Many conditions that previously required a woman to undergo major surgery can now be treated using minimally invasive techniques. This approach enables most patients to return to routine activities in less time with less discomfort after surgery.

• Fibroids and Abnormal Bleeding
• Fibroids (uterine)
• Abnormal and heavy menstrual bleeding
• Ovarian cysts
• Postmenopausal bleeding
• Endometriosis and Pelvic Pain
• Endometriosis
• Endometrial polyps
• Pelvic adhesions
• Pelvic pain
• Gynecologic Cancers
• Cervical cancer
• Endometrial cancer
• Ovarian cancer
• Uterine cancer
• Infertility
• Congenital deformities of the uterus
• Uterine scarring
• Urinary incontinence and prolapse

Minimally Invasive Gynecologic Procedures

Larposcopic Surgeries

Laparoscopy, a surgical technique where a small camera, usually between 5 and 10 mm (less than ½ inch), is inserted into a patient's abdomen for the purpose of the isualization of the pelvic and abdominal anatomy, diagnosis of a disease condition, and treatment of such condition by a minimally invasive approach. Several small incisions less than ¼ inch) are made in the bikini line for the introduction of laparoscopic instruments, such as laparoscopic scissors, scalpel, etc.

Multiple gynecologic procedures and surgeries that are routinely done by an open technique can be potentially done by laparoscope, including:

• Removal of the uterus (laparoscopic hysterectomy)
• Removal of the fibroids (laparoscopic myomectomy)
• Surgical treatment of ovarian cysts (laparoscopic cystectomy)
• Ectopic pregnancy
• Treatment of endometriosis and pelvic pain (laparoscopic presacralneurectomy)

Robotic Surgery

One of the current tools in the arsenal of minimally invasive surgery is a computer-enhanced technology or robotics. Originally designed and tested by NASA and military for the on-the-filed remote surgery, today's robotic system has been through several stages. 

In gynecology, robotic surgeries performed include

• Robotic Hysterectomy
• Robotic Myomectomy

Hysteroscopic Surgery

Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative..

Diagnostic hysteroscopy allows the visualization of the inside of the uterus and diagnosis of such common conditions as fibroids, uterine polyps, uterine septum, etc.

Operative hysteroscopy is usually done in the operative room under general anesthesia. This procedure is reserved for patients with known intrauterine pathology such as previously diagnosed fibroids that may cause bleeding and infertility, uterine polyps, uterine septum, blocked Fallopian tubes, etc.

Treatment of  Endometriosis

Endometriosis is a condition in which the tissue normally found inside the uterus (the endometrium) begins to grow outside of the uterus  on the bladder, ovaries, bowel and pelvic sidewall.

Although symptoms may vary from woman to woman, classical presentation of pelvic endometriosis includes:

• Severe menstrual cramps and pain
• Pain during sex
• Persistent pelvic pain
• Pain with urination and bowel movements, especially around the period
• Infertility

How is pelvic endometriosis treated?

There are several medical (conservative) treatment options available. Hormone therapy (HT) in the form of an injection, pill or IUD are the first line of management. Unfortunately, in many cases, medical treatment is inadequate at controlling symptoms of pelvic endometriosis. In those cases, surgical management is the only option.

How is surgery performed?

In the majority of cases, surgical management of pelvic endometriosis is performed through a minimally invasive approach -- several 5 to 10 mm (1/3 of an inch) incisions are made, and the abdomen and pelvis are examined under high magnification with the laparoscope.