Minimally Invasive Myomectomy: An Overview on the Surgical Approaches and a Comparison with Mini-Laparotomy

Uterine fibroids (UFs) are the most common benign solid tumors of the female genital tract manageable by surgical of pharmacological approach. When the medical management is ineffective or surgery is primarily requested, several surgical approaches can be used. Among these, minimally invasive surgery might be preferred. Myomectomy is the standard surgical treatment when fertility sparing is claimed. It can be performed via laparoscopy, robotic surgery and hysteroscopy and the choice depend on UFs features and surgeon's skill. Alongside these minimally invasive options, mini-laparotomy has been proposed as a less invasive surgical approach comparable to the well-established minimally invasive options. The aim of this review is to describe the most recent advances in minimally invasive techniques to perform myomectomy, comparing them with mini-laparotomy approach.

Automated summary

Uterine fibroids are common benign tumors in the female genital tract, often managed through minimally invasive surgical techniques. Myomectomy is the standard surgical treatment for preserving fertility, and various minimally invasive options can be chosen based on the characteristics of the fibroids and the surgeon's skill level. A less invasive surgical approach known as mini-laparotomy has also been proposed as an alternative to established minimally invasive options. This review aims to discuss recent advances in minimally invasive techniques for myomectomy and compare them with the mini-laparotomy approach.