Uterine Fibroid Removal (Myomectomy)
Uterine fibroids are benign (non-cancerous) tumors occurring in at least one quarter of all women. They can grow underneath the uterine lining, inside the uterine wall, or outside the uterus.
While hysterectomy is a proven way to resolve fibroids, it may not be the best surgical treatment for every woman. If, for example, you hope to later become pregnant, you may want to consider alternatives to hysterectomy like myomectomy. Myomectomy is a uterine-preserving procedure performed to remove uterine fibroids.
Types of Myomectomy
Each year, roughly 65,000 myomectomies are performed in the United States. The conventional approach to myomectomy is open surgery through a large abdominal incision. After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize potential uterine bleeding, infection and scarring. Proper repair is also critical to reducing the risk of uterine rupture during future pregnancies.
While myomectomy is also performed laparoscopically, this approach can be challenging for the surgeon and may compromise results compared to open surgery. Laparoscopic myomectomies often take longer than open abdominal myomectomies, and up to 28% are converted during surgery to an open abdominal incision.
A new category of minimally invasive myomectomy, robotic-assisted myomectomy, combines the best of open and laparoscopic surgery. With the assistance of the da Vinci® Surgical System—the latest evolution in robotics technology—surgeons may remove uterine fibroids through small incisions with unmatched precision and control.
For most women, robotic-assisted myomectomy offers numerous potential benefits over traditional surgical approaches, including:
- Shorter hospital stay
- Less pain
- Less risk of wound infection
- Less blood loss and need for blood transfusions
- Less scarring
- Faster recovery and quicker return to normal activities
- Uterine preservation
If you are a candidate for robotic-assisted myomectomy, talk to a gynecologic surgeon or gynecologic oncology surgeon (a cancer specialist) who performs robotic-assisted hysterectomy.
While clinical studies support the effectiveness of the da Vinci System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.