surgeon fatigue and precise mechanics that enable steady movements. These movements are always guided by a doctor, never programmed.

To get a sense of the clarity and magnification provided by the robotic camera and the nimble movements enabled by the robotic arms, watch Conventional Laparoscopic Myomectomy with Robotic Reconstruction: A Safe Hybrid Procedure for Large Myomata, a video featuring detailed footage of a myomectomy performed by Drs. Gargiulo and Srouji or Robotic Adenomyomectomy, which shows the removal of endometriosis from the uterus and the subsequent reconstruction of the uterine wall.

 You can also watch Robotic Myomectomy: The Latest Tool In Fertility-Enhancing Surgery or Myomectomy and Radical Hysterectomy with Robotic Assistance to see and hear patients' experiences with robot-assisted myomectomy, from their consideration of the surgery to their recovery.

If you are interested in learning more about robotic surgery for gynecological disorders or are interested in making an appointment, please call 617-732-4222.

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