Design: Case report illustrated with video.

Setting: Patient under general anesthesia, placed in lithotomy position, with arms alongside the body and legs 80 degrees abducted in adjustable stirrups.
Four accesses were positioned, each with a caliber of 8mm, in the left iliac fossa, right iliac fossa, umbilical scar, and suprapubic region.
The cervix was manipulated with a disposable uterine manipulator.

Patients or Participants: Female patient, 45 years old and a previous cesarean section. Complained of abnormal uterine bleeding with clinical treatment failure. MRI showed a uterus of 173cc with adenomyosis signs and CT scan found rectus abdominis muscle diastasis.

Interventions: Total hysterectomy, bilateral salpingectomy and correction of diastasis recti by robotic surgery.

Measurements and Main Results: The surgery lasted 2 hours and 50 minutes, with minimal estimated blood loss. The patient experienced a smooth postoperative recovery, with no complaints of pain during the recovery period, and was discharged after just one day.

Conclusion: Utilizing a minimally invasive approach to treat both adenomyosis and rectus abdominis diastasis signifies a groundbreaking and promising advancement in surgical practice. Managing two intricate conditions simultaneously within a single surgical procedure through minimally invasive methods underscores substantial progress in delivering efficacious solutions for demanding medical scenarios.