Duration of surgery depending on number of fibroid nodules and surgical approach - open, laparoscopic, robotic
DOI:
https://doi.org/10.2478/AMB-2025-0068Keywords:
uterine fibroids, myomectomy, robot assisted surgeryAbstract
Uterine fibroids are the most common benign tumors of the female reproductive system. Their treatment can be medicinal, with a more limited effect, or surgical. While operative treatment in elderly women is most often performed by hysterectomy, myomectomy with maximal preservation of the functional integrity of the uterine body is of utmost importance for future reproductive plans in women with reproductive intentions. Choosing the optimal operative approach, both in terms of efficiency and quality of life, is a key point in the operative treatment of uterine fibroid disease.
References
Lönnerfors C, Reynisson P, Persson J. A randomized trial comparing vaginal and laparoscopic hysterectomy vs. robot-assisted hysterectomy. J Minim Invasive Gynecol 2015; 22:78-86.
De Iaco P, Golfieri R, Ghi T. Uterine fistula induced by hysteroscopic resection of an embolized migrated fibroid: a rare complication after embolization of uterine fibroids. FERTILITY AND STERILITY. 2001 Apr 4;75–75(4):818–20.
Verkauf BS. Changing trends in treatment of leiomyomata uteri. Curr Opin Obstet Gynecol. 1993; 5:301–310.
Cramer SF, Patel A. The frequency of uterine leiomyomas. Am J Clin Pathol 1990;94: 435-438
Wallach EE, Vlahos NF. Uterine myomas: an overview of development, clinical features, and management. Obstet Gynaecol 2004; 104: 393-406
Bernard G, Darai E, Poncelet C, et al. Fertility after hysteroscopic myomectomy: effect of intramural myomas associated. Eur J Obstet Gynaecol Reprod Biol 2000; 88: 85-90
Sunkara SK, Khairy M, El-Toukhy T, et al. The effect of intramural fibroids without uterine cavity involvement on the outcome of IVF treatment: a systematic review and meta-analysis. Hum Reprod. 2010; 25(2):418–29.
Sunkara SK, Mohammed K, Tarek ET. The effect of intramural fibroids without cavity involvement on the outcome of IVF treatment: a systematic review and meta-analysis. Human Repro 2010; 2: 418-429
Cooper NP, Okolo S. Fibroids in pregnancy - common but poorly understood. Obstet Gynecol Surv 2005; 60:132-138
Lönnerfors C, Persson J. Pregnancy following robot-assisted laparoscopic myomectomy in women with deep intramural myomas. Acta Obstet Gynecol Scand. 2011; 90(9):972–7.
Cela V, Freschi L, Simi G, et al. Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM). Gynecol Endocrinol. 2013; 29(1):79-82.
Bocca S, Stadtmauer L, Oehninger S. Uncomplicated full-term pregnancy after da Vinci-assisted laparoscopic myomectomy. Reprod Biomed Online. 2007; 14(2):246–249.
Barakat EE, Bedaiwy MA, Zimberg S, et al Falcone Robotic-assisted, laparoscopic, and abdominal myomectomy: a comparison of surgical outcomes. Obstet Gynecol, 117 2011;256-265
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Copyright (c) 2025 R. Tocev, D. Hristova, M. Mihaylova, M. Yunakova, I. Kostov (Author)
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Journal Acta Medica Bulgarica 
