Role of robotic surgery in treating fibroids and benign uterine mass

In: Best Practice & Research Clinical Obstetrics & Gynaecology · 2017 · vol. 45 , pp. 48–59 · doi:10.1016/j.bpobgyn.2017.04.004 · PMID:28551090 · W2605784044
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This review examines the current evidence on the effectiveness and safety of robotic surgery for treating uterine fibroids and other benign uterine masses.

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Abstract

Fibroid uterus can be managed medically, surgically, or through non-extirpative procedures, depending on the clinical situation. Myomectomy may be beneficial, especially to those desiring to preserve the uterus and/or fertility, with outcomes comparable to those of hysterectomy, with a laparoscopic approach being favored when feasible. For definitive therapy, hysterectomy can be pursued where the surgical approach should be individualized. Comparison of robotic-assisted laparoscopic approach shows that the robotic approach may be favored for cases with higher complexity and multiple fibroids in myomectomy; however, no clear advantage is seen with hysterectomy at this time, necessitating further research in the area of robotics for hysterectomy in benign uterine mass treatment to justify the cost.

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