Women with Submucosal Fibroids: These fibroids protrude into the uterine cavity and can cause heavy menstrual bleeding. They might also affect fertility and are often removed in women trying to conceive.
Women with Pedunculated Fibroids: These are fibroids attached to the uterus by a stalk. They can sometimes twist, causing severe pain, and might require removal.
Women Planning a Future Pregnancy: Some choose to have a myomectomy to minimize the risk of complications during pregnancy, such as cesarean delivery, breech presentation, or preterm delivery, associated with fibroids.
Women who Prefer Uterine Preservation: Some women opt for myomectomy over a hysterectomy (complete removal of the uterus) due to personal, cultural, or emotional reasons, even if they don't plan to bear children.
Patients for whom Medical Management Failed: Women who tried medications to manage fibroid symptoms without adequate relief might consider surgical options like myomectomy.
It is crucial for patients to have a thorough discussion with their gynecologist about the risks and benefits of myomectomy, alternative treatments, the potential for fibroid recurrence, and the impact on future pregnancies. The optimal approach often depends on the patient's age, symptom severity, fibroid size, location, number, and individual reproductive goals.
How Robotic Myomectomy (fibroids removal surgery) is performed?
Robotic myomectomy (fibroids removal surgery) is a technologically advanced procedure, allowing surgeons to remove uterine fibroids with high precision. Here is a step by step overview of how the procedure is typically performed:
Anesthesia: The patient is administered general anesthesia to ensure she remains unconscious and pain free during the operation.
Making Incisions: Several small incisions are made in the abdomen, through which specialized robotic instruments and a high definition 3D camera are introduced.
Docking the Robot: The arms of robotic system are connected to the instruments inserted through the incisions.
Control from the Console: The surgeon sits at a console within the operating room and controls the robotic arms. The console provides a magnified, high definition 3D view of the surgical area. Every movement made by the surgeon is translated into precise movements of the robotic instruments inside the patient.
Identifying and Removing Fibroids: The surgeon identifies the fibroids and carefully dissects them from the uterine muscle by using the robotic instruments.
Repairing the Uterus: After all fibroids have been removed, the surgeon uses the robotic instruments to suture the areas of the uterus from where the fibroids were excised.
The enhanced vision, precision, and dexterity offered by the robotic system make it particularly useful for removing fibroids that are difficult to access, multiple in number, or deeply embedded in the uterine wall. As with all surgeries, a detailed discussion with a gynecologic surgeon is essential to determine the best approach for each individual case.
Benefits of Robotic Myomectomy
Robotic myomectomy (fibroids removal surgery) is an advanced surgical approach for the removal of fibroids from the uterus. When compared to traditional surgical methods, robotic myomectomy (fibroids removal surgery) offers a range of benefits:
Enhanced Precision: The robotic system provides surgeons with improved dexterity and precision, enabling the meticulous removal of fibroids while preserving the surrounding uterine tissue.
Superior Visualization: The high definition 3D camera used in robotic surgery grants the surgeon a clearer, magnified view of the surgical site, allowing for optimal differentiation between fibroids and healthy tissue.
Minimally Invasive: Robotic myomectomy (fibroids removal surgery) requires only a few small incisions, as opposed to larger incisions often necessary with traditional open surgery.
Reduced Blood Loss: The precision and control of the robotic system typically result in less blood loss during the procedure.
Shorter Hospital Stay: Owing to the minimally invasive nature of the surgery patients often have a quicker recovery and can leave the hospital sooner.
Quicker Recovery: Patients generally experience less pain and can return to their regular activities more rapidly compared to traditional surgeries.
Less Scarring: The small incisions used result in minimal scarring, which is both aesthetically and functionally beneficial.
Reduced Risk of Infection: The smaller incisions decrease the exposure of internal tissues, potentially reducing the risk of postoperative infections.
Retained Uterine Integrity: The precision of robotic myomectomy (fibroids removal surgery) allows for a thorough removal of fibroids while maintaining the integrity of the uterus, which can be crucial for women considering future pregnancies.
Decreased Postoperative Pain: The minimally invasive nature of robotic myomectomy (fibroids removal surgery) often results in less postoperative pain and discomfort.
Potential for Improved Fertility: For women facing fertility issues due to fibroids, a precise and thorough removal of these growths might enhance their chances of successful pregnancy in the future.
As with all surgical interventions, it is important for patients to discuss with their doctor about the potential risks and benefits of robotic myomectomy (fibroids removal surgery) in relation to their specific condition and health status.
