Robotic surgery in gynecology - myomectomy

Precise, meticulous suture with enough strength is the most important procedure in myomectomy, as it reduces bleeding and the risk of uterine rupture in subsequent pregnancy; however it has been considered to be the most difficult task in laparoscopy. Since the da Vinci robotic platform was introduced, robotic myomectomy gradually has become popular. It provides for EndoWrist instrumentation with favorable ergonomics allowing for rotation of instruments up to 45; additionally, it enables surgeons to effectively enucleate myomas and achieve precision multi-layer closure. Several studies have reported that the da Vinci robotic platform is a feasible treatment option for myomectomy. In this review, we will discuss the current status of robotic myomectomy with a focus on its differences with open myomectomy and laparoscopic myomectomy.