Center for Endometriosis and Pelvic Pain – Minimally Invasive Gynecologic Surgery
Experts in latest minimally invasive techniques
We specialize in the treatment of endometriosis, uterine fibroids, and abnormal or excessive uterine bleeding. Learn about some of our specialized minimally invasive surgical procedures.
With our specialty training in minimally invasive gynecologic surgery, there are essentially no limits to who is a candidate for a minimally invasive surgical approach, even those patients with complicated prior surgical histories.
Over 600,000 hysterectomies are performed each year. One in three women in the U.S. will have a hysterectomy by age 60.
Minimally invasive surgery (MIS) for hysterectomy uses state-of-the-art technology to allow a surgeon to remove the uterus without the large incision required by an open procedure.
The surgeon gains access to the abdomen through small incisions and then uses specialized tools inserted through those incisions.
Women who have a hysterectomy with MIS experience faster recovery, shorter hospital stays, and less pain and scarring than women who have an abdominal hysterectomy.
An important decision is whether to remove or keep the ovaries. Ovaries provide women with hormones, but are not part of the uterus and have their own independent blood supply. Therefore, if the patient desires, we can help her keep her ovaries. With the uterus removed, a patient will no longer have bleeding or periods.
With a minimally invasive/laparoscopic hysterectomy, the patient can leave the hospital the same day or choose to stay just overnight. Most patients are driving in 3-5 days and can return to work in about two weeks.
Two types of laparoscopic hysterectomies
- Laparoscopic supracervical hysterectomy is a procedure in which only the uterus is removed, and the cervix and vagina are preserved unchanged. The surgeon separates the uterus from the cervix and then removes it through one of the abdominal incisions. Preservation of the cervix and vagina allows for an even quicker recovery and return to full activity. It has been suggested that by keeping the cervix and vagina unchanged, women will maintain better pelvic support. In addition, some women also feel their sexual response is better maintained by keeping their cervix.
- Laparoscopic hysterectomy is similar to a vaginal hysterectomy in that the uterus and cervix are removed through an incision at the top of the vagina. The surgeon uses a laparoscope inserted into the abdomen through one of the small incisions to view the uterus and surrounding organs. The uterus and cervix are detached from the vaginal cuff under view of the laparoscope using specialized laparoscopic surgical tools also inserted through the other small incisions. The vaginal incision is closed laparoscopically and no retractors or instruments are placed in the vagina.
Fibroids are a smooth muscle growth of the uterus and can be a common gynecologic complaint. As many as one in four women have fibroids, which can cause abnormal or heavy vaginal bleeding. Fibroids can grow to such an excessive size that they can be the cause of many abdominal and pelvic complaints. They may cause pelvic pressure by pushing on a woman's bladder or rectum and they may be the source of pain during intercourse or during a woman's menstrual cycle.
Laparoscopic myomectomy is an option to treat fibroids in women who want to keep their uterus and preserve their fertility.
With our specialization in laparoscopic surgery, we are able to offer a minimally invasive approach to women who want to remove their fibroids, but keep their uterus. Recovery is very fast. Patients return to work and all activities in one to two weeks.
The effect of fibroids on fertility and pregnancy is unknown. If a portion of the uterus muscle is incised or cut to remove the fibroid, your surgeon may recommend you have a Cesarean delivery for all subsequent pregnancies.
Our surgeons are always available to discuss your unique situation and the risks and benefits of a laparoscopic approach of fibroid resection.
With the da Vinci® Surgical System, our surgeons are now able to offer a minimally invasive option for complex hysterectomies and other gynecologic procedures.
Through tiny, one to two centimeter incisions, surgeons using the da Vinci System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.
Robotic-assisted surgery gives our patients the opportunity for:
- Less pain, blood loss, and scarring
- Shorter hospital stays
- Faster recovery
- Earlier return to normal daily activities
Learn more about our minimally invasive gynecologic robotic surgery options.