Comparison between the vascular control technique and conventional technique for reducing operative blood loss during robot-assisted myomectomy.

BACKGROUND

This retrospective study aimed to compare the surgical outcomes and morbidity of the vascular control technique in robotic myomectomy with the conventional technique.

METHODS

Thirty-two consecutive patients who underwent robotic myomectomy using laparoscopic vascular clamps in 2017 to 2019 (the practice change cohort) were retrospectively comparted with 32 case-matched consecutive patients who underwent the conventional robotic myomectomy (the historical cohort). The primary outcome was the operative blood loss and hemoglobin change.

RESULTS

The two cohorts had similar baseline characteristics. The mean operative blood loss and hemoglobin changes were lower in the practice change cohort than in the historical cohort (P < .001 and P = .005, respectively). Other postoperative outcomes were similar between two cohorts.

CONCLUSION

The vascular control technique in robotic myomectomy appears to be effective and safe in the management of selective patients with symptomatic myomas.