“daVinci®” Robotic Myomectomy

If you’ve been diagnosed with fibroid tumors, your doctor may recommend a myomectomy. With a myomectomy, your surgeon removes the fibroids and not your uterus. If you are considering surgery, ask your doctor about minimally invasive da Vinci® Myomectomy.

MYOMECTOMY

Myomectomy is the surgical remove of fibroid tumors while leaving your uterus in place. Each year, roughly 65,000 myomectomies are performed in the U.S.

After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize potential uterine bleeding, infection and scarring. Proper repair is also critical to reducing the risk of uterine rupture during future pregnancies.

Myomectomy can be done using open surgery or minimally invasive surgery.

OPEN SURGERY

Myomectomy is often done using traditional open surgery – through a large incision. The incision must be large enough for your surgeon to fit his or her hands and instruments inside your body. While open surgery allows your surgeon to see and touch your uterus and other pelvic organs, there are some drawbacks for patients due to the large incision.

MINIMALLY INVASIVE SURGERY

Traditional Laparoscopy

During traditional laparoscopy, long-handled surgical instruments are inserted through the incisions. One of the instruments is a laparoscope – a thin, lighted tube with a tiny camera at the end. The camera takes images inside your body and those images are sent to a video monitor which guides surgeons as they operate.

Women undergoing myomectomy have another minimally invasive surgical option – da Vinci® Myomectomy.

da Vinci Myomectomy

With minimally invasive da Vinci myomectomy, surgeons make a few small incisions instead of a large incision – similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

WHY DA VINCI MYOMECTOMY?

With the da Vinci System, surgeons operate through a few small incisions instead of a large open incision – similar to traditional laparoscopy. The da Vinci System features a magnified 3D HD vision system and special wristed instruments that bend and rotate far greater than the human wrist. These features enable your surgeon to operate with enhanced vision, precision, and control.

As a result of the da Vinci technology, da Vinci Myomectomy offers the following potential benefits compared to traditional open surgery:

• Less blood loss ^1,2,3
• Shorter hospital stay ^1,2,3,4
• Less need for narcotic pain medicine ⁴
• Small incisions for minimal scarring ⁵

da Vinci Myomectomy offers the following potential benefits when compared to traditional laparoscopy:

• Minimally invasive removal of heavier, more numerous and more difficult to access fibroids ¹
• Fewer complications during surgery ⁶

State-of-the-art da Vinci uses the latest in surgical and robotics technologies. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

The da Vinci System has brought minimally invasive surgery to more than 2 million patients worldwide.

da Vinci – changing the experience of surgery for people around the world

Risks & Considerations Related to Myomectomy (removal of fibroid tumors):

Tear or hole in uterus, split or bursting of the uterus, pre-term (early) birth, spontaneous abortion. Patients undergoing a myomectomy who have an undiagnosed cancer may be at risk of having cancer cells spread through the abdomen if a fibroid is cut into pieces for removal.

(from da Vinci Surgery – Myomectomy – PN 1002186 Rev B 10/2014)

References:

1. Barakat EE, Bedaiwy MA, Zimberg S, Nutter B, Nosseir M, Falcone T. Robotic-assisted, laparoscopic, and abdominal myomectomy: a comparison of surgical outcomes. Obstet Gynecol. 2011 Feb;117(2 Pt 1):256-65.
2. Ascher-Walsh CJ, Capes TL. Robot-assisted laparoscopic myomectomy is an improvement over laparotomy in women with a limited number of myomas. J Minim Invasive Gynecol. 2010 May-Jun;17(3):306-10. Epub 2010 Mar 19.
3. Sangha R, Eisenstein D, George A, Munkarah A, Wegienka G. Surgical outcomes for robotic-assisted laparoscopic myomectomy compared to abdominal myomectomy. Journal of Robotic Surgery, Volume 4, Number 4, December 2010 , pp. 229-233(5).
4. Nash K, Feinglass J, Zei C, Lu G, Mengesha B, Lewicky-Gaupp C, Lin A. Robotic-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparative analysis of surgical outcomes and costs. Arch Gynecol Obstet. 2012 Feb;285(2):435-40. Epub 2011 Jul 22.
5. Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc.2004 Nov;11(4):511-8 (see figure 2). Alternatively, see Myomectomy Procedure Guide, PN 871798.
6. Bedient CE, Magrina JF, Noble BN, Kho RM. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol. 2009 Dec;201(6):566.e1-5. Epub 2009 Aug 15.

IMPORTANT SAFETY INFORMATION

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.

WHEN IS SINGLE-SITE TECHNOLOGY USED AND WHAT ARE THE RISKS?

da Vinci Surgery with Single-Site® Instruments is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery, including da Vinci Surgery with Single-Site Instruments. There may be an increased risk of incision-site hernia with single-incision surgery, including Single-Site surgery with the da Vinci System. Single-Site® Instruments for the da Vinci® Si™ System bear the CE mark. This device is cleared for commercial distribution in the U.S. for laparoscopic cholecystectomy, and for hysterectomy and salpingo-oophorectomy for benign conditions.