Study Objective:

• To evaluate the navigation of complex Robotic Myomectomies for broad ligament and for low posterior uterine segment fibroids.

Design:

• Case series

Setting:

• Tertiary community hospital

Patients or Participants:

• 2 patients underwent laparoscopic myomectomies for image confirmed fibroids:

• A 38-year-old Gravida 0 with a right broad ligament fibroid

• A 37-year-old Gravida 3 Para 0030 low posterior fibroid

Interventions:

• Robotic myomectomies

Measurements and Main Results:

• Successful fertility-sparing robotic myomectomies without complications

Conclusion:

• It is important to independently review images prior to a myomectomy, rather than solely relying on a radiologist’s read.

• Comprehensive understanding of pelvic anatomy and optimal planning of initial incision of fibroids in atypical anatomical locations is key to a safe and successful surgical outcome.