[Contribution of robot-assisted surgery in the management of female infertility].
Although considerable progresses were made in the field of medically assisted procreation, surgery keeps its place in the therapeutic armamentarium of female infertility. Indeed, its results are very interesting, both in its tubal, myometrial and endometriosis indications. Laparotomy is the first step in the development of any surgical technique. Laparoscopy brings benefits concerning recovery, but also in terms of fertility because of the reduction of postoperative adhesions. Nevertheless, comfort of the surgeon, so the ease of skills, are often altered, especially for complex operations such as those implicated in infertility treatment. Robot-assistance takes here all its interest. It allows indeed a quality in the realization of precise and complex skills, and results at least as interesting as standard laparoscopy can be provided. An overview of robot-assistance in surgery of female infertility is here presented. A review of world literature furnished multiple studies evaluating the tubal robotic surgery, and demonstrating its interesting results. Other indications could, according to us, emerge and be evaluated in this area, such as myomectomy and endometriosis surgery.
Pôle de gynécologie-obstétrique et reproduction, maternité régionale Adolphe-Pinard, 10 rue du Dr.-Heydenreich, Nancy cedex, France. joel.muhlstein@free.fr
J
J
Muhlstein
E
E
Monceau
C
C
Lamy
N
N
Tran
F
F
Marchal
P
P
Judlin
C
C
Malartic
O
O
Morel
D002983:Clinical Competence; D004715:Endometriosis / Q000150:complications / Q000601:surgery; D005184:Fallopian Tube Diseases / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D012371:Robotics; D063186:Uterine Myomectomy / Q000379:methods