Pregnancy Following Robotic Myomectomy and Robotic Oophorectomy

We report the case of a 41-year-old woman with multiple comorbidities who underwent two separate robotic surgeries- first for a large mucinous ovarian cyst with adhesions and incidental endometriosis, and later for multiple uterine fibroids. The initial procedure involved robotic right oophorectomy with excision of an endometriotic patch, while the second involved robotic myomectomy to optimize the uterine cavity. Following the surgeries, she underwent in-vitro fertilization with successful embryo transfer, resulting in a healthy cesarean delivery at 37 weeks and 4 days gestational age. This case emphasizes the advantages of robotic-assisted gynecologic surgery in managing large adnexal masses and uterine fibroids, even in complex anatomical and comorbid settings. The patient underwent two successful robotic surgeries, demonstrating favorable outcomes with minimal morbidity. As technology continues to advance, robotic platforms will likely play an increasingly vital role in gynecology, offering patients effective, safe, and fertility-preserving options.