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Myomectomy

A myomectomy is the surgical removal of fibroids from the uterus, allowing the uterus to be left in place while removing the common noncancerous growths that sometimes appear in the uterus. Robot-assisted technology allows for a minimally invasive surgical alternative to hysterectomy that may be an option for women with fibroids who want to preserve their fertility or uterus.

A myomectomy procedure means the surgeon keeps the uterus intact while removing your fibroid tumor(s). A myomectomy sometimes involves traditional open surgery, which requires a large incision in the lower abdomen that allows the doctor to see and touch your organs, including the uterus, while operating.

Another way of performing a myomectomy is through minimally invasive laparoscopic surgery, which may result in a few small incisions in the abdomen. During this process, fibroid tumors are removed from the body with the aid of surgical instruments and a small camera that provides images from inside your body to the surgeon. The surgeon views these images on a nearby video monitor to help determine specifically how to operate. Additionally, da Vinci Surgery technology provides another minimally invasive surgical option for women thinking about a myomectomy.

Much like a traditional laparoscopy, your surgeon would work using the da Vinci System to make some small incisions. The difference in a da Vinci Myomectomy is the magnified 3-D HD view. This feature, as well as the rotational qualities of small wristed instruments used in da Vinci, offer your surgeon increased vision, dexterity and control.

Some potential benefits to robotic surgery include:

  • Less pain
  • Decreased blood loss
  • Less scarring
  • Fewer complications
  • Shorter hospital stay
  • Shorter recovery time
  • Faster return to normal daily activities

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery with Single-Site Instruments. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Potential risks include conversion to other surgical techniques and multiple incisions. Patients should talk to their doctors to decide if da Vinci is right for them. Visit www.davincisurgery.com/safety for more detailed safety information. The implementation of a da Vinci Surgery program is practice- and hospital-specific. Results will vary. Past customer experience does not imply any guarantee of results in practice or program success. Unless otherwise noted, all people depicted are models. © 2014 Intuitive Surgical, Inc. All rights reserved. Product names are trademarks or registered trademarks of their respective holders. PN 1003049 Rev B 5/14​​

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