Tips and Tricks: Single-Site Robotic-Assisted Myomectomy.

STUDY

OBJECTIVE

To describe some tips and tricks that facilitate a single-site robotic- assisted (RA) myomectomy.

DESIGN

Stepwise surgical tutorial using a narrated video (Canadian Task Force classification III).

SETTING

Academic tertiary care hospital.

INTERVENTIONS: Single-incision RA myomectomy is a novel technique that presents unique surgical challenges. Although similar in outcomes to multiport myomectomy, single-site myomectomy is more cosmetically appealing. Traditional laparoscopic single- site myomectomy has been associated with a steep learning curve. The robotic single-site platform mitigates some of these difficulties, which allows for the reproducibility and safety of this technique in appropriately selected patients. In this surgical tutorial, we present a case of a 7-cm type 2-5 fibroid removed with this approach.

CONCLUSION

Single-site RA myomectomy is a safe, minimally invasive option for appropriately selected patients. Although it is a challenging procedure, it provides excellent cosmesis and is reproducible with adequate training and expertise.