Description

Robotic myomectomy is an advanced, minimally invasive procedure designed to remove uterine fibroids while preserving the uterus. In this comprehensive “skin to skin” explanation, Dr. R.K. Mishra from World Laparoscopy Hospital provides a step-by-step overview of the entire surgical journey—from the first incision to the final closure—highlighting the precision and advantages of robotic-assisted surgery. The procedure begins with proper patient positioning and anesthesia. After preparing the surgical field, small incisions are made to insert trocars, allowing access for the robotic instruments and camera. The robotic system, most commonly the da Vinci platform, offers high-definition 3D visualization and enhanced dexterity, enabling the surgeon to perform delicate maneuvers with exceptional control. Once the robotic arms are docked, the surgeon carefully identifies the fibroids within the uterus. Using advanced energy devices, the fibroids are dissected and removed with minimal trauma to surrounding tissues. One of the most critical steps is the reconstruction of the uterine wall. Robotic suturing allows for precise multilayer closure, which is essential for maintaining uterine integrity, especially in women who desire future fertility. Throughout the surgery, emphasis is placed on minimizing blood loss, reducing operative time, and ensuring patient safety. After complete removal of the fibroids, the specimen is extracted, often using contained morcellation techniques. The procedure concludes with careful inspection, hemostasis, and closure of the incisions—completing the “skin to skin” cycle. Dr. R.K. Mishra highlights that robotic myomectomy offers several benefits over traditional open surgery, including smaller incisions, less postoperative pain, faster recovery, and improved cosmetic outcomes. At World Laparoscopy Hospital, this technique is an integral part of advanced surgical training programs, helping surgeons worldwide master the art of robotic surgery. In conclusion, robotic myomectomy represents a significant advancement in gynecological surgery. With expert guidance from pioneers like Dr. R.K. Mishra, surgeons can achieve excellent clinical outcomes while ensuring patient comfort and safety.