If you plan to have surgery to remove fibroids, the operation is called a myomectomy. Your doctor will take out the fibroid(s) and keep your uterus in place.
A myomectomy can be done using open surgery through one large incision (cut). It can also be done using minimally invasive surgery (laparoscopy), which also includes da Vinci® Surgery.
Why da Vinci Surgery?
da Vinci technology enables surgeons to operate through a few small incisions, like traditional laparoscopy, instead of a large incision. The da Vinci System is a robotically-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:
- A 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision and control
da Vinci Myomectomy offers the following potential benefits compared to open surgery:
- Similiar rate of complications 1
- Shorter hospital stay 1,2,3
- Lower rate of blood transfusions 1,3
- Less blood loss 1,2,3
- Less chance of a post-operative fever 1
da Vinci Myomectomy offers the following potential benefits compared to traditional laparoscopy:
- Similar rate of complications 1,3,4
- Similar hospital stay 1,3,4
- Similar conversion rate (switch to open surgery) 1,2,4
- Similar or less blood loss 1,2,4
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
Risks & Considerations Related to Myomectomy (removal of fibroid tumors): tear or hole in uterus, split or bursting of the uterus, pre-term (early) birth, spontaneous abortion. Uterine tissue may contain unsuspected cancer. The cutting or morcellation of uterine or fibroid tissue during surgery may spread cancer, and decrease the long-term survival of patients.
1. Pundir, Jyotsna, Vishal Pundir, Rajalaxmi Walavalkar, Kireki Omanwa, Gillian Lancaster, and Salma Kayani. "Robotic-Assisted Laparoscopic vs Abdominal and Laparoscopic Myomectomy: Systematic Review and Meta-Analysis." Journal of Minimally Invasive Gynecology 20.3 (2013): 335-45. Print.
2. Reza, M., S. Maeso, J. A. Blasco, and E. Andradas. "Meta-analysis of Observational Studies on the Safety and Effectiveness of Robotic Gynaecological Surgery." British Journal of Surgery 97.12 (2010): 1772-783. Print.
3. Gobern, Joseph M., C. J. Rosemeyer, James F. Barter, and Albert J. Steren. "Comparison of Robotic, Laparoscopic, and Abdominal Myomectomy in a Community Hospital." JSLS, Journal of the Society of Laparoendoscopic Surgeons 17.1 (2013): 116-20. Print.
4. Pluchino, Nicola, Piero Litta, Letizia Freschi, Marinella Russo, Giovanna Simi, Anna N. Santoro, Stefano Angioni, Angiolo Gadducci, and Vito Cela. "Comparison of the Initial Surgical Experience with Robotic and Laparoscopic Myomectomy." The International Journal of Medical Robotics and Computer Assisted Surgery (2013): N/a. Web.