Treatments

Robotic Reproductive Surgery

The prospect of surgery may seem overwhelming, but the right surgeon can make all the difference. Dr. Samuel Brown is an esteemed member of the robotic reproductive surgery team at Brown Fertility and is eager to help you find a treatment ideal for you. With over 20 years of experience in complex minimally invasive surgery, Dr. Brown and his team can work with you to pave the way for healthy conception.

What Is Robotic Reproductive Surgery?
Robotic reproductive surgery is a process that utilizes robotic assistance to perform minimally-invasive gynecological surgeries. Instead of a surgeon physically cutting into the body, a robotic surgery utilizes a computer console at which a surgeon sits and controls surgical implements. This creates a safer experience for the patient and reduces the risk of errors, leading to a more precise procedure and a faster recovery.

During a robotic surgery, a surgical tower comprised of four surgical arms that mimic a surgeon’s movements is placed next to the bedside. These arms are equipped with eight-millimeter hands that can rotate 360 degrees, providing an increased range of motion versus what a surgeon can accomplish alone. From behind the console, a surgeon can navigate these arms using three-dimensional vision and full visibility into the body for the ultimate in performance and precision.

What Kinds of Procedures Can Be Performed with Robotic Reproductive Surgery?
At Brown Fertility, we are pleased to offer numerous robotic reproductive procedures, including:

  • Robotic tubal reversal surgery
  • Robotic myomectomy, or robotic fibroid removal
  • Robotic reconstruction of mullerian anomalies

What Is a Robotic Tubal Reversal?
For women who have had their tubes tied but would like to consider children in the future, a robotic tubal reversal can recreate intact Fallopian tubes to once again facilitate conception.

Prior to a robotic tubal reversal, a semen analysis is conducted, the ovulation or ovarian reserve is assessed, and normalcy of the uterine cavity is determined to ensure conception is a possibility following a successful procedure. If a patient clears these testing hurdles, they may be a good candidate for a procedure, but this is not guaranteed. The best candidates are those who had a postpartum ligation, who have a tubal length of at least four centimeters, and those without other pathologies like fibroids or endometriosis.

Conception rates for a robotic tubal reversal are comparable to the open approach at 50% for up to one year. Further, surgery is less invasive, with an increased healing time and the ability to return to normal daily activities in as little as five days.

What Is a Robotic Myomectomy?
A robotic myomectomy is a process that removes myomas, or uterine fibroids, from the body to improve fertility. The best candidates are those with fewer than five myomas, a size of less than 10 centimeters, or myomas that take up less than 50% of the endometrial cavity. Before proceeding with a surgery, an ultrasound is performed to help identify the size and location of each fibroid.

Robotic surgery for fibroids is effective and precise, improving outcomes and ensuring faster healing. Patients generally go home on the same day and can resume normal daily activities within 48 hours. Most patients can begin trying for a child within six months following surgery, but many can start immediately. One study found that 40% of those who received a robotic myomectomy were able to conceive within six months with a full-term delivery via cesarean section.

If you need surgery to proceed with your plans for conception or are simply weighing your options, Brown Fertility is happy to partner with you on your road to parenthood. Please contact us today to learn more about our advances in robotic reproductive surgery. We are also available by phone in Jacksonville at (904) 260-0352 and in Orlando at (407) 244-5515.

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“Throughout our journey to conceive, Dr. Brown became so much more than our reproductive endocrinologist. He became our therapist, problem-solver, cheerleader, and—most importantly—our friend.”Greg & Dana