Techniques in Minimally Invasive GYN Surgery


Laparoscopy

Laparoscopic surgery is performed through the abdomen or pelvis. A laparoscope is a narrow instrument attached to a camera. It can be inserted into the pelvis through 5mm or 1cm incisions to assess gynecologic conditions such as ovarian cysts and torsion (when the ovary twists or turns on its pelvic attachment, cutting off its blood supply). Laparoscopy is usually performed in a hospital setting under general anesthesia.

Robotic

Robotic surgery is another minimally invasive option for women facing gynecologic surgery. Our surgeons use the da Vinci Surgical Systems to perform a variety of procedures. With da Vinci, we make just a few small incisions, similar to traditional laparoscopy. This system features a magnified 3D high-definition vision system and special wristed instruments that offers the maximum range of motion and surgical precision.

Some procedures that can be performed using robotic techniques include:

  • Tubal reanastomosis (tubal sterilization reversal)
  • Myomectomy (uterine fibroid removal)
  • Total hysterectomy
  • Excision, ablation or removal of endometriosis, endometriomas and endometrial implants
  • Lysis of adhesions
  • Ovarian cystectomy
  • Salpingo-oophorectomy
  • Supra-cervical hysterectomy
  • Trachelectomy (removal of the cervix)

Hysteroscopy

Hysteroscopy is a technique that surgeons use to inspect the inside of the womb (uterus). It can help diagnose and treat conditions within the uterine cavity, such as:

  • Endometrial polyps
  • Certain fibroids
  • Abnormal uterine bleeding
  • Uterine septums (an abnormal band of tissue in the middle of the uterus)

Similar to a laparoscope, a hysteroscope is also attached to a camera and light source but is inserted vaginally through the cervix into the uterus, rather than into the abdomen or pelvis. Therefore, hysteroscopic surgery does not require any incisions. Most diagnostic hysteroscopies and some operative hysteroscopic procedures (such as office hysteroscopic sterilizations) can be done in a physician's office. More complex hysteroscopic procedures are done in an operating room within a hospital setting. Your gynecologist can advise you on the appropriate setting for your hysteroscopic procedure.