Objective: Robotic hysterectomies are becoming increasingly common in the United States. Although benefits exist, risks are also present. The purpose of this study was to see what percentage of women with migraine headaches had a post-operative exacerbation.Study design: Records were examined for the diagnosis of migraine headaches as well as post-operative diagnosis of a headache. Records were also examined for age, estimated blood loss, total skin to skin operative time and body mass index.Results: Surgeries and records for 100 women were examined. Only 6% of women complained of post-operative headaches. However, 45% of women with history of migraines complained of post-operative headaches (p <0.001). Age was the only significant factor with women having post-operative headaches being significantly younger (p = 0.009).Conclusion: Post-operative headaches were more common in women with a pre-operative history of migraine headaches than in those without a history. Patients with a history of migraines should be warned of this risk.
Robotic Surgery Training in Gynecologic Fellowship Programs in the United States
