Minimally Invasive Gynecological Procedures

Minimizing the Impact of Women’s Surgery with Robotic and Non-Robotic Treatments

 

Minimally Invasive Hysterectomies with the daVinci Surgical Robot at miVIP Surgery Centers

The highly advanced da Vinci Surgery System, known for its service in minimally invasive surgical procedures, is used by miVIP surgeons to treat a wide variety of gynecological conditions. The traditional open approach to gynecological surgery can cause serious pain, trauma to nearby organs and nerves, and a long recovery time. These problems are kept to a minimum with the state-of-the-art da Vinci technologies. Certain gynecological procedures require no incisions at all, as surgeons are able to access the target structures by means of a vaginal approach. For other procedures that do necessitate incisions, such as complicated hysterectomies, the da Vinci system facilitates robotic surgical treatment that is as delicate as possible. The da Vinci technologies include miniature wristed instruments and a 3D high-definition visualization feature.

Common Gynecological Procedures Performed by miVIP

Gynecological procedures performed by miVIP surgeons include both robotic and non-robotic treatments. Common procedures include the following: Both Robotic/Non-Robotic:
  • Endometriosis Resection– a robotic or non-robotic surgery to remove uterine lining tissue growing outside the uterus itself. Endometriosis is a fairly common gynecological problem, and its reasons for occurrence are unknown.
  • Myomectomy – a robotic or non-robotic surgery to remove fibroids (non-cancerous lumps) from the uterus. This treatment leaves the uterus in place and may improve chances of getting pregnant. If you have fibroids and are hoping to become pregnant, myomectomy may be the best treatment option for you.
  • Hysterectomy – a robotic or non-robotic surgery to remove the uterus, in order to treat problems with the organ that may include pain and severe bleeding associated with fibroid tumors or endometriosis. Cancer of the uterus, ovaries or cervix or heavy, unstoppable bleeding during childbirth may also make this surgery necessary. If you have a hysterectomy, you will be unable to get pregnant.
Non-Robotic only:
 

Conditions

Gynecological conditions that often necessitate surgery include the following:
  • Menhorragia – menstrual periods with abnormally prolonged or heavy bleeding.
  • Endometriosis – tissue normally grown inside the uterus forms in places outside the uterus.
  • Chronic Pelvic Pain – pain in the lower part of the pelvis or abdomen that lasts longer than six months.
  • Uterine Fibroids Myomas – growths within the uterus that are noncancerous and often show up during years of childbearing.
  • Adenomyosis – tissue of the endometrium that grows and exists within the wall of the uterus.
  • Pelvic Prolapse – collapsing of the pelvic floor that holds the uterus, small bowel, rectum, vagina and bladder in place.
  • Uterine Prolapse – protrusion of the uterus out of the vagina caused by weakening of the pelvic floor ligaments and muscles.
  • Stress Urinary Incontinence – unintentional loss of urine prompted by some type of physical activity or movement such as sneezing, running or coughing.
  • Pelvic Pressure – constant pressure or pain in the pelvic area.
  • Vaginal Prolapse – stretching of the vagina results in the bulging of the front or back wall whenever strain is placed on the area.
  • Rectocele – bulging of the vaginal wall caused by the weakening of the fibrous tissue that separates the vagina from the rectum.
  • Dyspareunia – pain during sexual intercourse.
  • Enterocele – small intestine pushes at the top of the vagina and descends into the lower cavity of the pelvic area.
  • Bladder Prolapse – tissue supporting the bladder weakens, and the bladder bulges into the vagina.
  • Irregular Bleeding – any vaginal bleeding that is not part of a regular period.
  • Small Endometrial Fibroids – growths within the uterine wall that typically develop during childbearing years.
  • Endometrial Polyps – growths that develop on the inner wall of the uterus that are typically noncancerous, but may extend down into the uterine cavity.

Symptoms

The following symptoms are associated with one or more of the conditions listed above:
  • Urgent urination or difficulty urinating
  • Chronic abdominal pressure, swelling and bloating
  • Difficulty with bowel movements
  • Slipping of the uterus or vagina
  • Frequent urinary tract infections
  • Pressure sensations in the pelvic area or on the bladder or rectum
  • Pain while walking or standing
  • Infertility

Treatment Options

There are a variety of treatment options for gynecological conditions available, including surgical and non-surgical approaches. Depending on your medical condition and its stage of progression, your treatment may include:
  • Open surgery – The traditional open approach uses a 6- to 12-inch incision in the abdomen (below the navel) to access target organs.
  • Minimally invasive surgery – This form of surgical treatment uses robotics and other cutting-edge surgical technologies to access target organs through extremely small incisions.
  • Radiation therapy – This type of cancer treatment uses x-rays and other forms of radiation to eliminate malignant cells.
  • Hormone therapy – This treatment aids in the elimination of certain types of cancer by blocking receptors on cancer cells with specific hormones.
  • Chemotherapy – This term refers to any pharmaceutical treatment used to stop cancer cell growth, including systemic medications (delivered via the bloodstream) and regional treatments (which target malignant cells in specific parts of the body).