A Novel Robotic Endoscopic Device used for Operative Hysteroscopy

Video Objective To trial the use of a novel robotic endoscopic surgery platform for operative hysteroscopy. Setting A uterine tissue model with simulated polyps in various locations (Gynesim). Interventions The robotic endoscope is a surgical platform that simultaneously delivers two instruments that are 2-3mm in size using concentric tube technology. These instruments extend from the tip of a standard rigid endoscope outer sheath and are controlled robotically by an operator distant from the surgical field. In this pilot, a probe and monopolar needle were used to resect simulated endometrial polyps. Surgical principles of adequate exposure and traction and counter-traction are demonstrated. Conclusion The robotic endoscope platform may offer advantages over conventional hysteroscopy that could be useful for some applications. These advantages include: improved exposure, finer dissection capability, and use of two handed technique to allow traction and counter-traction. Further study regarding the safe, efficient, and cost-effective use of the robotic endoscope in gynecology is needed.