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Published on: January 17, 2019
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Robot-assisted laparoscopic myomectomy for deep intramural myomas
So Yeon Kang1, In-Cheul Jeung1, Youn-Jee Chung1
1Seoul St. Mary's fibroid center, Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Summary
Robot-assisted laparoscopic myomectomy effectively treats deep intramural fibroids, preserving fertility in women. This minimally invasive approach shows promising pregnancy outcomes post-surgery.
Area of Science:
- Minimally Invasive Surgery
- Gynecologic Oncology
- Reproductive Medicine
Background:
- Deep intramural fibroids pose surgical challenges.
- Evaluating robot-assisted laparoscopic myomectomy for efficacy.
Purpose of the Study:
- Assess robot-assisted laparoscopic myomectomy for deep intramural fibroids.
- Determine safety and fertility preservation outcomes.
Main Methods:
- Retrospective study of 170 patients.
- Single-operator, tertiary university hospital setting.
- 100 cases of robot-assisted laparoscopic myomectomy for deep intramural fibroids.
Main Results:
- Average 3.8 fibroids (mean largest diameter 7.5 cm).
- Mean operative time 276.4 min, console time 146.0 min.
- No major complications; 75% pregnancy rate in 12 women desiring fertility.
Conclusions:
- Robot-assisted laparoscopic myomectomy is a viable option for deep intramural fibroids.
- Offers a minimally invasive surgical choice for fertility preservation.
- Demonstrates positive pregnancy outcomes post-procedure.
