A technique for ultrasound-guided robot-assisted myomectomy using a robotic drop-in intraoperative ultrasound probe, applied directly to the uterine surface after visual fibroid enucleation to detect occult intramural fibroids in real time.
The technique enabled real-time correlation of ultrasound imaging with surgical anatomy on the robotic console, facilitating identification and enucleation of occult intramural fibroids not detectable by visual assessment alone; no quantitative outcomes were reported.
This is a technique description with no comparative data, sample size, or outcomes reported. Generalizability and clinical benefit over standard robot-assisted myomectomy are unestablished.
Consider adding a drop-in ultrasound probe to robot-assisted myomectomy when completeness of fibroid removal is critical, especially in fertility-preserving cases or patients with multiple myomas. This technique may reduce the risk of missing occult intramural fibroids without requiring open surgery.
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