First ever two incision robotic hysterectomy

I have posted a link to a new video showing the first ever two incision robotic hysterectomy. Two Incision Robotic Hysterectomy.  This hysterectomy is done through only two small incisions, one in the belly button for the camera and one just above the pubic bone for the instruments.  Both would be completely un-noticeable with swim wear.  With the help of my OR staff, we managed to work out the logistics of the robotic arms to allow this.

Single incision techniques have been developed that allow the surgery to be done all through the belly button, but the incision is much larger, between 2.5-3 cm in size.  These incisions are 1-1.2 cm and theoretically would have a lower risk of herniation.

There are limitations with this.  It likely is only possible with hysterectomy and possibly removal of ovaries. Any endometriosis would be difficult to treat this way with excisional approach.

With this technique it is possible to also perform laparoscopic supracervical hysterectomy and total laparoscopic hysterectomy with removal of tubes and ovaries.

I am so excited about this procedure that we can now offer with or without robotic assistance.