title: Computer-assisted laparoscopy in fertility preservation and reproductive surgery.
abstract: Current strategies for fertility preservation rely heavily on assisted reproductive technology and fertility-sparing surgery. Whether seeking to avert loss of fertility associated with excision of adnexal or uterine disease or to preempt gonadal failure resulting from chemotherapy or radiation, each woman is unique in her reproductive endeavor and will benefit from careful consideration of her fertility goals together with a specialist in assisted reproductive technology and reproductive surgery. Because avoidance of laparotomy reduces tissue trauma and adhesion formation, advanced laparoscopic surgery is an indispensable tool for all specialists who provide care for women seeking fertility preservation. Computer-assisted laparoscopy, commonly known as robotic surgery, addresses the practical limitations of conventional laparoscopic surgery and holds the promise of making complex fertility-sparing procedures safe and reproducible in the hands of reproductive specialists. Herein we illustrate the transforming capabilities of robotics in reproductive surgery and highlight the current and future potential of this technology in fertility preservation.
authors.affiliation: Center for Infertility and Reproductive Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
authors.forename: Shane T
authors.initials: ST
authors.lastname: Lipskind
authors.forename: Antonio R
authors.initials: AR
authors.lastname: Gargiulo
mesh_terms: D005260:Female; D059247:Fertility Preservation / Q000379:methods*; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery
keywords: Computer-assisted surgery; Fertility preservation; Myomectomy; Ovarian tissue transplantation; Ovarian transposition; Reproductive surgery; Robotic surgery; Robotics; Tubal reanastomosis