Objective: The purpose of this study was to evaluate the operative outcomes associated with robotically assisted vaginal hysterectomy (RAVH). Methods: This study was designed as a cohort study using databases from two separate institutions: one where RAVH is used and the other where robotic hysterectomy (RH) is used. In the RAVH group, the surgery was converted to the vaginal approach just prior to uterine vessel coagulation. The main outcome variables were time to complete hysterectomy, blood loss, and complications. Results: RAVH (n=21) and RH (n=62) groups were comparable in terms of age, parity, body mass index (BMI), and uterine weight. There were no statistically significant differences between the vaginally completed operation and robotic performance of the same steps for operative time, blood loss, and operative complications. Conclusions: RAVH and RH have similar intraoperative characteristics. (J GYNECOL SURG 28:1)
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