Optimal energy use for robot-assisted laparoscopic myomectomy

Abstract

Myomectomy is a surgical option for patients who wish to preserve fertility when removal of uterine fibroids is necessary. Robot-assisted laparoscopic surgery provides increased surgical dexterity during minimally invasive myomectomy (MIM) and permits greater accuracy with a layered closure of the uterine defect. However, uterine rupture following myomectomy has been reported more frequently with MIM than with laparotomy, including robot-assisted laparoscopic myomectomy (RALM). This article reviews the mechanisms of frequent uterine rupture following MIM and the optimal energy use during RALM.