Robotic Myomectomy

A robotic myomectomy is a minimally invasive surgical procedure that uses a robotic system to remove uterine fibroids, also known as leiomyomas, from the uterus.

Indications

The procedure is typically indicated for women who:

• Have symptomatic uterine fibroids, such as heavy menstrual bleeding, pelvic pain, or pressure on surrounding organs
• Want to preserve their uterus and avoid a hysterectomy
• Are seeking to improve fertility or reduce symptoms that interfere with daily life

Procedure Overview

The robotic myomectomy procedure involves:

• A surgeon making small incisions in the abdomen, typically 1-2 cm in length
• Insertion of a robotic system, consisting of a console, arms, and high-definition camera, through the incisions
• The surgeon controlling the robotic arms from the console to perform the surgery with enhanced precision and dexterity
• Location and removal of the fibroids using specialized instruments, such as electrocautery or ultrasonic devices
• Closure of the uterine incision and repair of any defects

Benefits

The robotic myomectomy offers several benefits, including:

• Reduced blood loss and transfusion risk
• Less postoperative pain and discomfort
• Faster recovery time, typically 1-2 weeks
• Smaller incisions and less scarring
• Precise dissection and removal of fibroids, reducing the risk of damage to surrounding tissues

Risks and Complications

As with any surgical procedure, robotic myomectomy carries risks and potential complications, including:

• Bleeding or hemorrhage
• Infection or abscess formation
• Adhesions or scar tissue formation
• Damage to surrounding organs, such as the bladder or bowel
• Conversion to an open procedure, if necessary

Postoperative Care

After the procedure, patients typically:

• Require overnight hospitalization for monitoring and pain management
• Need to rest and avoid heavy lifting or strenuous activities for several weeks
• May experience mild cramping, bloating, or spotting during the recovery period
• Should follow a postoperative care plan, including follow-up appointments with their surgeon

Long-term Outcomes

The success of robotic myomectomy in reducing symptoms and improving quality of life is well-documented. Studies have shown that:

• Up to 90% of women experience significant reduction in symptoms, such as heavy menstrual bleeding and pelvic pain
• Fertility outcomes are improved, with some studies reporting increased pregnancy rates after the procedure
• The risk of fibroid recurrence is lower compared to traditional open myomectomy or laparoscopic myomectomy

Frequently Asked Questions (FAQs)

What is a robotic myomectomy?
A surgical procedure using a robot to remove uterine fibroids.

Who is a candidate for robotic myomectomy?
Women with symptomatic uterine fibroids who want to preserve their uterus.

How is the procedure performed?
Through small incisions using a robotic system with 3D vision and precise instruments.

What are the benefits of robotic myomectomy?
Less blood loss, smaller incisions, and faster recovery compared to open surgery.

Is robotic myomectomy a minimally invasive procedure?
Yes, it is considered a minimally invasive surgical option.

Can robotic myomectomy be used for large fibroids?
Yes, it can be used to remove large and multiple fibroids.

How long does the procedure typically take?
1-4 hours depending on the size and number of fibroids.

What is the typical recovery time after robotic myomectomy?
1-2 weeks before returning to normal activities.

Are there any risks or complications associated with robotic myomectomy?
Bleeding, infection, and adhesions are possible risks and complications.

Will I be able to get pregnant after robotic myomectomy?
Yes, the procedure is designed to preserve fertility and uterine function.