Robotic-Assisted Myomectomy: A Precise Approach to Uterine Fibroid Removal

Robotic-assisted surgery is a minimally invasive procedure that is considered more precise than traditional surgery. Surgeons have employed this method for myomectomies, or the removal of uterine fibroids, since the mid-2000s.

Origins

• The da Vinci robotic surgery system was the first of its kind approved by the FDA and has been in use since 2000. In 2005, the FDA approved it for gynecological procedures.

How it Works

• The surgeon uses a remote control to move mechanical arms that act like human appendages. There is also a camera arm attached. A second surgeon stays at the operating table to exchange the surgical instruments.

Fibroid Treatment

• Robotic surgery is increasingly used for myomectomies, or surgical removal of uterine fibroids. The surgery is performed through four or five small incisions or "keyholes." The fibroid is cut up (if large) and removed, followed by any necessary repairs to the uterine wall.

Benefits

• The robotic system is very precise and offers a 3-D view for the surgeon. It also allows the surgeon to sit down, thus preventing fatigue. Studies have shown it reduces blood loss and patient recovery time.

Drawbacks

• Some surgeons may opt for a full abdominal myomectomy (laparotomy) for very large fibroids. Also, a robotic system can cost a hospital around $1.6 million and requires an annual contract of $100,000.