Hospital & Healthcare Management | Why Robotic Surgery is Not Always Ideal

Hospital and Healthcare Management

“How is it possible that a more expensive, more invasive and more time-consuming surgical option for minimally invasive GYN surgery – robotics – is quickly becoming the mainstream?” -Dr. Paul MacKoul

In this Hospital & Healthcare Management article, Dr. Paul MacKoul discusses the use of robotics in gynecologic surgery. While most OBGYNs use the robot to perform a surgery with a minimally invasive approach, the surgery can only go as far as the surgeon’s skill will allow. Laparoscopic procedures performed by a GYN surgical specialist actually provide a faster recovery, with smaller and fewer incisions, and with lower complications. The advanced LAAM and DualPortGYN procedures developed by CIGC co-founders Natalya Danilyants and Paul MacKoul use two small midline incisions only, allowing for complex surgeries for fibroids and endometriosis to be performed with minimally invasive approach.


Patients need to seek out laparoscopic GYN surgical specialists who can perform the procedure with fewer and smaller incisions faster, with lower complications and much better recovery times. That same specialist should not be doing obstetrics and must have a proven track record of performing these procedures with specialized techniques that obviate the need for a robot.
That track record should show that the surgeon’s data has been published, allows for an extremely low conversion rate to open surgery and has very low complications and high patient satisfaction.