Myomectomy. Duration and blood loss according to bmi and operative approach – open, laparoscopy, robotic

Bulgarian Medical Journal, 2025, 19(1), 29-34.

R. Tocev1, M. Yunakova1,2, N. Magunska2,3, N. Emilova2, I. Kostov1

1 SBALAG Maychin dom – Sofi a
2 SAGBAL „Dr. Shterev“ – Sofi a
3 “Angel Kanchev” University – Ruse

Abstract. Uterine fi broids are the most common benign tumors of the female reproductive system. Their treatment can be medicinal, with a more limited eff ect, or surgical. While operative treatment in elderly women is most often by hysterectomy, myomectomy with maximal preservation of the functional integrity of the uterine body is of utmost importance for future reproductive plans in women with reproductive intentions. Choosing the optimal operative approach, both in terms of effi ciency and quality of life, is a key point in the operative treatment of uterine fi broid disease.

Key words: uterine fibroids, BMI, myomectomy, robot assisted surgery

Address for correspondence: R. Tocev, MD, e-mail: