{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:30:08Z","timestamp":1791581408888,"version":"4.3.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Robot-assisted surgeries are increasingly used for the treatment of benign gynaecological conditions. However, their impact in cases of significantly enlarged uteruses remains uncertain. This study aims to investigate whether the weight of the uterus influences the surgical results of robotic hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Ambispective analysis of 306 cases was performed, of which 265 cases were analysed retrospectively. The outcome measures included total operative time, including docking time, console time and vault closure time, complication rates and quality of life (World Health Organization Quality of Life Brief questionnaire) stratified based on uterine sizes into three groups by every 250 g.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 306 cases, 76.47% of cases (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 234) had uterine weight &lt;250 g, 18.30% of cases (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 56) had uterine weight between 250 and 500 g, while 5.23% of cases (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 16) had a weight of uterine specimen &gt;500 g. The total operative time was significantly lower in the &lt;250 g group compared to &gt;500 g (81.92 \u00b1 22.81 vs. 111.88 \u00b1 40.27 min;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003), contributed primarily by the console time. Although the need for post-operative blood transfusion was higher in the &gt;500 g group, the overall complication rate between the three groups was similar. The three groups had comparable QOL through all four domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The present study underscores the influence of uterine weight on robotic hysterectomy outcomes, revealing increased operative times and post-operative haemoglobin drop for uteri over 500 g. Despite these challenges, complications were not significantly affected by uterine size.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_125_24","type":"journal-article","created":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T02:04:03Z","timestamp":1722650643000},"page":"276-281","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Impact of uterine weight on surgical outcomes in robotic hysterectomy: An ambispective analysis"],"prefix":"10.4103","volume":"21","author":[{"given":"Anupama","family":"Bahadur","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shloka","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayush","family":"Heda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latika","family":"Chawla","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajlaxmi","family":"Mundhra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"R1-20250714","doi-asserted-by":"crossref","first-page":"14569","DOI":"10.1038\/s41598-023-41863-2","article-title":"Prevalence and determinants of hysterectomy in India","volume":"13","author":"Rout","year":"2023","journal-title":"Sci Rep"},{"key":"R2-20250714","first-page":"CD003677","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","author":"Aarts","year":"2015","journal-title":"Cochrane Database Syst Rev 2015"},{"key":"R3-20250714","doi-asserted-by":"crossref","first-page":"e155","DOI":"10.1097\/AOG.0000000000002112","volume":"129","year":"2017","journal-title":"Obstet Gynecol"},{"key":"R4-20250714","first-page":"CD011422","article-title":"Robot-assisted surgery in gynaecology","volume":"4","author":"Lawrie","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"R5-20250714","doi-asserted-by":"crossref","first-page":"e2023.00042","DOI":"10.4293\/JSLS.2023.00042","article-title":"Uterine weight and perioperative morbidity in robotic-assisted versus conventional laparoscopic hysterectomy","volume":"27","author":"Pfeuti","year":"2023","journal-title":"JSLS"},{"key":"R6-20250714","doi-asserted-by":"crossref","first-page":"e2026","DOI":"10.1002\/rcs.2026","article-title":"Impact of uterine weight on robotic hysterectomy: Analysis of 500 cases in a single institute","volume":"15","author":"Akazawa","year":"2019","journal-title":"Int J Med Robot Comput Assist Surg MRCAS"},{"key":"R7-20250714","first-page":"1235","article-title":"Efficacy and safety of robotic-assisted surgery in challenging hysterectomies \u2013A single institutional experience","volume":"26","author":"Perutelli","year":"2022","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"R8-20250714","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s11701-011-0271-x","article-title":"Does size matter? The effect of uterine weight on robot-assisted total laparoscopic hysterectomy outcomes","volume":"5","author":"Orady","year":"2011","journal-title":"J Robot Surg"},{"key":"R9-20250714","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s11701-020-01101-7","article-title":"Safety and feasibility of the three-port robot-assisted hysterectomy across uterine weights","volume":"15","author":"Tyan","year":"2021","journal-title":"J Robot Surg"},{"key":"R10-20250714","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1089\/gyn.2012.0142","article-title":"Influence of morbid obesity on surgical outcomes in robotic-assisted gynecologic surgery","volume":"30","author":"Eddib","year":"2014","journal-title":"J Gynecol Surg"},{"key":"R11-20250714","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.jmig.2011.01.009","article-title":"Effect of body mass index on robotic-assisted total laparoscopic hysterectomy","volume":"18","author":"Nawfal","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"key":"R12-20250714","doi-asserted-by":"crossref","first-page":"421","DOI":"10.4293\/108680812X13462882735890","article-title":"Robotic-assisted laparoscopic hysterectomy: Outcomes in obese and morbidly obese patients","volume":"16","author":"Gallo","year":"2012","journal-title":"JSLS"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_125_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:59:57Z","timestamp":1787839197000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_125_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,30]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_125_24","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,30]]},"assertion":[{"value":"2024-05-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}