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Computer-assisted reproductive surgery: why it matters to reproductive endocrinology and infertility subspecialists  Antonio R. Gargiulo, M.D.  Fertility.

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Presentation on theme: "Computer-assisted reproductive surgery: why it matters to reproductive endocrinology and infertility subspecialists  Antonio R. Gargiulo, M.D.  Fertility."— Presentation transcript:

1 Computer-assisted reproductive surgery: why it matters to reproductive endocrinology and infertility subspecialists  Antonio R. Gargiulo, M.D.  Fertility and Sterility  Volume 102, Issue 4, Pages (October 2014) DOI: /j.fertnstert Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Components of the da Vinci Xi Surgical System. (A) Vision cart with central processing unit and energy units. (B) Surgeon's console. (C) Mobile patient-side cart, featuring a single boom with a rotating distal platform carrying four interchangeable instrument arms. A laser targeting system automatically positions the boom based on the angle of the laparoscope pointed at the target anatomy to ensure an optimal configuration for the procedure. This is the first example of actual robotic automation in any surgical telemanipulator to date. Original photos courtesy of Intuitive Surgical, Inc. with permission. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 Components of the da Vinci Single-Site technology (for use with da Vinci Si system). A total of four dedicated cannulas and an insufflator can be inserted through the five-lumen single-site port. (A and D) Curved cannulas for 5-mm semirigid instruments. (B) Assistant cannula. (C) The 8.5-mm stereo-laparoscope cannula. Original artwork courtesy of Intuitive Surgical, Inc. with permission. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

4 Figure 3 Components of the newly FDA-approved da Vinci Sp Surgical System. (A) Patient-side cart with single arm and (B) 25-mm single multichannel cannula with Endowrist Sp flexible endoscope, graspers, and energy devices. Current clearance limited to urologic surgery and expected to be extended to gynecologic surgery by 2015. Original photos courtesy of Intuitive Surgical, Inc. with permission. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

5 Figure 4 (A) Single-incision RM (coaxial technique). The GelPOINT device (Applied Medical Systems, Inc.) allows placement of four laparoscopic channels (including an assistant port, a camera port with 30 degrees up laparoscope, and robotic cannulas for 8- or 5-mm robotic instruments) through a 3.5-cm umbilical incision. (B) Single-incision robotic stripping of endometrioma (da Vinci Single-Site). Two 5-mm semirigid instruments in 25 cm long cannulas, an 8.5 mm 0 degree laparoscope, and an 8 mm assistant cannula are introduced through a 2.5-cm umbilical incision. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions


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