da Vinci myomectomy

Why da Vinci myomectomy?

If you’ve been diagnosed with fibroid tumors, your doctor may recommend a myomectomy. With a myomectomy procedure, your surgeon removes the fibroids and not your uterus. If you are considering surgery, ask your doctor about minimally invasive da Vinci Myomectomy.

With the da Vinci System, surgeons operate through 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.

As a result of the da Vinci technology, da Vinci Myomectomy offers the following potential benefits compared to traditional open surgery:

• Less blood loss^1,2,3
• Shorter hospital stay^1,2,3,4
• Less need for narcotic pain medicine⁴
• Small incisions for minimal scarring⁵

As a result of the da Vinci technology, da Vinci Myomectomy offers the following potential benefits when compared to traditional laparoscopy:

• Minimally invasive removal of heavier, more numerous and more difficult to access fibroids¹
• Fewer complications during surgery⁶

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.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci - changing the experience of surgery for people around the world.

Risks & considerations related to myomectomy & da Vinci surgery

Potential risks of any myomectomy procedure include:

• Weakening of the uterus during labor
• Pre-term birth
• Tears or perforations in the uterine wall

In addition to the above risks, there are risks related to minimally invasive surgery, including da Vinci Myomectomy, such as hernia (bulging tissue at incision site) and pulmonary embolism (blocked lung artery).¹

1. Barakat EE, Bedaiwy MA, Zimberg S, Nutter B, Nosseir M, Falcone T. Robotic-assisted, laparoscopic, and abdominal myomectomy: a comparison of surgical outcomes. Obstet Gynecol. 2011 Feb;117(2 Pt 1):256-65.
2. Ascher-Walsh CJ, Capes TL. Robot-assisted laparoscopic myomectomy is an improvement over laparotomy in women with a limited number of myomas. J Minim Invasive Gynecol. 2010 May-Jun;17(3):306-10. Epub 2010 Mar 19.
3. Sangha R, Eisenstein D, George A, Munkarah A, Wegienka G. Surgical outcomes for robotic-assisted laparoscopic myomectomy compared to abdominal myomectomy. Journal of Robotic Surgery, Volume 4, Number 4, December 2010 , pp. 229-233(5).
4. Nash K, Feinglass J, Zei C, Lu G, Mengesha B, Lewicky-Gaupp C, Lin A. Robotic-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparative analysis of surgical outcomes and costs. Arch Gynecol Obstet. 2012 Feb;285(2):435-40. Epub 2011 Jul 22.
5. 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 (see figure 2). Alternatively, see Myomectomy Procedure Guide, PN 871798.
6. Bedient CE, Magrina JF, Noble BN, Kho RM. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol. 2009 Dec;201(6):566.e1-5. Epub 2009 Aug 15.

All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur 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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