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Video Objective Robotic block and dissection of uterine vessels in three different anatomical locations. Setting Since uterine arteries are responsible for 83% of blood flow supply to the uterine, we believe that control of uterine vessels is the most important step in the surgical procedures of hysterectomy, myomectomy or even uterus-sparing postpartum hemorrhage surgery. Interventions Our clinical experience indicates that dissection and block uterine arteries by Da Vinci Robot are best conducted at three different anatomical locations: (1) The place where the uterine artery is divided from the internal iliac artery. (2) Where the uterine artery travels across the ureter (3) the site at which the uterine artery enters the cervix. Conclusion Da Vinci robot advantageously provides 3D visualization and the rotatable endowrist, making the procedure of dissecting at different anatomical locations much easier and safer. Getting familiar with the anatomical sites can greatly help the aforementioned surgical procedures. |
