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Robotic myomectomy: the time has come.

In the last edition of the Master Class in gynecology. Dr. Javier Magrina, professor of ob. gyn. and director of female pelvic medicine and reconstructive surgery at the Mayo Clinic in Scottsdale, Ariz., ably described the benefits and technique of robotic-assisted hysterectomy. In this second installment on robotic-assisted surgery, 1 have asked Dr. Arnold P. Advincula, clinical associate professor of ob.gyn. at the University of Michigan, Ann Arbor, to discuss robotic-assisted laparoscopic myomectomy.

Other than laparoscopic tubal anastomosis, there is no procedure in minimally invasive gynecologic surgery that is more dependent on the ability to be facile with laparoscopic suturing techniques than laparoscopic myomectomy. Certainly, the physician's need to visualize the repair on a television screen while using limited wrist motion for suture placement limits the vast majority of gynecologists from routinely and effectively performing this procedure.

Dr. Advincula holds several departmental positions at the University of Michigan. He is the director of the minimally invasive surgery and chronic pelvic pain program, the director of the minimally invasive surgery fellowship, and the codirector of the university's endometriosis center. Dr. Advincula is also a member of the board of trustees of the AAGL and is associate editor of the journal The Female Patient, coeditor of the Journal of Robotic Surgery, and a member of the editorial board of the International Journal of Gynecology & Obstetrics.

Dr. Advincula not only is an avid clinical researcher and educator, having published nearly 50 articles in peer-reviewed journals, but also is a fixture on both the national and international lecture circuits on the topic of minimally invasive gynecologic surgery.

Dr. Miller is a clinical associate professor at the University of Chicago and the University of Illinois at Chicago, and president of the AAGL. He is a reproductive endocrinologist in private practice in Schaumburg, Ill., and Naperville, Ill., and the medical editor of this column.

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Title Annotation:MASTER CLASS
Author:Miller, Charles E.
Publication:OB GYN News
Date:Aug 1, 2008
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