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Myomectomy

Procedure overview

A myomectomy is the surgical removal of uterine fibroids (tumors) while leaving the uterus intact, thereby preserving the possibility of future pregnancy. Uterine fibroids are typically non-cancerous, but can cause significant symptoms, such as bleeding, pain and incontinence. [1] Fibroids are very common. Your risk of fibroids increases with age until you reach menopause. [2]

Depending on the size, number, and location of fibroids a surgeon may choose one of three methods to perform the surgery: Abdominal, Laparoscopic or Robotic, and Hysteroscopic. [3]

Robotic-assisted myomectomy is a minimally invasive method of surgery to remove fibroids. Smaller incisions than a standard surgery are used to perform the surgery, and it is done while you’re asleep under general anesthesia. [2]

 

During the surgery, your doctor will put small tools and a tiny camera through small incisions on your lower belly. This gives your doctor a better view of the area in your body. Your doctor moves the tools using a robotic controller. This lets your provider make very small movements with the tools. The doctor removes the fibroids from your uterus. The tools are then removed. The incisions are closed and bandaged.[2]

Learn more about what robotic assisted surgery is and how surgeons use the technology here.

It takes a Team: Sehdeens Story
Humber River Hospital Foundation, Oct 2021


The Age of Robotics: Dr. John Solnik
Sinai Health, Sept 2021


Robotic Myomectomy: Dr. Deborah Robertson
St Michaels Foundation, Jan 2020


Potential Benefits​

Studies on Robot Assisted Myomectomy have reported the following results:

  • Faster and similar time until discharge from Hospital compared to open, and laparoscopic surgery.[1],[2],[3],[4]
  • Similar risk of complications compared to open, and laparoscopic surgery.[1],[3],[4]
  • Similar conversion to open surgery compared to laparoscopic surgery.[1],[2],[4]
  • Similar or Less Blood Loss compared to open, and laparoscopic surgery.[1],[2],[3],[4]

Additional Patient Resources

Visit the Canadian Cancer Society for more informational about the disease, diagnosis, treatment options and support available.

Educational Videos

Patient and Surgeon Stories

Sinai Health is advancing how they deliver health care. Dr. Jonathan Solnik describes how it will enable complex robotics-assisted laparoscopic operations for patients with complicated health conditions. 

Risks & Considerations

Not everyone is a candidate for robotic assisted procedures, and other treatment options may be available and appropriate. Only a doctor can determine whether robotic assisted surgery is appropriate for a patient’s situation. Surgery of any form contains risks and it is important to discuss risks with your provider. Patients and doctors should review all available information on both non-surgical and surgical options in order to make an informed decision.

Patients have also developed support areas where they are able to speak with each other about the surgery, their experiences, and any issues that they have faced during their treatment. To learn more check out the additional resources above or visit the community section of this website.

[1] https://www.brighamandwomens.org/obgyn/robotic-gynecologic-surgery/robotic-myomectomy

[2] https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/roboticassisted-myomectomy

[3] https://www.mayoclinic.org/tests-procedures/myomectomy/about/pac-20384710

[4] Pundir, J., Pundir, V., Walavalkar, R., Omanwa, K., Lancaster, G. and Kayani, S. (2013). Robotic-Assisted Laparoscopic vs Abdominal and Laparoscopic Myomectomy: Systematic Review and Meta-Analysis. Journal of Minimally Invasive Gynecology, 20(3), pp.335–345.

‌[5] Reza, M., Maeso, S., Blasco, J. A., & Andradas, E. (2010). Meta-analysis of observational studies on the safety and effectiveness of robotic gynaecological surgery. British Journal of Surgery, 97(12), 1772–1783. https://doi.org/10.1002/bjs.7269

‌[6] Gobern, J. M., Barter, J. F., & Steren, A. J. (2011). Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital. Journal of Minimally Invasive Gynecology, 18(6), S85. https://doi.org/10.1016/j.jmig.2011.08.288

[7] Pluchino, N., Litta, P., Freschi, L., Russo, M., Simi, G., Santoro, A.N., Angioni, S., Gadducci, A. and Cela, V. (2013). Comparison of the initial surgical experience with robotic and laparoscopic myomectomy. The International Journal of Medical Robotics and Computer Assisted Surgery, 10(2), pp.208–212.