A robotic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids (also known as leiomyomas or myomas) while preserving the uterus.
This surgical technique utilizes robotic-assisted technology, typically the da Vinci Surgical System, to perform the procedure. Here’s an overview of what a robotic myomectomy involves:
1. Indications: Uterine fibroids are benign growths of the uterine muscle that can cause
various symptoms, including pelvic pain, heavy menstrual bleeding, and fertility issues.
A myomectomy is performed when the goal is to remove the fibroids while preserving
the uterus. It is often recommended for women who want to retain their fertility or
maintain their uterus for other reasons.
2. Robotic-Assisted Surgery: During a robotic myomectomy, a surgeon uses the robotic
system, which includes a console with hand controls, robotic arms with surgical
instruments, and a high-definition camera. The surgeon controls the instruments
remotely from the console.
3. Procedure: The surgical team makes several small incisions in the abdomen to access
the uterus. The camera provides a 3D, magnified view of the surgical area, and the
surgeon operates the robotic arms to perform the myomectomy. The fibroids are
carefully dissected and removed from the uterus. Afterward, the surgeon may close the
uterine incisions with sutures.
4. Advantages of Robotic Myomectomy:
a) Minimally Invasive: Robotic surgery involves small incisions, leading to less
scarring, reduced pain, and quicker recovery compared to open surgery.
b) Precision: The robotic system offers enhanced precision and dexterity, allowing
for delicate maneuvers within the pelvic area.
c) Visualization: The 3D camera system provides a clear and detailed view of the
d) Faster Recovery: Patients typically experience a shorter hospital stay and
quicker return to normal activities compared to open surgery.
5. Recovery: Recovery time after a robotic myomectomy varies from person to person but
is generally shorter than after open surgery. Patients may need a few weeks to resume
regular activities fully.
6. Risks: While robotic myomectomy is generally considered safe and effective, it does
carry some risks, including infection, bleeding, injury to nearby organs, and anesthesia-
related complications. Your surgeon will discuss these risks with you before the
7. Patient Selection: Not all patients are suitable candidates for a robotic myomectomy.
Factors such as the size and location of the fibroids, the patient’s overall health, and the
surgeon’s expertise play a role in determining the most appropriate approach.
It’s crucial to have a thorough discussion with your healthcare provider about your specific condition and treatment options. They can help you decide whether a robotic myomectomy is the right choice for you or if other treatment options should be considered.