Fibroids (also called fibroids or fibroids) are the most common pelvic tumors in women. Today, robotic fibroid surgery is mostly preferred for the treatment of fibroids. Robotic fibroid surgery (robotic myomectomy) is a method used by gynecological oncologists to remove uterine fibroids.
Compared to open abdominal surgeries, less blood loss and less complications are experienced with robotic myomectomy. In addition, post-surgical pain in robotic myoma surgery is quite mild. The length of stay in the hospital may be shorter and you may return to your normal activities faster.
In addition to these advantages, robotic myoma surgery (robotic myomectomy) may take longer and may be more costly.
Thanks to robotic myoma surgery (robotic myomectomy), it is possible to remove large fibroids that cannot be performed by laparoscopic surgery.
During robotic myomectomy, smaller incisions are made than in a standard surgery. It is done through general anesthesia, while the patient is put to sleep.
This surgery may not be applied in all regions. Robotic surgery is generally more expensive than other methods. Removing fibroids may take longer than other types of surgery. Your healthcare provider can help you decide which surgery will work best for you.
Dr. Derman Basaran has the highly specialized training necessary to perform these advanced robotic procedures and, having performed hundreds of them, he can ensure patients get the best possible results.
To get more information about fibroids, diagnosis and treatment methods of fibroids, What are Myomas? You can check my post.
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In Which Situations Should Robotic Myoma Surgery Be Preferred?
Your doctor may think you need a myomectomy if you have fibroids that are causing serious symptoms such as:
- Heavy and prolonged bleeding during your period
- pelvic pain
- Swelling,
- Infertility
- pregnancy problems,
- frequent urination,
- Constipation
If you have symptoms other than those listed, other treatments may be recommended by the gynecological oncologist.
With robotic myomectomy, only fibroids are removed. The uterus is not harmed. This may be a better option for women who want to have children.
How is Robotic Fibroid Surgery Performed?
The requirements for robotic fibroid surgery (robotic myomectomy) are:
- A console where the gynecological oncologist controls scope and instruments using hand controls and displays images from the oscilloscope on a screen
- A robotic car with arms holding tools
- A camera that provides 3D images of the surgical site
- Wrist instruments that convert the surgeon's hand movements into precise micro-movements to perform surgery
Sitting at the console, the surgeon performs even the most delicate, complex procedures from small incisions with extreme precision. The robotic system cannot be programmed and does not act on its own, it is completely controlled by a specialized gynecological oncologist.
An essential part of the procedure is the assistant surgeon standing on the operating table next to the patient and manually manipulating an accessory port to assist with tasks such as fine stitching.
After Robotic Myoma Surgery
The results we observed in patients after robotic fibroid surgery are as follows:
- Relief in symptoms: After robotic myomectomy surgery, most women are relieved of uncomfortable symptoms such as excessive menstrual bleeding and pelvic pain and pressure.
- Fertility improvement: Some studies suggest that women achieve good pregnancy outcomes about a year after robotic fibroid treatment. After robotic myomectomy, you must wait three to six months or longer before trying to get pregnant to allow adequate healing time for the uterus.
Risks of Robotic Fibroid Surgery
Robotic myoma surgery (robotic myomectomy) has a low complication rate. Still, risks can include:
- Excessive blood loss: During a robotic myomectomy, gynecological oncologists take extra steps to prevent excessive bleeding, including injecting medication around the fibroids to block blood flow from the uterus and not cause constriction of blood vessels. However, even with a low risk, excessive blood loss can occur.
- Infection: Although the risk is small, there is a risk of infection after robotic myomectomy treatment.
What are the Advantages of Robotic Myoma Surgery?
Robotic fibroid surgery provides significant benefits for patients who will be treated for uterine fibroids, thanks to the developing technology. In robotic myomectomy;
- There is less blood loss.
- Post-operative pain is less.
- Pain medication may not be needed after surgery.
- Faster recovery and return to normal activities are possible.
- Since small incisions will be made, surgical scars will also be small.
- The probability of complications is low.
- The fertility rate is maintained.
Apart from robotic uterine fibroid surgery , Dr.Derman Başaran uses robotic surgery to perform procedures such as:
Robotic removal of endometriosis foci while preserving the uterus and ovaries
Robotic hysterectomy to remove the uterus
Urogynecological pelvic floor surgery in which sagging of the uterus and vagina is treated.
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