Myomectomy

Robot-Assisted Myomectomy Frequently Asked Questions (FAQs)

If you or someone you know has recently been diagnosed with uterine fibroids and are searching for an alternative to a traditional hysterectomy, you might consider asking your surgeon if you could be a candidate for a robot-assisted myomectomy.

Many physicians from the University of Maryland Medical Center's Division of Obstetrics, Gynecology and Reproductive Heath are now performing this minimally invasive procedure to treat uterine fibroids and help patients get on the road to a quicker recovery with significantly less pain and fewer future complications.

Click on any of the questions listed below, or simply scroll down the page to find answers to some commonly asked questions about this surgical technique.

 

What are uterine fibroids?

Uterine fibroids are non-cancerous (benign) tumors that develop within the uterus. Symptoms usually include heavy menstrual bleeding, pelvic pain and infertility, making them the leading cause of hysterectomies performed in the United States.

Uterine fibroids usually occur in women over 30 years of age, and are rarely diagnosed in women younger than 20. These benign growths are quite common, occurring in approximately one-third of all women. African-American women are at a higher risk of developing this condition than women of other ethnicities.

What is a robot-assisted myomectomy?

A robot-assisted myomectomy uses a state-of-the-art robotic surgical system to help surgeons remove fibroids while preserving the patient's uterus. The procedure begins with an examination of the uterus and fibroids. The surgeon controls the robotic instruments attached to the surgical system from a remotely positioned console. These instruments act as a computerized extension of the surgeon's hands, allowing the surgeon to separate the fibroids from the uterus and restore the patient's anatomy with unmatched surgical precision.

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How does a robot-assisted myomectomy differ from traditional open surgery and laparoscopy?

A myomectomy performed through open surgery requires a large incision into the patient's abdomen, cutting through layers of skin and muscle in order to reach the affected area. This incision leaves patients with a large scar and varying amounts of abdominal muscle weakness following the procedure. Open surgery also increases the length of time needed for recovery and the risk for infection.

While laparoscopy can be a better alternative to open surgery, it is usually more challenging to the surgeon and can often take longer to perform than open surgery.

However, a robot-assisted myomectomy helps surgeons overcome many of the challenges associated with the laparoscopic approach to removing uterine fibroids. The surgical system used to perform the procedure affords surgeons a great level of precision and control when using its instruments. Potential uterine bleeding, infections and scarring are minimized.

Will my surgery be performed by a robot or a real surgeon?

The surgical system used to perform all robot-assisted procedures at UMMC cannot be programmed to perform surgery on its own. Every surgical maneuver performed by the robot must be controlled by a surgeon seated at the system's console.

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What are the benefits for the patient?

A robot-assisted myomectomy offers several benefits to the patient, including:

  • Fewer surgical complications
  • Less blood loss
  • Minimal scarring
  • Opportunity for future pregnancy
  • Quicker recovery
  • Shorter hospital stay
  • Significantly less pain

How can I determine if I'm a candidate for this procedure?

There are many factors to consider when deciding if you might be a good candidate for a robot-assisted myomectomy, including the size of your fibroids and your overall health. Be sure to discuss the benefits and the risks of this procedure with your surgeon.

Why come to UMMC?

The University of Maryland's Department of Obstetrics, Gynecology and Reproductive Health offers compassionate care from physicians with advanced surgical skills who have access to technology available at only a handful of medical centers in the country. Because there is no one type of surgery that is appropriate for all patients, we provide a variety of surgical options for patients in need of traditional and advanced surgical procedures. Patients have access to a multi-disciplinary treatment team who will help them formulate individualized treatment plans depending upon their specific condition, complaints, and preferences. At UMMC, this patient-centered treatment approach assures the most comprehensive and integrated care for your uterine fibroids.

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For more information or to make an appointment, please call 410-328-6640 or toll-free at 866-608-4228.

This page was last updated: June 18, 2013

         
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