Study reports pregnancy and birth outcomes after robotic myomectomy in 243 cases

A clinical study examining 243 robotic-assisted myomectomy procedures performed by Dr Rooma Sinha has reported pregnancy and birth outcomes following treatment for uterine fibroids. The study included 114 women who sought fertility enhancement and reported no major surgical complications or uterine rupture during subsequent pregnancies.

The study was led by Dr Rooma Sinha, Honorary Professor and Director of Robotic Surgery at Apollo Hospitals Hyderabad and conducted in collaboration with the Department of Pathology at Apollo Hospitals, Hyderabad.

Uterine fibroids are among the most common non-cancerous tumours affecting women, particularly during reproductive years. Studies indicate that many women develop fibroids by the age of 40, although several cases remain undiagnosed. In some cases, fibroids can alter the uterine cavity, interfere with embryo implantation, contribute to recurrent pregnancy loss, or cause heavy menstrual bleeding and pelvic pain.

The research examined women who underwent robotic-assisted myomectomy using the da Vinci Surgical System. The procedure removes uterine fibroids while preserving the uterus. Fibroids may affect fertility by altering the uterine cavity or interfering with embryo implantation.

The study reported a pregnancy rate of 86.04 per cent and a live-birth rate of 73.25 per cent among patients who underwent robotic myomectomy. The study also reported zero cases of uterine rupture during subsequent pregnancies.

Dr Sinha said robotic technologies such as the da Vinci system allow surgeons to access areas of the pelvis and perform multi-layer suturing that is not easily achieved with laparoscopic instruments. This supports reconstruction of the uterus when future pregnancies are planned.

“For most women, recovery is not just physical but also emotional. Knowing that a surgery is designed to protect their future fertility offers them reassurance at a time when they are already coping with the stress of a diagnosis. The combination of less pain, minimal scarring, and faster return to daily activities can make a significant difference in how they move forward after treatment. This is especially pronounced in women who have to find a balance in managing work and family responsibilities,” Dr. Sinha added.

Dr Rooma Sinha further added, “Studies using the da Vinci surgical system have shown that enhanced 3D magnification and precision tools enable seamless dissection and suturing, which may help preserve ovarian reserve and uterine strength. This supports both overall gynecological health and the possibility of conceiving in the future, giving women greater confidence in planning the next chapter of their lives.”

The study noted that continued development of surgical techniques and training opportunities for gynaecologists in robotic-assisted procedures using technologies such as the da Vinci system may contribute to treatment approaches for conditions affecting women’s health and fertility.