Minimally Invasive Gynecologic Surgery

What is Minimally Invasive Gynecologic Surgery?

University Hospitals offers advanced expertise in minimally invasive gynecologic surgeries and treatments for complex conditions, even for women who have had multiple surgeries or other complications.

Compared to traditional open surgery with a large incision, minimally invasive approaches involve the use of small incisions, providing the following benefits:

  • Reduced risk of complications
  • Minimal scarring
  • Less postoperative pain
  • Quicker recovery and return to normal, daily activities
  • Reduced need for narcotic pain medications

Experience in a Range of Gynecological Surgery Options

Our board-certified, fellowship-trained gynecologists have extensive training and experience in minimally invasive surgical techniques, such as:

  • Complex laparoscopic procedures: A minimally invasive approach, laparoscopic techniques allow our team to perform complex surgeries using small incisions, usually no more than 1/2-inch long.
  • Endometriosis excision surgery: This surgery removes growths and scar tissue or destroys them with intense heat, called ablation. The goal is to treat endometriosis without harming healthy uterine tissue.
  • Hysterectomy A complete removal of the uterus, one or both ovaries and/or the fallopian tubes.
  • Laparoscopic and robotic myomectomy: A procedure to remove fibroids while leaving the uterus intact.
  • Hysteroscopy: A thin, lighted, flexible tube is inserted in the cervix through the vagina to examine and remove uterine scarring, polyps, or fibroids.
  • Robotic-assisted surgery: With the daVinci® robotic system, our specialists perform advanced surgical procedures through a single incision with robot-guided precision.
  • Vaginal surgery: Called a vaginoplasty procedure, this minimally invasive procedure tightens a vagina that's become slack or loose from vaginal childbirth or aging.

Treating a Range of Gynecological Conditions

At University Hospitals, specialists use the latest minimally invasive techniques to treat a variety of gynecological issues, such as:

  • Adenomyosis: When endometrial tissue, or the inner uterine lining, invades the uterine muscle, adenomyosis occurs.
  • Adnexal masses: When parts of the reproductive tract, such as ovaries and fallopian tubes, become conjoined, or combined.
  • Chronic pelvic pain: Minimally invasive surgery is often a safe, effective treatment option for conditions causing chronic pelvic pain, such as chronic pelvic inflammatory disease, fibroids or endometriosis.
  • Endometriosis: In advanced stages, endometriosis affects a woman’s ovaries and other organs in the pelvis. Endometrial tissue that grows outside of the uterus can cause severe pain, bleeding, pain during sex, infertility and other issues. UH minimally invasive gynecologic surgeons are trained in advanced laparoscopic techniques to remove endometrial tissue in patients with advanced stage endometriosis.
  • Heavy periods: Called menorrhagia, these are menstrual periods with abnormally heavy or prolonged bleeding.
  • Large fibroid uterus: These noncancerous growths on the uterus are common in reproductive-aged women. Fibroids can differ in size and cause varying degrees of pain and bleeding. Our team has advanced expertise in minimally invasive surgical approaches for hysterectomy and myomectomy.
  • Pelvic organs: We are using robotic gynecologic surgery to reconstruct and repair support for pelvic organs in women. We offer robotic-assisted procedures to remove the uterus (hysterectomy), repair vaginal prolapse (sacrocolpopexy) and correct uterine prolapse following a hysterectomy (sacral uteropexy).
  • Pelvic masses: These can form in the ovaries, uterus or other areas of the pelvis. Though they are non-malignant, pelvic masses can disrupt patients’ lives. UH minimally invasive gynecologic surgeons use a laparoscopic approach to remove these masses, offering patients significant relief.
  • Reproductive anomalies: Defects involving the sex and reproductive organs.

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