LONG-TERM RESULTS OF ROBOT-ASSISTED LAPAROSCOPIC MYOMECTOMY


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Abstract

Objective. To analyze recurrences of uterine myoma and the state of a postoperative scar in reproductive-aged patients after robot-assisted laparoscopic myomectomy. Subjects and methods. 44 patients underwent planned da Vnci Si myomectomy. Results. Recurrent uterine myoma was detected in 17 patients, including 4 after 6 months, 8 after one year, and 5 after 2 years. A solitary growing nodule was observed in 13 patients and multiple uterine myoma was seen in 4. Correlation analysis revealed a moderate positive relationship between the risk of recurrent uterine myoma and a patient’s age, as well as the number of removed nodules. Pregnancy occurred in 11 patients. One patient had a normal spontaneous delivery at time. Four patients delivered via cesarean section. Intraoperatively, the myometrium was not thinned at the scar site. Currently, two patients are 22 and 24 weeks pregnant. Second-trimester ultrasonography showed that the post-myomectomy scar was competent. Conclusion. Robot-assisted laparoscopic myomectomy should be regarded as an effective organ-sparing reconstructive plastic treatment for uterine myoma in reproductive-aged patients who plan to implement their generative function in the future.

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About the authors

Evgeny Fedorovich Kira

N.I. Pirogov National Medical and Surgical Center, Ministry of Health of Russia

Email: profkira33@gmail.com
honored doctor of the Russian Federation, MD, professor, chief gynecologist, head of the Department of Female Diseases and Reproductive Health Moscow 105203, Niznyaya Pervomayskaya str. 70, Russia

Alla K. Politova

N.I. Pirogov National Medical and Surgical Center, Ministry of Health of Russia

Email: al1970@mail.ru
MD, Head of the gynecological department Moscow 105203, Niznyaya Pervomayskaya str. 70, Russia

Victoria A. Gudebskaya

N.I. Pirogov National Medical and Surgical Center, Ministry of Health of Russia

Email: victoriagudebskaya@yahoo.fr
post-graduate student of the Department of Female Diseases and Reproductive Health Moscow 105203, Niznyaya Pervomayskaya str. 70, Russia

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