Robotic-assisted laparoscopic Essure removal: a novel surgical approach
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ORIGINAL ARTICLE
Robotic‑assisted laparoscopic Essure removal: a novel surgical approach William Nolan1 · Helen Ohaeri1 · Lesley Georger2 · Ali Ghomi1 Received: 16 July 2020 / Accepted: 12 November 2020 © Springer-Verlag London Ltd., part of Springer Nature 2020
Abstract Primary objective was to evaluate safety and feasibility of robotic-assisted Essure removal while describing the procedure. Secondary objective was to assess improvement of symptoms post-operatively. The design was retrospective cohort study. Patients included were those who underwent robotic-assisted Essure removal between June, 2015 and December, 2020 for symptomatic relief. Interventions are robotic-assisted laparoscopic removal of Essure devices. A retrospective chart review was conducted. Phone survey of pain scores and quality-of-life ratings were performed. Twenty-one women underwent robotic-assisted removal of Essure devices. Two cases were excluded from analysis due to concomitant procedures. All devices were removed intact (19/19). The mean time from placement to removal was 5.3 years. Safety and feasibility were demonstrated, mean operating time was 43.1 ± 12 min, mean length of stay (LOS) was 11 h, and no complications occurred. Mean pain scores (0–10) improved from 8.5 before surgery to 0.75 at 1 month after surgery (p
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