Our Services — Gynecologic Surgery
Surgery is used to correct or alleviate many gynecologic conditions. The decision to operate is based on careful evaluation of each patient’s personal medical history, medical tests, overall patient health, and exact diagnosis.
Types of conditions typically treated by our surgeons
Depending on the diagnosis, patients have several surgery options
- Laparoscopic surgery: Laparoscopy (also known as minimally invasive surgery) is a way of doing surgery without making a large incision. A thin, lighted tube — known as the laparoscope — is inserted into the abdomen through a small incision. The laparoscope is a small camera that allows your doctor to see the pelvic organs. If a problem needs to be fixed, other instruments are used. These instruments are inserted through other small incisions in your abdomen. The vast majority of laparoscopic surgeries are outpatient procedures. Most patients recover from laparoscopic surgery within days.
- Single-incision surgery: In single-incision surgery, the laparoscope and all other instruments are inserted through one 1.5-2 cm incision within the navel. Thus, the patient recovers with a single, almost invisible scar in the umbilical area. As with all laparoscopic surgeries, patients generally experience less pain and blood loss, and a shorter recovery time, than with open surgery.
- Abdominal surgery: Open abdominal surgery or laparotomy refers to any surgical operation in which the abdomen is opened to access or inspect the pelvic organs. Complex surgeries are often performed using open surgery.
- Robotic surgery: The da Vinci is a surgeon-controlled robot that controls laparoscopic instruments. It enables our highly skilled physicians to perform the most precise, minimally invasive gynecologic surgery. For complex hysterectomies and other gynecologic procedures, robot-assisted surgery may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons 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. Many complex gynecologic conditions such as endometriosis, uterine fibroids, prolapse, and heavy menstrual bleeding can be treated effectively without a large incision.
- Hysteroscopic surgery: Hysteroscopy is a technique used to look inside the uterus; no incisions are needed. A hysteroscope is a thin, telescope-like device that is placed into the uterus through the vagina. It may help your doctor diagnose or treat a uterine problem such as polyps, fibroids, or abnormal uterine bleeding.
- Infertility surgery: Some causes of infertility are structural and can be corrected surgically, frequently with outpatient or same-day procedures. Types of infertility surgeries include removing endometriosis, polyps, or fibroid tumors; and eradicating the scars and adhesions that hamper pregnancy. Most infertility surgeries can be accomplished by minimally invasive techniques.
- Vaginal surgery: When appropriate, hysterectomy (removal of the uterus) can be accomplished through an incision made inside the vagina. Conditions such as pelvic organ prolapse and incontinence are often surgically corrected through the vaginal approach. Prolapse is a condition where structures, such as the urethra, bladder, or rectum, fall down or slip out of their normal positions; as a result, patients often experience an uncomfortable vaginal bulge and/or difficulty with urination or defecation.
- Urogynecology and pelvic reconstructive surgery: Pelvic floor surgery treats problems with bladder and bowel control as well as a loss of support of the vagina, bladder, and/or rectum. The current gold-standard surgical repair for advanced pelvic organ prolapse is the abdominal mesh sacrocolpopexy. Our highly skilled surgeons utilize the minimally invasive da Vinci Surgical System. The result is less pain, quicker recovery, lower blood loss, less risk of infection, reduced scarring, smaller incisions, and improved cosmesis.