Incheon Sejong Hospital Successfully Performs Complex Surgery for 15cm Giant Myoma with Intestinal Adhesions

Incheon Sejong Hospital announced on the 22nd that it has successfully performed a single-port robotic myomectomy on a patient recently diagnosed with a giant uterine myoma measuring 15 cm.

Uterine myomas (fibroids) are benign tumors commonly found in women. However, when they are large or numerous, the risk of bleeding and the difficulty of suturing increase, making the surgery highly complex. In particular, when accompanied by pelvic adhesions, the procedure requires a longer operative time and demand more precise dissection and suturing processes.

This non-laparotomy (closed) surgery lasted for more than four hours. It was a high-difficulty procedure requiring intense concentration and advanced expertise, as the surgeon had to resect the myoma within a narrow pelvic cavity and repeatedly suture the uterus.

Dr. Min-kyung Song of the Department of Obstetrics and Gynecology at Incheon Sejong Hospital, who led the surgery, explained, "Considering the patient's condition and the location of the myoma comprehensively, we performed a minimally invasive robotic surgery via a single incision in the umbilicus (navel)." She added, "The da Vinci SP robotic system provides a 3D magnified view and multi-jointed instruments, enabling more precise surgery even within a tight pelvic space."

She continued, "Uterine myoma surgery is not just about removing the tumor; it is crucial to minimize bleeding while preserving uterine function as much as possible. Since the surgical approach varies depending on the size, location, number of myomas, and the presence of adhesions, a customized approach tailored to each patient's condition is essential."

In addition to the 15cm giant myoma surgery, recent surgical cases performed at Incheon Sejong Hospital include multiple uterine myomas measuring 13cm, 5cm, 4cm, and 2cm; 15 multiple myomas including one measuring up to 10cm; and complex uterine myomas accompanied by intestinal adhesions.

The Robotic Surgery Center at Incheon Sejong Hospital recently achieved a milestone of 800 robotic surgeries and actively performs minimally invasive procedures using the da Vinci SP system across various departments, including bariatric and metabolic surgery, general surgery, and obstetrics and gynecology.