Each year, roughly 65,000 myomectomies are performed in the
U.S.1 The conventional approach to myomectomy is open
surgery, through a large abdominal incision.2 After
cutting around and removing each uterine fibroid, the surgeon must
carefully repair the uterine wall to minimize potential uterine
bleeding, infection and scarring. Proper repair is also critical to
reducing the risk of uterine rupture during future pregnancies.
While myomectomy is also performed laparoscopically, this
approach can be challenging for the surgeon, and may compromise
results compared to open surgery.3 Laparoscopic
myomectomies often take longer than open abdominal myomectomies,
and up to 28% are converted during surgery to an open abdominal
incision.4 Myomectomy can be a uterine-preserving
alternative to open abdominal hysterectomy.
A new category of minimally invasive myomectomy, da Vinci®
Myomectomy, combines the best of open and laparoscopic surgery.
With the assistance of the da Vinci® Surgical System -
the latest evolution in robotics technology - surgeons may remove
uterine fibroids through small incisions with unmatched precision
and control. Among the potential benefits of da Vinci Myomectomy as
compared to traditional open abdominal surgery are:
- Opportunity for future pregnancy
- Significantly less pain
- Less blood loss
- Fewer complications
- Less scarring
- A shorter hospital stay
- A faster return to normal daily activities
da Vinci Myomectomy is performed with the da Vinci
Surgical System, which allows your surgeon to perform a
minimally invasive, yet remarkably precise, comprehensive
reconstruction of the uterine wall, regardless of the size or
location of your fibroids. The unique level of control and
precision provided by da Vinci also can help your surgeon give the
most precise and thorough reconstruction possible, helping to
prevent possible uterine rupture (tearing) during future
As with any surgery, these benefits cannot be guaranteed, as
surgery is both patient- and procedure-specific. While myomectomy
performed using the da Vinci Surgical System is considered safe and
effective, this procedure may not be appropriate for every
individual. Always ask your doctor about all treatment options, as
well as their risks and benefits.
* Uterine fibroids are also called fibroids, uterine tumors,
leiomyomata (singular - leiomyoma) and myomas or myomata (singular
Are You a Candidate for da Vinci Surgery?
The following physicians are trained to use the da Vinci
Surgical System at Lourdes for
Only you and your doctor can decide if da Vinci Surgery may
be right for you.
- Lumsden MA. Embolization Versus Myomectomy Versus
Hysterectomy: Which is Best, When? Hum Reprod. 2002; 17:253-259.
- Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient
Surgical Treatment Patterns for Patients with Uterine Fibroids in
the United States, 1998-2002. J Natl Med Assoc. 2005
- Wolanske KA, Gordon, RL. Uterine Artery Embolization: Where
Does it Stand in the Management of Uterine Leiomyomas? Part 2. Appl
Radiol 33(10):18-25, 2004. Medscape.10/27/2004.
- Advincula AP, Song A, Burke W, Reynolds RK. Preliminary
Experience with Robot-Assisted Laparoscopic Myomectomy. J Am Assoc
Gynecol Laparosc. 2004 Nov;11(4):511-8.