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LAPAROSCOPY

Laparoscopy

Laparoscopy allows us to perform minimally invasive procedures without making a large incision. Sometimes referred to as “minimally invasive surgery”, laparoscopic surgery only requires a few small incisions.

Through these incisions, a thin video laparoscope is inserted into the abdomen which allows us to see your pelvic organs. Laparoscopic surgery is used in gynecology for the evaluation of endometriosis, pelvic pain, fibroids, ovarian cysts, infertility as well as permanent sterilization.

Because laparoscopy is less invasive, it has many benefits over open abdominal surgery especially because you usually can go home within a few hours and get back to your normal activities.

What To Expect During Laparoscopic Gynecologic Surgery

Laparoscopy is a brief outpatient procedure done in the hospital setting under general anesthesia. Laparoscopic surgery usually involves 2-3 small incisions in your abdomen where the laparoscope and other instruments can be inserted. Your abdomen is then filled with gas (carbon dioxide) to expand the abdomen and allow for safe insertion and visualization. The camera on the laparoscope allows for video imaging to be displayed on a screen so we can visualize all the pelvic organs.

After the procedure, the gas is released, the instruments removed, and incisions are closed with sutures, leaving small scars that fade with time.

Recovery After Laparoscopic Surgery

You will be moved to the recovery room after surgery to allow the effects of anesthesia to wear off. You need to have someone drive you home. After surgery, you may notice fatigue and nausea from the anesthesia. You may have some throat soreness from the anesthesia. Soreness and mild discomfort around the incision sites is also to be expected.

Please call our office right away if you experience fever, severe pain, heavy vaginal bleeding, redness/drainage from the incision sites, or the inability to empty your bladder.

Robot-Assisted Myomectomy (da Vinci® Myomectomy)

A da Vinci® myomectomy is a robot-assisted, minimally invasive procedure used to remove fibroids from a woman’s uterus while leaving the uterus intact. The procedure uses a unique technology known as the da Vinci Surgical System that offers the most precise and least invasive myomectomy available. A da Vinci myomectomy enables women with large fibroids who might otherwise have required open abdominal surgery to have a minimally invasive procedure instead.

A da Vinci myomectomy is minimally invasive and requires only a few small incisions, providing several benefits including outpatient surgery with shorter hospital stays, a faster recovery, less pain, blood loss and scarring, fewer complications, and a lower rate of converting to open surgery.

The robot technology also allows surgeons to use surgical instruments that offer the precision and flexibility needed to perform complex, delicate myomectomies – procedures that can be extremely difficult with traditional laparoscopic surgery instruments.

How It Works
In a da Vinci myomectomy, the surgeon performs the procedure with the help of thin robotic arms inserted into small, 8mm incisions. These robotic arms replicate the exact movements of the surgeon’s hands, wrists and fingers and every movement is controlled by the surgeon sitting at a console a few feet away from the patient. The surgeon can move tiny instruments inside the patient with greater dexterity, precision and control than possible with the human hand. The system uses a camera with 3D high-definition views, giving your surgeon a crystal-clear view of the surgical area magnified 10 times what the human eye sees.

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