Vol. 2, Issue 3, Part A (2018)

Background: Robotic-assisted surgery has emerged as a promising innovation in gynecologic surgery, offering improved precision, reduced operative trauma, and enhanced recovery. Despite increasing global adoption, limited clinical outcome data from Indian tertiary centers necessitate further investigation into its utility.

Materials and Methods: This retrospective observational study was conducted in the Department of General Surgery, Kanti Devi Medical College, Mathura, India, from March 2017 to February 2018. A total of 120 patients undergoing robotic-assisted gynecologic procedures—including hysterectomy, myomectomy, and adnexal surgeries—were evaluated. Primary outcomes included operative time, intraoperative blood loss, length of hospital stay, and postoperative complication rates. Data were statistically analyzed using SPSS version 22.0. Significance was set at p < 0.05.

Results: The mean operative time was 134.2 ± 25.6 minutes. Mean estimated blood loss was 92.5 ± 30.7 mL. The average hospital stay was 2.8 ± 1.1 days. Postoperative complications occurred in 9.2% of patients, with urinary tract infections being most common. Comparative analysis with a matched cohort of laparoscopic procedures (n=120) revealed statistically significant reductions in blood loss (p=0.001), hospital stay (p=0.004), and complication rates (p=0.03) in the robotic-assisted group.

Conclusion: Robotic-assisted gynecologic surgery demonstrated favorable clinical outcomes, with significantly reduced blood loss, hospital stay, and complications compared to traditional laparoscopic techniques. These findings support its growing utility in minimally invasive gynecology within tertiary care settings in India.