Abstract
Current literature and standard practice guidelines emphasize superior outcomes with minimally invasive routes for myomectomy in comparison to abdominal myomectomy. However, debate remains regarding whether conventional laparoscopic myomectomy (LM) or robot-assisted laparoscopic myomectomy (RALM) is preferred. LM has benefits of haptic feedback, while RALM has benefits such as improved optics and “wristed” motions of robotic instruments. Emerging data indicates similar intraoperative and postoperative outcomes between each minimally invasive approach. However, risk of uterine rupture during pregnancy and uterine healing with minimally invasive myomectomy remains controversial. Until further randomized controlled trials offer clarity regarding existing data and specific indications for each modality, surgeon preference and experience should guide the decision between performing LM or RALM. (J GYNECOL SURG 40:14)
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