Question (01/26/2012):

Title: How safe and reliable is robotic myomectomy?.

How safe and reliable is robotic myomectomy?

Can one have children reliably after it?

What is better between normal surgery and robotic myomectomy?

Momo

Answer:

Dear Momo,

The primary surgical techniques used in myomectomy are open surgery, laparoscopic surgery, and, recently, robot-assisted ("robotic") surgery.

Risks of myomectomy include:

=Excessive blood loss
=Scar tissue
=Development of new fibroids
=Childbirth complications
=Inability to restore the structure of the uterus

Often, women who plan a pregnancy after myomectomy conceive within one year of having the surgery.

Although studies are limited, the effect of surgery on your fertility appears to be about the same whether you have abdominal, laparoscopic or hysteroscopic myomectomy.

In the robotic myomectomy the surgeon proceeds in the same way as laparoscopic, however, he or she manipulates robotic arms to be less invasive yet.

Among the potential patient benefits of a robotic myomectomy as compared to traditional open abdominal surgery are:

" Opportunity for future pregnancy
" Significantly less pain
" Less blood loss
" Fewer complications
" Less scarring
" A shorter hospital stay A faster return to normal daily activities

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