Ultrasound Guided Robotic Assisted Myomectomy

Ultrasound Guided Robotic Assisted Laparoscopic Myomectomy A Video Presentation Video Objective The purpose of this video is to demonstrate how intraoperative sonography can assist during robotic myomectomy. Ultrasound can help better determine the location of the myoma and used at the end of the procedure to make sure all myomas are removed. It is easy to use and a helpful resource during myomectomies, especially when tactile feedback is lost during robotic surgery. Setting Two patients were selected for this video. The first patient is a 39 year old female with pain for years found to have a 14cm intramural myoma. The second patient is a 33 year old referred from REI clinic for surgery when myomas were incidentally found during infertility work up. Interventions Both patients underwent a ultrasound assisted robotic myomectomy. Conclusion Intraoperative ultrasound is safe and easy to use. It is extremely helpful for intramural myomas (type 2-4). The ultrasound images are seen easily on the surgeon console without reducing the optics. The BK sono allows for real time imaging during surgery to evaluate the depth of myometrial invasion as well as location of myomas that may not be clearly visible intraoperatively. It provides a real time visual that can be used in conjunction with preoperative imaging.