Robotic Surgery for Benign Hysterectomy: A Real-World Study From India

Abstract

Background In gynecology, hysterectomy is a common surgical procedure for benign conditions. This study was conducted to assess the short-term clinical outcomes of robotic-assisted hysterectomy in the Indian population. Methods We performed a retrospective chart review of patients who underwent robotic-assisted benign hysterectomy procedures between December 2021 and July 2024. A single senior surgeon collected clinical data points related to patient demographics, comorbidities, and surgical outcomes. Results A total of 113 patients with a mean age of 45.39 ± 9.04 years and a body mass index of 29.07 ± 4.69 kg/m² were included in the study. The mean operating room time was 178.41 ± 18.65 minutes, while the estimated blood loss and length of hospital stay were 23.85 ± 5.84 mL and 2.86 ± 0.42 days, respectively. The mean ambulation time was 21.22 ± 3.10 hours. There were only three post-operative complications: urine leakage in two (1.77%) patients and intestinal obstruction due to an ileal adhesion in one (0.88%) patient. Conclusion There are potential advantages to the robotic-assisted hysterectomy in terms of blood loss, length of hospital stay, and intra- and post-operative complications. The study's conclusions support the use of robotic assistance in the surgical management of benign hysterectomy.

Keywords: adnexal masses; endometrioma; hysterectomy; robotic surgery; uterine leiomyoma.