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Advances and Challenges in Minimally Invasive Myomectomy: A Narrative Review.

Pengfei Wang1,2, Noemi J Hughes1, Alireza Mehdizadeh1,2

  • 1Department of OB/GYN, BronxCare Health System, Bronx, NY 10457, USA.

Journal of Clinical Medicine
|June 26, 2025
PubMed
Summary

Minimally invasive myomectomy offers a safe and effective approach for managing uterine fibroids, a common condition in women. This review details the latest advancements and considerations for this procedure.

Keywords:
LAMlaparoscopyminimally invasive surgerymyomectomyrobot

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Area of Science:

  • Gynecology
  • Minimally Invasive Surgery
  • Reproductive Health

Background:

  • Uterine fibroids are common benign uterine tumors affecting women of reproductive age.
  • Abdominal myomectomy, a traditional surgical approach, presents technical challenges and potential complications.
  • Minimally invasive techniques, particularly laparoscopic myomectomy, have advanced significantly.

Purpose of the Study:

  • To review the latest data on minimally invasive myomectomy.
  • To address key questions and controversies surrounding myomectomy.
  • To evaluate the safety, efficacy, and patient benefits of laparoscopic myomectomy.

Main Methods:

  • Review of current literature and data on myomectomy techniques.
  • Analysis of surgical skill requirements and intraoperative considerations.
  • Discussion of future reproductive potential and malignancy risks.

Main Results:

  • Minimally invasive myomectomy provides numerous patient benefits.
  • Laparoscopic myomectomy requires specialized surgical expertise.
  • Potential concerns include hemorrhage control, reproductive outcomes, and malignancy risk.

Conclusions:

  • Minimally invasive myomectomy is a safe and efficient management option.
  • Successful outcomes depend on surgeon's advanced knowledge and refined skills.
  • This approach offers significant advantages when performed by experienced surgeons.