Why Robotic Myomectomy is better than Laparoscopic Myomectomy?
Robotic and laparoscopic myomectomies are both minimally invasive approaches to remove uterine fibroids, but the robotic technique offers distinct advantages. Here is a comparison highlighting why robotic myomectomy (fibroids removal surgery) might be considered superior in certain aspects:
Enhanced Visualization: Robotic systems provide surgeons with a high definition, 3D view of the surgical area. This allows for clearer, magnified, and more detailed visualization than the 2D view typical of laparoscopy.
Increased Dexterity: Robotic arms have a greater range of motion than traditional laparoscopic instruments. They can rotate and bend far beyond human hand capabilities, enabling surgeons to perform intricate maneuvers more easily.
Elimination of Hand Tremor: The robotic system can filter out natural hand tremors, ensuring steady and precise instrument movements.
Ergonomic Benefits: Surgeons operate the robotic system from a seated position at a console, reducing physical fatigue and allowing for prolonged focus during lengthy procedures.
Scalability of Motion: Robotic systems can scale down larger hand movements into ultra-fine instrument movements, offering micro-precision during surgery.
Suturing and Repair: The flexibility and precision of robotic arms provide enhanced capabilities for suturing and repairing the uterus after fibroid removal, which can be challenging during laparoscopic procedures.
Safety in Complex Cases: For patients with multiple fibroids, large fibroids, or fibroids in hard to access locations, the enhanced visualization and precision of robotic systems can result in better outcomes.
Recovery period after a Robotic Myomectomy
The recovery period after a robotic myomectomy (fibroids removal surgery) tends to be more favorable when compared to traditional open surgery, primarily due to its minimally invasive nature. Here is a general overview of what a patient can expect during the recovery period:
Immediate Post Operative Phase: After the surgery, the patient is transferred to a recovery room where vital signs are closely monitored. As the anesthesia wears off, there may be some grogginess and mild pain or discomfort.
Hospital Stay: Most patients are discharged within 24 hours following a robotic myomectomy (fibroids removal surgery). However, depending on individual recovery rates and any potential complications, some may require a longer stay.
Pain Management: While the pain post robotic myomectomy (fibroids removal surgery) is generally less than that after an open procedure, patients might still experience mild to moderate discomfort. Pain can be managed effectively with pain relievers.
Activity Level: It is encouraged for patients to engage in light activities like walking soon after surgery to promote circulation. However, strenuous activities, heavy lifting, and vigorous exercises should be avoided for about 4-6 weeks or as advised by the surgeon.
Return to Work and Daily Activities: Many patients can resume their regular daily tasks and work within 2-4 weeks, but this can vary based on the individual's health, the nature of their job, and the surgery's specifics.
Vaginal Spotting: Some women might experience light vaginal spotting or a watery discharge for a few days post-surgery.
Sexual Activity: Sexual intercourse and placing anything in the vagina should typically be avoided for 4-6 weeks post-surgery or until the surgeon provides clearance.
Follow-up Appointments: Patients will generally have a post-operative check-up within 2-6 weeks to ensure proper healing and address any concerns.
Emotional Recovery: Some women might experience emotional fluctuations or mood swings due to hormonal changes, especially if the fibroids were affecting hormone levels. Support from loved ones, therapists, or support groups can be beneficial.
Long term Outlook: After a successful myomectomy (fibroids removal surgery), many women experience relief from fibroid-related symptoms. If fibroids were causing fertility issues, there's potential for improved fertility post-surgery.
Prof. Dr. Rehana's name is synonymous with excellence in the realm of robotic and laparoscopic myomectomy (fibroids removal surgery) in the medical corridors of Lahore. With an unerring dedication to her craft, she has emerged as a pioneering force, seamlessly integrating advanced technology with surgical finesse to address the challenges of uterine fibroids in Lahore Pakistan.
Prof. Dr. Rehana's adeptness with the state of the art System has set her apart, offering a beacon of hope to countless women grappling with fibroid related complications in Lahore Pakistan. Her surgical interventions are characterized by precision, ensuring minimal invasiveness, reduced recovery times, and optimal patient outcomes. But beyond her technical prowess, it is her patient centric approach that truly resonates. Each procedure is tailored, taking into account the individual nuances of every case, ensuring personalized care. Patients from across Pakistan, and even from international shores, seek out her expertise. In a city teeming with medical talent, Prof. Dr. Rehana's consistent track record and unwavering commitment to advancing gynecological surgery make her the go to surgeon for robotic and laparoscopic myomectomy (fibroids removal surgery) in Lahore Pakistan.
