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Maternity and Children's Hospital
The prevalence of uterine fibroids is high, around 30%. In most cases, they are asymptomatic and no treatment is necessary.
In those patients where fibroids do cause symptoms, these include hypermenorrhea, pain and infertility. Myomectomy is a valid treatment option.
Until recently, a laparotomy was the usual procedure. The indication of laparoscopic myomectomy as an alternative to laparotomy has been assessed in various studies. It requires seasoned surgeons with experience in the technique and expert handling of the endoscopic suture.
Laparoscopic myomectomy offers advantages over the laparotomy, such as: reduced postoperative recovery times, decreased postoperative pain and shorter hospital stays. However, it entails longer surgery and requires adequate preoperative evaluation, since the size, number and location of the fibroids can be a limiting factor when choosing a laparotomic approach.
Since June 2009, at the Vall d'Hebron University Hospital we have the Da Vinci robotic system that has been important in assisting in the suture of fibroids in hard-to-reach places, or when the endometrial cavity is affected and must be repaired. In these cases, the Da Vinci system has meant we have been able to offer greater numbers of closed surgeries on our unit.
This treatment is offered by the Gynaecology Department.