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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 for Uterine Fibroids

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

Traditional laparoscopy

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.

PN 1002191 Rev B 01/2014

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.

Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.

Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.

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