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Case Reports
. 2020 Aug 1;9(3):175-178.
doi: 10.4103/GMIT.GMIT_95_19. eCollection 2020 Jul-Sep.

Total Robotic Myomectomy in a Complex Case: Extending the Limits

Pakhee Aggarwal  1 , Suneeta Mittal  1 , Deepika Hooda  1
Affiliations
Case Reports

Total Robotic Myomectomy in a Complex Case: Extending the Limits

Pakhee Aggarwal et al. Gynecol Minim Invasive Ther. .

Abstract

We present the case of a 30-year-old female with primary infertility who had multiple large myomas up to 22 weeks uterine size. She had a body mass index of 42 kg/m2 and also concurrent endometriosis, for which she was on medical management. After meticulous preoperative planning, total robotic myomectomy and endometriosis clearance was done. Four large myomas weighing a total of 750 g were removed after morcellation. Console time was 160 min, and she made an uneventful recovery with only 0.1 g/dL drop in hemoglobin. Robotic myomectomy is considered as an improvement over laparotomy for patients with up to three myomas and when the surgical time does not exceed 4 hours. We were successful in our attempt at total robotic myomectomy to extend these limits and had a positive surgical outcome.

Keywords: Large myomas; morbid obesity; multiple myomas; total robotic myomectomy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Magnetic resonance imaging images (a and b)
Figure 2
Figure 2
Representative Port Placement for pelvic docking
Figure 3
Figure 3
(a) Preoperative and (b) postoperative uterine contour
Figure 4
Figure 4
Morcellated myoma fragments
See this image and copyright information in PMC

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