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Case Reports
. 2022 Apr 20;10(4):e05778.
doi: 10.1002/ccr3.5778. eCollection 2022 Apr.

Robotic-assisted laparoscopic hysterectomy and vasovagal reflex: A case report

Eriya Imai  1 , Sonoko Kamijyo  1 , Motoki Namekawa  1 , Motoi Yokozuka  1
Affiliations
Case Reports

Robotic-assisted laparoscopic hysterectomy and vasovagal reflex: A case report

Eriya Imai et al. Clin Case Rep. .

Abstract

No reports of vasovagal reflex activity during robotic-assisted laparoscopic hysterectomy (RALH) exist. We present a case of a woman who underwent a RALH for a uterine myoma with uterine adenomyosis. A lack of tactile feedback and a traction force sensor create unique risks of robot-assisted surgery. Anesthesiologists should be aware of these risks.

Keywords: arrhythmia; bradycardia; hysterectomy; robot‐assisted surgery; vasovagal reflex.

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Conflict of interest statement

The authors declare that they have no competing interests associated with this manuscript.

Figures

FIGURE 1
FIGURE 1
Intraoperative view. The lateral wall of the vagina was resected while the uterus was compressed to the right using a da Vinci Xi system (Intuitive Surgical Inc.)
FIGURE 2
FIGURE 2
Electrocardiogram waveform revealed a prolonged PP interval (indicated with solid arrows) and the transient absence of sinus P waves. A small premature P’ wave (indicated with a dashed arrow) was found in the areas where sinus P waves were absent. The maximum sinus pause was 2.1 s
See this image and copyright information in PMC

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