Robotic Laparoscopic Myomectomy (Keyhole removal of fibroids)

Robotic Myomectomy: The Ultimate in Uterus-Preserving Fibroid Removal

Living with the debilitating symptoms of uterine fibroids—heavy bleeding, pelvic pressure, pain, and fertility struggles—should not mean you have to sacrifice your uterus. For years, the answer to severe fibroids was often a hysterectomy. Today, advanced robotic surgery offers a powerful and precise alternative for women who wish to resolve their symptoms while preserving their fertility and keeping their uterus intact.

At Happiher, Dr. Manou Kaur is a leading expert in Robotic-Assisted Myomectomy. This state-of-the-art procedure is the gold standard for removing fibroids with unparalleled precision, allowing for a safer surgery and a significantly faster recovery.

What is a Robotic Myomectomy?

A robotic myomectomy is a minimally invasive “keyhole” surgery designed to meticulously remove uterine fibroids while carefully reconstructing the uterine wall. The procedure is performed through a few tiny incisions in the abdomen, using the advanced da Vinci surgical system.

Dr. Kaur controls every movement from a console, viewing a magnified, 3D image from inside the pelvis. The system’s robotic instruments, which have tiny, wristed joints, allow for a range of motion and dexterity far greater than the human hand. This enables the precise removal of each fibroid, no matter how deep within the uterine wall it is, and the ability to suture the uterus in multiple strong layers, which is crucial for the integrity of future pregnancies.

The Key Advantages of Robotic Myomectomy

This advanced approach offers profound benefits over traditional open surgery (laparotomy).

• Preserves Your Uterus and Future Fertility: This is the primary goal. It is the definitive treatment for fibroids for women who wish to conceive in the future or who simply want to retain their uterus.
• Unrivalled Surgical Precision: The robotic system’s 3D vision and wristed instruments allow Dr. Kaur to remove fibroids from difficult locations with minimal damage to surrounding healthy uterine tissue. This is critical for a strong, well-healed uterus.
• A Faster, Gentler Recovery: With no large abdominal incision, patients experience significantly less pain, a shorter hospital stay (typically just one night), and can return to their daily lives weeks sooner.
• Reduced Blood Loss and Scarring: The meticulous, controlled movements and small incisions result in less blood loss during surgery and minimal, discreet scarring.

Are You a Candidate for Robotic Myomectomy?

This procedure is the ideal solution for women suffering from symptoms caused by uterine fibroids, including:

• Heavy or prolonged menstrual bleeding
• Significant pelvic pain or pressure
• Pain during intercourse
• Infertility or recurrent miscarriages linked to fibroids

Dr. Kaur will use advanced imaging, such as an MRI, to precisely map the number, size, and location of your fibroids to determine if a robotic approach is the best and safest path forward for you.

Your Patient Journey: What to Expect

We are committed to providing a supportive and transparent experience from start to finish.

1. Consultation and Advanced Imaging: Your journey begins with a detailed consultation and diagnostic review. An MRI is often used to get a clear blueprint of your fibroids, allowing for meticulous surgical planning.
2. The Robotic Procedure: Performed under general anaesthesia, the surgery involves Dr. Kaur precisely excising each fibroid and then carefully reconstructing the uterine wall layer by layer to ensure optimal strength and healing.
3. Recovery: A one-night hospital stay is standard. Because the procedure is minimally invasive, post-operative pain is well-controlled, and you will be encouraged to move around soon after surgery. You will be sent home with a detailed recovery plan. Most women can return to a desk job within 2-3 weeks, with a full recovery taking about 4-6 weeks.

Frequently Asked Questions (FAQ)

1. How does this compare to a traditional “open” myomectomy?
   An open myomectomy requires a large abdominal incision (like a C-section), leading to a longer hospital stay, more significant pain, and a 6-8 week recovery period. The robotic approach offers the same excellent results with a dramatically improved patient experience.
2. Can all fibroids be removed this way?
   The robotic platform has greatly expanded the number and size of fibroids that can be removed via keyhole surgery. It is suitable for most cases, even those with multiple or large fibroids. Dr. Kaur will assess your specific case based on your imaging.
3. Will the fibroids grow back?
   The fibroids that are removed are gone permanently. However, myomectomy does not prevent the potential for new, different fibroids to grow in the future.
4. When can I try to conceive after the surgery?
   To ensure the uterus has healed completely and is strong enough for pregnancy, Dr. Kaur typically recommends waiting 3 to 6 months after the procedure before attempting to conceive.

A Future Free from Fibroid Symptoms

You don’t have to choose between living with fibroids and losing your uterus. Advanced robotic surgery offers a definitive, fertility-sparing solution.