title: Minimally Invasive Myomectomy.
abstract: Uterine fibroids can significantly impact a woman's health, fertility, and quality of life. When medical therapy fails, surgery is recommended; the gold standard in uterine-sparing surgery is myomectomy. The evidence-based benefits of minimally invasive myomectomy are detailed in this manuscript. Minimally invasive myomectomy techniques are reviewed, including laparoscopic, robotic-assisted, and laparoscopic or robotic-assisted with mini-laparotomy. Criteria for minimally invasive myomectomy are outlined and preoperative planning is discussed. Both institutional data and data from systematic reviews are included to compare outcomes. Each myomectomy case should take into account clinical characteristics of the myomas, patient preference, and surgeon skill and experience.
authors.affiliation: Obstetrics, Gynecology, and Women's Health Institute, Section of Reproductive Endocrinology and Infertility, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Flyckt
authors.forename: Kathryn
authors.initials: K
authors.lastname: Coyne
authors.forename: Tommaso
authors.initials: T
authors.lastname: Falcone
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007889:Leiomyoma / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D059351:Organ Sparing Treatments; D011788:Quality of Life; D012371:Robotics; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*