The objective of this study is to demonstrate the feasibility and safety of Versius Platform (CMR) for surgical systematization and treatment of endometriosis.

Design:

Edited Video demonstrating a systematical surgical procedure for endometriosis using the Versius robotic platform.

Setting:

4-port System from CMR Surgical which consists of bedside units for instrument and a surgical console.

Patients or Participants:

A 31 year old woman with pelvic pain , dysmenorrhea, dyspareunia and infertility. Suffered from dyschezia that initiated 2 days before menstrual cycle. MRI / US and physical examination showed thickening of the uterosacral ligament that infiltrates the para rectal space and a nodule at the left paracolpus.

Interventions:

Initial case experience with the CMR – Versius platform for a case of grade III endometriosis. Realized in a systematic fashion dissection for en bloc peritoniectomy , resection of the utero sacral ligament, recto vaginal septum and paracolpus.

Measurements and Main Results:

There was no complications in the procedure , it took a similar time than laparoscopy and with minimal bleeding. Patient was discharged at PO day 1. Sixty days after the procedure patient has important pain relief and symptoms with normal menstrual cycles.

The robotic approach brings good advantages for better dissection and preservation of endopelvic fascia and anatomical structures underneath. The 3 D visualization and the 360 degrees movements of the robotic arms are the main responsible for these results.

Conclusion:

Systematization for dissection of the layers of the pelvis and en bloc peritoniectomy associated with a good anatomical knowledge appears to be the main factor contributing for a safe and effective surgery. Robotic platforms as CMR Versius surgery for endometriosis is feasible and contributes with even better visualization, ergonomics, surgeon dexterity and reproducibility of the procedure.