title: Tips and Tricks: Single-Site Robotic-Assisted Myomectomy.
abstract: To describe some tips and tricks that facilitate a single-site robotic- assisted (RA) myomectomy.
  
  
  
  Stepwise surgical tutorial using a narrated video (Canadian Task Force classification III).
  
  
  
  Academic tertiary care hospital.
  
  
  
  Single-incision RA myomectomy is a novel technique that presents unique surgical challenges. Although similar in outcomes to multiport myomectomy, single-site myomectomy is more cosmetically appealing. Traditional laparoscopic single- site myomectomy has been associated with a steep learning curve. The robotic single-site platform mitigates some of these difficulties, which allows for the reproducibility and safety of this technique in appropriately selected patients. In this surgical tutorial, we present a case of a 7-cm type 2-5 fibroid removed with this approach.
  
  
  
  Single-site RA myomectomy is a safe, minimally invasive option for appropriately selected patients. Although it is a challenging procedure, it provides excellent cosmesis and is reproducible with adequate training and expertise.
authors.affiliation: Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC. Electronic address: gmoawad@mfa.gwu.edu.
authors.forename: Gaby N
authors.initials: GN
authors.lastname: Moawad
authors.affiliation: Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC.
authors.forename: David
authors.initials: D
authors.lastname: Samuel
authors.affiliation: Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC.
authors.forename: Elias D
authors.initials: ED
authors.lastname: Abi Khalil
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D059032:Learning Curve; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D065287:Robotic Surgical Procedures / Q000379:methods*; D012371:Robotics / Q000379:methods; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery
keywords: Laparoscopy; Minimally invasive gynecologic surgery; Robotic-assisted myomectomy; Single site