PT - JOURNAL ARTICLE AU - Shylasree, T TI - 114 Surgical tips and modifications of tecnique to improve problems encountered during the learning curve for robotic inguinofemoral groin node dissection for early stage vulvar cancer AID - 10.1136/ijgc-2019-IGCS.114 DP - 2019 Sep 01 TA - International Journal of Gynecologic Cancer PG - A56--A56 VI - 29 IP - Suppl 3 4099 - http://ijgc.bmj.com/content/29/Suppl_3/A56.2.short 4100 - http://ijgc.bmj.com/content/29/Suppl_3/A56.2.full SO - Int J Gynecol Cancer2019 Sep 01; 29 AB - Objectives Tecniques to improve the initial problems encountered during robotic groin node dissection.Methods The problems encountered in the initial five robotic groin node dissections with regards to anatomical muscle miss and enbloc removal of superficial and deep groin nodes were addressed by changing surgical tecniques during node dissection.Results Improved tecniques led to standardization of the procedure.Conclusions Issues and tips for Improvement in surgical tecniques especially in novel areas like robotics surgery is addressed.