About Video

This is a case of robotic total laparoscopic hysterectomy: management of DUB. A 47-years-old patient present complaints: dysfunctional uterine bleeding (DUB) since 8 years. Sonography: bulky uterus with endometrial thickness 14 mm. Preoperative diagnosis: DUB uncontrolled by medical management. Port placement: patient laid in modified lithotomy position under GA. Three ports were used in this robotic surgery, all 8 mm ports except camera port which is 12 mm. Surgical procedure: cystic fibrosis (CF) uterine manipulator was used to do antiversion and contralateral traction. Bipolar EndoWrist daVinci instrument is used for successive desiccation and dissection of round ligament, fallopian tubes and ovarian ligaments followed by broad ligament. UV fold is opened. Bladder was separated uterine artery is coagulated using bipolar EndoWrist instrument. Colpotomy was done and uterus was remover vaginally. Vaginal cuff was closed by continuous single layer suturing.