This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database.

HAYES, Inc. Comparative effectiveness review of robotically assisted hysterectomy. Lansdale: HAYES, Inc. Directory Publication. 2017

Robotically assisted hysterectomy (RAH) is intended for the minimally invasive removal of the uterus as a treatment for various medical conditions, including benign conditions such as endometriosis, uterine fibroids, and uterine prolapse. It is also used to treat and stage malignant conditions such as cervical and endometrial cancers. Rationale: Robotic surgical systems were developed to address the limitations of conventional laparoscopic surgery. The advantages of robotic technology over conventional laparoscopic techniques are the 3-dimensional (3D), panoramic, high-resolution view with depth perception, and the surgeon's ability to directly control a stable visual field with increased magnification. Controversy: The number of RAH procedures has increased and robotically assisted surgeries are heavily marketed, despite a lack of evidence suggesting any clinical benefit over conventional laparoscopic hysterectomy (LH) or vaginal hysterectomy (VH). In addition, the American Congress of Obstetricians and Gynecologists (ACOG) considers VH a better option than other surgical approaches for certain conditions. Relevant Questions: How does RAH compare with other surgical techniques in terms of impact on operative and health outcomes? Is RAH safe? Have definitive patient selection criteria been established for RAH?

The report may be purchased from: http://www.hayesinc.com/hayes/crd/?crd=11133

Subject indexing assigned by CRD

Female; Humans; Hysterectomy; Robotics

English

United States

An English language summary is available.

HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com

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30/01/2018