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Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 175-178

Total robotic myomectomy in a complex case: Extending the limits

Department of Obstetrics and Gynaecology, Fortis Memorial Research Institute, Gurugram, Haryana, India

Correspondence Address:
Dr. Pakhee Aggarwal
Department of Obstetrics and Gynecology, Fortis Memorial Research Institute, Gurugram - 122 001, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/GMIT.GMIT_95_19

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We present the case of a 30-year-old female with primary infertility who had multiple large myomas up to 22 weeks uterine size. She had a body mass index of 42 kg/m2 and also concurrent endometriosis, for which she was on medical management. After meticulous preoperative planning, total robotic myomectomy and endometriosis clearance was done. Four large myomas weighing a total of 750 g were removed after morcellation. Console time was 160 min, and she made an uneventful recovery with only 0.1 g/dL drop in hemoglobin. Robotic myomectomy is considered as an improvement over laparotomy for patients with up to three myomas and when the surgical time does not exceed 4 hours. We were successful in our attempt at total robotic myomectomy to extend these limits and had a positive surgical outcome.

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