Our Summary

This research paper discusses the use of robotic-assisted surgery to remove uterine myomas, or fibroids, which are common in women before menopause. Researchers analyzed 15 studies that compared the use of robotic surgery to traditional laparoscopic (minimally invasive) and open/abdominal surgical techniques.

When comparing robotic surgery to open surgery, they found that the robotic technique took longer, but had several advantages. These included less blood loss, less need for blood transfusions, fewer complications, and shorter hospital stays.

When comparing robotic surgery to laparoscopic surgery, they didn’t find any significant differences. Both minimally invasive techniques had the benefits of less blood loss, less need for transfusions, and shorter hospital stays.

The researchers concluded that more research is needed to understand long-term outcomes of these techniques, such as pain control, fertility and pregnancy rates after surgery, and potential recurrence of fibroids.

FAQs

  1. What advantages does robotic surgery have over open surgery for the removal of uterine myomas?
  2. Are there any significant differences between robotic surgery and laparoscopic surgery in the treatment of uterine myomas?
  3. What are some of the long-term outcomes of robotic and laparoscopic surgery for uterine myomas that need further research?

Doctor’s Tip

A doctor might tell a patient considering a myomectomy that robotic-assisted surgery can offer advantages such as less blood loss, fewer complications, and shorter hospital stays compared to traditional open surgery. However, it may take longer than laparoscopic surgery. It is important to discuss with your doctor the best surgical approach for your individual case and to consider the potential long-term outcomes of the surgery.

Suitable For

Patients who are typically recommended myomectomy are those with symptomatic fibroids, such as heavy menstrual bleeding, pelvic pain, pressure symptoms, or fertility issues. Women who wish to preserve their uterus for future pregnancies may also be candidates for myomectomy. Additionally, patients who prefer a minimally invasive approach to surgery may benefit from robotic-assisted myomectomy.

Timeline

Before myomectomy:

  1. Patient consults with gynecologist about symptoms such as heavy menstrual bleeding, pelvic pain, and pressure.
  2. Gynecologist orders imaging tests such as ultrasound or MRI to confirm the presence of fibroids.
  3. Gynecologist discusses treatment options, including myomectomy, with the patient.
  4. Patient decides to undergo myomectomy surgery.

After myomectomy:

  1. Patient undergoes pre-operative testing and preparation for surgery.
  2. Robotic-assisted myomectomy surgery is performed, with smaller incisions and use of robotic technology.
  3. Patient experiences less blood loss, fewer complications, and shorter hospital stay compared to traditional open surgery.
  4. Patient undergoes post-operative recovery and follow-up care with gynecologist.
  5. Patient may experience improved symptoms such as reduced menstrual bleeding and pelvic pain.
  6. Long-term outcomes such as pain control, fertility, pregnancy rates, and fibroid recurrence are monitored through follow-up appointments.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a myomectomy using robotic-assisted surgery?
  2. How does robotic-assisted surgery compare to traditional laparoscopic and open/abdominal surgery in terms of recovery time and post-operative pain?
  3. What is the success rate of robotic-assisted myomectomy in terms of completely removing the fibroids and preventing recurrence?
  4. How long does a robotic-assisted myomectomy typically take compared to other surgical techniques?
  5. Will I be a good candidate for robotic-assisted myomectomy based on the size and location of my fibroids?
  6. What is the experience and success rate of the surgical team in performing robotic-assisted myomectomy procedures?
  7. What can I expect in terms of post-operative care and follow-up appointments after a robotic-assisted myomectomy?
  8. Will robotic-assisted myomectomy impact my fertility or ability to have a successful pregnancy in the future?
  9. Are there any specific lifestyle changes or precautions I should take after a robotic-assisted myomectomy to promote healing and prevent complications?
  10. Are there any alternative treatment options to consider for my fibroids besides robotic-assisted myomectomy?

Reference

Authors: Iavazzo C, Mamais I, Gkegkes ID. Journal: Arch Gynecol Obstet. 2016 Jul;294(1):5-17. doi: 10.1007/s00404-016-4061-6. Epub 2016 Mar 11. PMID: 26969650