LAUSR

Video Objective This video outlines the crucial steps in performing a single-site robotic salpingectomy with partial cornuectomy. This is presented as an alternative method for microinstert removal that is both minimally invasive and aesthetically pleasing. Setting This procedure was completed on women who were previously sterilized with hysteroscopic insertion of tubal microinsert and began experiencing pelvic pain or autoimmune-like symptoms. The procedures were performed in an ambulatory setting with same or next day discharge. Interventions Single-port bilateral salpingectomy with partial cornuectomy and closure of defect. Conclusion The women who originally opted for a microinsert sterilization had opted for a minimally invasive sterilization that did not require entry into the abdominal cavity. These women are likely to prefer a minimally invasive option with aesthetic results to reverse this procedure. Fewer incisions theoretically reduces risk of postoperative pain and reduces visible scars leading to reported patient satisfaction. Single-site robotic salpingectomy with partial cornuectomy provides these benefits in addition to preventing coil fragmentation by removing the cornua in addition to the fallopian tubes which permits avoidance of excessive manual traction on the insert that may result in fragmentation.