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Title: ROBOTIC MYOMECTOMY HOW IS IT DIFFETENT
e-poster Number: EP 458
Category: Endoscopy and Gynaecologic Surgery
Author Name: Dr. Jyoti Mishra
Institute: Yatharth Superspeciality Hospital, Noida
Co-Author Name:
Abstract :
Title: Robotic Myomectomy: How is it different! Introduction: Robotic myomectomy offers a minimally invasive alternative to traditional surgical techniques, utilising advanced robotic systems to enhance surgical precision leading to less pain, fast recovery and improved patient outcomes in uterine fibroid management. Aims and Objectives: To evaluate the difference in surgical approach to myomectomy when performed with robotic assistance in comparison with Laproscopy or traditional open surgery. Due to magnified view, increased manoeuvarabilty of instrument tips and 3-D vision, the surgery was performed with much more precision. However, loss of haptic and inability to give traction and counter traction was a limitation in initial few cases. Materials and Methods: This study included 11 patients undergoing robotic myomectomy for fibroids larger than 5 cm or multiple fibroids. Difficulties encountered in the initial learning curve were noted, and attempts were made to overcome them in subsequent cases. Newer alternatives were attempted for effective and safe Robotic surgery. All the surgeries were performed by an expert laparoscopic gynaecologist, but newly performing robotic surgeries. Results: Surgeon went through training on simulators and then performed Robotic myomectomy. Surgery was faster, more precise and was performed with ease in Myomas of 5 to 7 cm size. These patients demonstrated reduced blood loss (mean: 100 mL), shorter hospital stays (1.5 days), minimal post-operative pain and faster return to activity. Operative times excluding docking, ranged from 70 to 150 minutes. Docking took an extra 15 minutes. Uterine integrity was preserved in all cases, supporting future fertility. However, conversion to laparotomy was required in one case due to massive size of fibroids and bleeding. Conclusion: Robotic myomectomy is a safe and effective option for managing complex fibroid cases. It ensures superior outcomes, reduced morbidity, and faster recovery, making it a valuable tool in minimally invasive gynecologic surgery. But for evolution of any technique, newer surgical methods and more suitable instruments are needed. Selection of cases must be done cautiously, specially in the learning curve. Further studies are needed to validate long-term benefits of robotic approach and its superiority over other traditional approaches.