Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jul 14, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Published on: January 17, 2019

UTERINE-PRESERVING ROBOTIC RESECTION OF A CHALLENGING SUBMUCOSAL FIBROID UNDER ULTRASOUND GUIDANCE.

Jae Yeon Woo¹, Mee-Ran Kim²

¹Department of Obstetrics and Gynecology, Incheon St. Mary's Hospital, The Catholic University of Korea.

Journal of Minimally Invasive Gynecology

|July 12, 2026

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Redefining menopausal care: a randomized trial of group CBT for vasomotor symptoms in Korean women.

Climacteric : the journal of the International Menopause Society·2026

Same author

Surgically confirmed severe endometriosis is associated with lower risk of steatotic liver disease: Evidence of estrogen-linked hepatic-reproductive crosstalk.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2026

Same author

Robot-Assisted Laparoscopic Versus Open Adenomyomectomy: Comparative Surgical and Reproductive Outcomes.

Journal of clinical medicine·2026

Same author

Deep-Infiltrating Endometriosis Causing Acute Mechanical Intestinal Obstruction Without Intestinal Invasion: A Case Report with Diagnostic and Surgical Insights.

Journal of clinical medicine·2026

Same author

Management of Genitourinary Syndrome of Menopause in Korean Breast Cancer Survivors by Fractional CO₂ Laser Treatment.

Yonsei medical journal·2025

Same author

The 2025 Menopausal Hormone Therapy Guidelines - Korean Society of Menopause.

Journal of menopausal medicine·2025

This study introduces an innovative ultrasound-guided robotic surgery for large submucosal fibroids, offering precise tumor removal and uterine preservation for fertility.

Area of Science:

Minimally Invasive Gynecologic Surgery
Reproductive Endocrinology and Infertility
Surgical Robotics

Background:

Submucosal uterine fibroids can cause significant symptoms and infertility.
Large or complex submucosal fibroids pose surgical challenges, often limiting hysteroscopic options.
Previous pregnancy loss highlights the critical need for effective fibroid management in women desiring future fertility.

Purpose of the Study:

To demonstrate the surgical technique and clinical utility of an ultrasound-guided robotic approach.
To showcase the resection of a large, complex submucosal myoma.
To evaluate this method in a patient seeking future fertility.

Main Methods:

A 33-year-old nulliparous woman with a large, complex submucosal fibroid underwent robotic surgery.

Keywords:

Fertility-sparing Intraoperative ultrasound Robotic surgery Sonohysterography Submucosal fibroid

More Related Videos

Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps

Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps

Published on: August 2, 2024

Related Experiment Videos

Last Updated: Jul 14, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Published on: January 17, 2019

Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps

Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps

Published on: August 2, 2024

Real-time transvaginal ultrasound guidance was integrated into the robotic platform via TilePro™.

The procedure involved robotic enucleation, multi-layered reconstruction, and contained morcellation.

Main Results:

The ultrasound-guided robotic approach enabled precise resection of a large, complex submucosal myoma.
The technique allowed for simultaneous management of coexisting fibroids and meticulous multi-layered reconstruction.
Complete preservation of endometrial integrity was achieved, facilitating potential future fertility.

Conclusions:

Ultrasound-guided robotic surgery is a viable option for complex submucosal myomas when hysteroscopy is insufficient.
This approach offers precise enucleation and robust reconstruction, crucial for preserving reproductive potential.
The technique optimizes surgical outcomes and supports uterine preservation for women desiring future fertility.