07/05/2008 01:33 AM
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toby459

Posts: 127
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Hi 1 N Jen, If you do not have the robotic surgery, the fibroid will continue to give you problems. The longer you wait, the worse things will be. The Davinci robot is a wonderful piece of technology. Your surgeon will be performing a Laparoscopic Myomectomy with the Davinci. I have seen this robot in action and it is GREAT. I know of a friend who had a total laparoscopic hysterectomy done with the robot in Chicago and she had 4 small bandaids for dressings. We do the laparoscopic myomectomy where I work, but without the robot. Our surgeons must suture and control bleeding laparoscopically with their own 2 hands. The robot is very precise. It's like an extension of your surgeon's hands. I would much rather have the robot than the abdominal incision. As far as rupturing the uterus, this won't happen because the precise robot is going to excise the fibroid out of your uterus, and a layer of the uterus is going to be cut into, and then repaired with sutures. Fibroids are very vascular and produce some bleeding, but there are things that can be used to control it very effectively. We inject the fibroid with a diluted mixture of Vasopressin before excising it, then we lay a sheet of Surgicel before we repair the uterus with sutures. This helps immensely with any bleeding. From my years of experience, from reading your posting, it sounds like your surgeon is making a very wise decision. The robot will allow you less time in the hospital, less postoperative pain, less bleeding because you won't have a big abdominal incision, and a better postop recovery all around. Keep me posted.....hope this helped....Kim, RN, BSN, GYN Team Leader
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