Robot-assisted laparoscopic trachelectomy after supracervical hysterectomy.

OBJECTIVE To present a case of successful robotic assisted laparoscopic trachelectomy. DESIGN Case report. SETTING Tertiary care facility. PATIENT(S) A 40-year-old female with history of severe endometriosis and adhesions presented with persistent pain and bleeding after abdominal supracervical hysterectomy after failed attempt for laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy. INTERVENTION(S) Robot-assisted laparoscopic trachelectomy and treatment of associated pelvic disease. MAIN OUTCOME MEASURE(S) Successful completion of robot-assisted trachelectomy. RESULT(S) There were no intraoperative or postoperative complications and minimal blood loss. At 10 months' follow-up the patient was doing well with resolution of her symptoms. CONCLUSION(S) Robotic surgery may bridge the gap between laparotomy and laparoscopy for trachelectomy in complicated cases.