Myomectomy is the surgical removal of fibroid tumors while leaving your uterus in place. If you have fibroids and your symptoms are severe or affect your lifestyle, your doctor may suggest you have a myomectomy or a hysterectomy (removal of the uterus). A woman who wants to become pregnant in the future or wants to keep her uterus for other reasons usually chooses a myomectomy.
During a myomectomy, your surgeon will remove all visible fibroids. Surgeons must then carefully repair the uterine wall to minimize bleeding, infection and scarring. Proper repair of the uterine wall is also critical in preventing the uterus from tearing or rupturing during pregnancy.
Myomectomy is often done using traditional open surgery – through a large incision. The incision must be large enough for your surgeon to fit his or her hands and instruments inside your body. While open surgery allows your surgeon to see and touch your pelvic organs, there are some drawbacks for patients due to the large incision.
Minimally Invasive Surgery
Laparoscopy means surgeons operate through a few small incisions instead of a large open incision. With a laparoscopic myomectomy, surgeons insert long, thin instruments and a tiny camera into the incisions. The camera sends images back to a video monitor in the operating room which guides surgeons as they operate.
Women undergoing myomectomy have another minimally invasive surgical option - da Vinci® Myomectomy.
da Vinci Myomectomy
With minimally invasive da Vinci Myomectomy, surgeons make a few small incisions instead of a large open incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.
State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.
All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.
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PN 1002191 Rev A 04/2013