Uterine fibroids—noncancerous growths in or on the uterus—are a common gynaecological condition affecting millions of women. Although they are often harmless, fibroids can sometimes cause symptoms like heavy bleeding, pelvic pain, and fertility issues. For women who wish to preserve their uterus and fertility, a myomectomy (surgical removal of fibroids) is often the treatment of choice. Thanks to advances in medical technology, this procedure can now be performed with even greater precision and faster recovery using robotic-assisted surgery.

Under the care of an experienced specialist like Dr. Rajani Vaidya, robotic myomectomy offers women a safe, minimally invasive solution with excellent outcomes and shorter downtime.

What Is a Robotic Myomectomy?

A robotic myomectomy is a minimally invasive surgical procedure that removes uterine fibroids using a robotic system, typically the Da Vinci Surgical System. The surgeon operates through a console, controlling robotic arms equipped with tiny surgical instruments. This advanced method allows for extremely precise movements and better visualization, especially when dealing with large, multiple, or deeply embedded fibroids.

Unlike a hysterectomy, a myomectomy preserves the uterus, making it an ideal option for women who want to maintain their fertility or simply avoid uterine removal.

Who Needs a Myomectomy?

While not all fibroids require treatment, a myomectomy may be recommended if you experience:

• Heavy or prolonged menstrual bleeding
• Pelvic pressure or pain
• Frequent urination due to bladder pressure
• Constipation or bloating
• Infertility or recurrent miscarriage linked to fibroid interference
• A rapidly growing fibroid or multiple fibroids causing a distorted uterus

If you're planning to conceive or prefer to keep your uterus, a myomectomy is typically preferred over a hysterectomy.

Advantages of Robotic-Assisted Myomectomy

Robotic myomectomy offers several significant benefits compared to traditional open surgery or standard laparoscopy:

• Minimally Invasive: The surgery is performed through small incisions (typically less than 1 cm), resulting in minimal scarring.
• Greater Surgical Precision: The robotic system allows for more controlled and delicate handling of uterine tissue, enabling the surgeon to remove fibroids with great accuracy and preserve the healthy uterus.
• Better Visualization: A high-definition 3D camera offers a magnified view of the surgical site, helping to identify fibroids that may not be easily visible otherwise.
• Less Blood Loss: Robotic tools allow for precise cutting and suturing, minimizing bleeding during the procedure.
• Shorter Recovery Time: Most women return to normal activities within 2–3 weeks, compared to 4–6 weeks with open surgery.
• Improved Fertility Outcomes: Because the uterus is repaired more precisely, the chances of a successful pregnancy afterward are improved compared to traditional approaches.

How Is the Procedure Performed?

The surgery is conducted under general anesthesia and usually lasts between 1.5 to 3 hours, depending on the number and size of fibroids.

Step-by-Step Overview:

1. Preparation: After anesthesia, small incisions are made in the abdomen.
2. Access and Visualization: A camera and robotic arms are inserted through the incisions.
3. Fibroid Removal: The surgeon carefully excises the fibroids using robotic instruments while preserving the healthy uterine tissue.
4. Uterus Repair: The uterus is sutured meticulously to maintain structural integrity.
5. Completion: Instruments are removed, and the incisions are closed.

Most patients go home the same day or after a short hospital stay.

Recovery and Aftercare

Recovery from robotic myomectomy is faster and less painful than open surgery. Here's what to expect:

• Hospital Stay: Usually same-day discharge or 24-hour stay.
  
• Pain: Mild discomfort managed with oral pain medications.
  
• Activity: Light activity within a few days; most women resume work in 2–3 weeks.
  
• Sexual Activity and Conception: You may need to wait 2–3 months before trying to conceive, based on your doctor’s advice.
  
• Follow-Up: A post-operative visit will ensure healing is progressing well and pathology reports are reviewed.

Is Robotic Myomectomy Right for You?

This advanced technique is especially beneficial if you:

• Have multiple or large fibroids
• Have fibroids located in difficult-to-access areas
• Want to preserve fertility
• Prefer a minimally invasive approach with quicker recovery
• Have had previous abdominal or pelvic surgery

During a personalized consultation, Dr. Rajani Vaidya will evaluate your symptoms, imaging results, and fertility goals to determine if robotic myomectomy is your best option.

Take Charge of Your Reproductive Health

Don’t let fibroids disrupt your life or limit your choices. With robotic myomectomy, you can experience relief, preserve your fertility, and return to your routine faster than ever.

Schedule a Consultation with Dr. Rajani Vaidya today and explore the benefits of precision surgery tailored to your needs.