Robotic Myomectomy

Robotic Surgery for Uterine Fibroids

Robotic myomectomy is performed in order to treat fibroids that are causing symptoms such as pelvic pressure, heavy menstrual flow, and general pelvic discomfort. Robot-assisted surgery is now coming into wider use for these conditions because it allows for superior visualization of the fibroids and the surrounding tissue, and also provides the surgeon with an improved ability to suture the uterus—resulting in less overall blood loss during the procedure compared to open or laparoscopic surgery.

How Robotic Myomectomy is Performed

In this procedure, four standard, quarter-inch incisions are made and ports are inserted for the robot's camera and instrument arms. The surgeon first injects medication into the fibroids to decrease overall bleeding, then makes an incision in the uterus. Using careful techniques to continue minimizing the bleeding, the surgeon excises the fibroid(s) from the surrounding uterine tissue. Once the fibroid has been removed, the surgeon uses a special device called a morcellator to cut the fibroid into smaller pieces inside the patient's abdomen. These pieces are then removed through one of the ports.

Advantages of Robotic Myomectomy

Minimal scarring. Due to the smaller incisions, there is significantly less scarring with robotic myomectomy than there is with an open procedure.
Less blood loss. Because the da Vinci Si surgical robot allows the surgeon to suture the uterus more quickly, there is significantly less intra-operative blood loss with a robotic myomectomy than there is with an open or a traditional laparoscopic procedure. 
Less post-operative pain. The patient experiences significantly less pain following a robotic myomectomy, compared to an open procedure.
Faster recovery. Most patients are able to resume normal activities within 2 weeks, compared to 6 weeks for open surgery. Additionally, patients typically go home the same day of the procedure instead of staying in the hospital overnight. 
The excellent precision and visualization offered by the da Vinci Si enhances the surgeon's ability to suture the uterus appropriately.

Robotic Myomectomy at NYULMC

The robotic gynecologic surgeons at NYU Langone's Robotic Surgery Center are among the most highly skilled in the New York City area. Our surgical program for the management of benign gynecologic conditions is spearheaded by Dr. Kenneth Levey, who specializes in the surgical treatment of fibroid tumors, endometriosis, abnormal uterine bleeding, and chronic pelvic pain. Dr. Levey is one of New York's most experienced surgeons at both robotic and laparoscopic minimally-invasive gynecological procedures, and has used the da Vinci Si surgical system extensively to perform myomectomies.

Meet Our Surgeons