Postoperative recovery was assessed via inpatient records investigating length of hospital stay and whether readmission within 6 weeks was required RESULTS Introduction Trachelectomy with concurrent ID: 1042533
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1. Aims and Methods This study aimed to evaluate the operating times via retrospective case review of the theatre log books. Postoperative recovery was assessed via inpatient records, investigating length of hospital stay and whether readmission within 6 weeks was required.RESULTSIntroductionTrachelectomy with concurrent cerclage is an established fertility-sparing procedure to treat early stage cervical cancer. Robot-assisted abdominal trachelectomy is a suitable alternative to the traditional vaginal approach, offering similar accuracy in terms of cervical length and more precise placement of the cerclage. Cork University Maternity Hospital commenced robotic trachelectomies in 2013. Trends of decreasing operating times for robot assisted trachelectomies, associated with a learning curve, have been described by Persson et al (1)DiscussionThere was a trend of decreasing operating times with subsequent surgeries performed, though this has appeared to plateau even at this early stage.Mean operating times in our institution were shorter in duration than those reported by Persson in 2012 (297 minutes, range 242-430 minutes). Observable reductions in operating times, and relative predictability of duration are expected to assist in theatre planning. Post-surgical recovery in respect of discharge and readmission is satisfactory and in keeping with desired outcomesWe also show that with increasing experience surgery times decrease indicating more efficiency in operating the robot. The operating times for robot-assisted trachelectomies in a single institution: a retrospective case seriesM. McCarthy, J. Coulter & M. HewittCork University Maternity Hospital, CorkThe mean hospital stay was 1.5 days, including stays of one night for 3 women and two nights for 3 women. One woman required readmission within six weeks of discharge.Figure 2. Trendline of times for robotic-assisted trachelectomies in CUMHInitial Procedure time290 minsMost Recent Procedure time213 minsMean Operating Time224.33 minsRange183-290 minsPersson. J., Imboden, S. Reynisson, P., Anderson, B., Borgefeldt, C, & Bossmar, T., Reproducibility and accuracy of robot-assisted laparoscopic fertility sparingradical trachelectomy, Gynecologic Oncology 127 (2012) 484–488Figure 1. Reproduced from Persson et al, Fig 3aResultsReferencesTrends reported by Persson et al (1)