Our Summary

This research paper looks at the results of using robotic surgery to remove large uterine fibroids (noncancerous growths in the uterus, also known as myomas). The study was done from October 2012 to August 2017 by a single surgeon in a major hospital, and it analyzed things like patient details, diagnosis, variables during surgery, surgical outcomes, and complications. The research focused on fibroids that were 10 cm in diameter or larger.

The results showed that out of 74 patients, 32 had large uterine fibroids. The data showed that patients with larger fibroids had a significantly heavier fibroid weight. The blood loss during surgery was found to be similar for both large and smaller fibroids, but the time taken to perform the surgery was a bit longer for the larger ones. The largest fibroid removed was 20 cm in diameter. Complications during or after the surgery were rare.

In conclusion, the study found that using robotic surgery to remove large uterine fibroids is feasible and safe, though it may take a little longer. This suggests that the method could be a good option for managing large uterine fibroids.

FAQs

  1. What is a robotic myomectomy and what is it used for?
  2. What were the significant differences found between patients with myoma larger than 10 cm and those with myoma smaller than 10 cm in the study?
  3. How safe and feasible is the robotic myomectomy for managing large uterine myomas according to the study’s conclusion?

Doctor’s Tip

A helpful tip a doctor might tell a patient about myomectomy is to discuss the potential risks and benefits of the procedure, especially if the patient has a large uterine myoma. It is important for the patient to understand that while robotic myomectomy is a feasible option for managing large uterine myomas, it may involve longer operative time and potentially heavier myoma weight, as well as similar blood loss compared to smaller myomas. However, perioperative complications are rare, making it a safe procedure overall. It is essential for the patient to have a thorough discussion with their healthcare provider to ensure they are well-informed and prepared for the surgery.

Suitable For

Patients with large uterine myomas, defined as myomas equal to or larger than 10 cm in diameter, are typically recommended for robotic myomectomy. This study found that robotic myomectomy is feasible for managing large uterine myomas, with acceptable outcomes in terms of blood loss, operative time, and complication rates. The study suggests that robotic myomectomy is a safe and effective option for patients with large uterine myomas.

Timeline

Before myomectomy:

  • Patient experiences symptoms such as heavy menstrual bleeding, pelvic pain, and pressure
  • Patient undergoes diagnostic tests such as ultrasound or MRI to confirm the presence of uterine fibroids
  • Patient consults with a gynecologist to discuss treatment options, including myomectomy
  • Patient undergoes pre-operative evaluations such as blood tests and imaging studies
  • Patient is counseled about the risks and benefits of myomectomy

After myomectomy:

  • Patient undergoes robotic myomectomy surgery, which involves the removal of uterine fibroids using minimally invasive robotic technology
  • Patient may experience some pain and discomfort post-surgery, which can be managed with pain medications
  • Patient is monitored for any complications such as infection or excessive bleeding
  • Patient is discharged from the hospital within a few days and advised to rest and avoid strenuous activities
  • Patient follows up with the surgeon for post-operative care and monitoring of symptoms
  • Patient may experience improvement in symptoms such as reduced menstrual bleeding and pelvic pain
  • Patient resumes normal activities gradually as advised by the surgeon.

What to Ask Your Doctor

  1. How experienced are you in performing robotic myomectomies?
  2. What are the potential risks and complications associated with robotic myomectomy for large uterine myomas?
  3. What is the expected recovery time after undergoing a robotic myomectomy?
  4. Will there be any impact on my fertility after the procedure?
  5. How long will the procedure take, especially for a large myoma?
  6. Will I need to undergo any additional tests or preparations before the surgery?
  7. What are the expected outcomes in terms of pain relief and reduction in symptoms after the procedure?
  8. Will I need to follow any specific post-operative care instructions or precautions?
  9. Are there any alternative treatment options for large uterine myomas that I should consider?
  10. How often will I need to follow up with you after the procedure for monitoring and evaluation of the results?

Reference

Authors: Lee CY, Chen IH, Torng PL. Journal: Taiwan J Obstet Gynecol. 2018 Dec;57(6):796-800. doi: 10.1016/j.tjog.2018.10.004. PMID: 30545529