3D print model for precise pre surgical planning in Robotic Myomectomy

This video was entered by Dr. Rooma Sinha in the 2022 KS International Robotic Surgery Innovation Awards, sponsored by the Vattikuti Foundation. It was featured in the Vattikuti Symposium ‘Humans at the Cutting Edge of Robotic Surgery,’ held in Miami, Florida November 19, 2022.

Here is the Abstract:

3D print model for precise pre surgical planning in Robotic Myomectomy
Rooma Sinha, Bana Rupa, Ravikanti Prasad
Department of Minimally Invasive Gynecology Surgery & Radiology Apollo Hospitals, Hyderabad, India

BACKGROUND: This presentation reviews the utility of patient-specific 3D models of the uterus in surgical planning and as an intraoperative visual aid during robotic myomectomy. 3D model can help in planning of hysterotomy, assessment of the depth of myometrial involvement and proximity to the endometrial cavity and intraoperative identification of fibroids which are not palpable during robotic surgery. Additionally, the 3D model can serve as an educational tool for patients and trainees.

METHOD: A 32 year lady with secondary infertility was selected. MRI sequences with slice thickness of 1mm in all 3 views (Axial, Coronal and Sagittal) were used. Materialise Mimics segmented the data from the MRI scanned images and then Computer Aided Design was used to create a 3D digital model. This model was available in the operating room and was manipulated by the console surgeon to locate and remove all of 21 myomas.

CONCLUSION: 3D printing is increasingly being used in various surgical fields. Precise excision of all myomas and uterine reconstruction is paramount for future reproduction. Patient-specific 3D models can help in these clinical setting. Cost and availability of 3D digital and print models are limiting factors for widespread use.

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