Abstract
Demonstrate technique for robot-assisted laparoscopic excision of abdominal wall endometriosis and mesh reinforcement of subsequent defect.
Description and demonstration of surgical technique.
Abdominal wall endometriosis most commonly takes hold following seeding of a previous cesarean scar. Currently one third of deliveries in the US are accomplished by cesarean section. With increases in the number of patients diagnosed with endometriosis, evaluation and minimally invasive management of abdominal wall endometriosis is becoming an essential skill for the gynecologic surgeon.
Patient with cyclic abdominal wall pain following incomplete resection of abdominal wall endometriosis.
Robot-assisted laparoscopic evaluation of size and location of lesion. Minimally invasive resection of lesion including evaluation of intraoperative frozen section to confirm clear margins. Placement of abdominal wall mesh for reinforcement of rectus muscle and fascial defect.
Complete resection and mesh reinforcement via a minimally invasive approach.
Minimally invasive resection of abdominal wall endometriosis with subsequent mesh reinforcement provides a surgical option with less morbidity while still accomplishing successful treatment.