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Updated: Mar 15, 2026

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Robotic Myomectomy Using Hugo RAS Platform: a Step-by-Step on how to be Safe and Efficient.

Giovanna Moreira Arcas1, Carina Pita Lottenberg1, Debora Davalos Albuquerque Maranhao1

  • 1Department of Gynecology and Obstetrics, Einstein Hospital Israelita, São Paulo, Brazil (all doctors).

Journal of Minimally Invasive Gynecology
|March 13, 2026
PubMed
Summary

This study presents a safe robotic myomectomy using the Hugo™ RAS system for fertility preservation. The approach focused on cosmetic trocar placement and effective hemostasis, demonstrating feasibility in a selected case.

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Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Robotic Surgery
  • Urogynecology

Background:

  • Uterine fibroids significantly impact women's reproductive health, causing abnormal bleeding and infertility.
  • Fertility-preserving myomectomy is crucial for women desiring future pregnancies.
  • Robotic-assisted surgery offers potential advantages in precision and control for complex gynecologic procedures.

Purpose of the Study:

  • To detail a safe and efficient robotic myomectomy technique using the Hugo™ RAS system.
  • To highlight aesthetic trocar placement and hemostatic strategies for uterine reconstruction.
  • To evaluate the feasibility of this approach in a fertility-preserving context.

Main Methods:

  • A case report of a 41-year-old nulliparous woman with symptomatic fibroids undergoing robotic myomectomy.

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  • Utilized the Hugo™ RAS system with standard laparoscopic trocars and low abdominal port placement for cosmetic benefit.
  • Employed bilateral uterine artery clipping, intramyometrial vasopressin, and transvaginal specimen extraction for hemostasis and safety.

    • Main Results:

    • The robotic myomectomy was completed in 122 minutes with an estimated blood loss of 50 mL.
    • No intraoperative or postoperative complications were reported.
    • The procedure demonstrated feasibility and safety in this specific patient case.

    Conclusions:

    • Robotic myomectomy with the Hugo™ RAS system is a feasible and safe option for selected patients requiring fertility preservation.
    • The described technique emphasizes cosmetic outcomes and effective hemostasis.
    • Further comparative studies are needed to establish superiority over other robotic systems.