Advanced Laparoscopic Surgery
Advanced laparoscopic surgery is a minimally invasive procedure used to diagnose and treat problems of the genital and pelvic areas. During the procedure, a laparoscope, a thin tube with an attached camera at one end, is inserted through a small incision. This allows the doctor to closely examine the area. Surgical instruments can be inserted through additional incisions to treat any identified problems.
Technological advances have brought computers and laparoscopic instruments to the forefront of surgical approaches. This provides patients with a minimally invasive technique that can be used in a wide range of procedures.
Reasons for Advanced Laparoscopic Surgery
Advanced laparoscopic surgery may be performed for a number of reasons, including to:
- Examine or remove any growths, such as cysts or fibroids
- Diagnose or treat conditions including endometriosis, ectopic pregnancy or pelvic inflammatory disease
- Perform a biopsy
- Determine the cause of pelvic pain
- Perform endometrial ablation to treat heavy menstrual periods
- Remove organs such as the uterus, ovaries or fallopian tubes
- Determine the cause of infertility
The Advanced Laparoscopic Surgery Procedure
Advanced laparoscopic surgery is performed under general anesthesia and generally takes 30 to 90 minutes, depending on what is done during the procedure. After making a small incision, the doctor will insert the laparoscope and examine or treat the affected area. Using smaller incisions reduces any discomfort a patient will have after surgery.
Risks of Advanced Laparoscopic Surgery
While this procedure is considered safe, the possible risks of advanced laparoscopic surgery include infection, bleeding or allergic reaction to a medication or anesthesia.
Recovery from Advanced Laparoscopic Surgery
Advanced laparoscopic surgery is less invasive than traditional open surgery and typically results in fewer complications. The surgery is usually performed as an outpatient procedure, and patients are often able to resume their normal activities within a few days.
Robotic Gynecologic Surgery
Women undergo gynecologic surgery for a number of conditions such as endometriosis, uterine fibroids, excessive bleeding and cancer. While medication and nonsurgical procedures are available for most of these conditions, surgery may be the only treatment option that provides long-lasting, effective results.
Traditional gynecologic surgery using large incisions and lengthy hospital stays has been the standard approach to gynecologic procedures. This approach is quickly becoming outdated in the technologically advanced medical world. While less-invasive laparoscopic procedures are becoming more common, robotic-assisted surgery offers more surgical advantages and can be used for many gynecologic surgeries.
Robotic-assisted surgery is performed with the da Vinci® Surgical System, a device that guides surgeons through complex surgical procedures with precision, visualization, dexterity and control. Most procedures are performed with a few tiny incisions into which miniaturized surgical hands are inserted. Your surgeon controls these hands while observing the magnified view of the procedure on the monitor. The robotic hands mimic the movements of the surgeon's hands and they will not move unless the surgeon is observing the procedure through the systems lens.
Benefits of the da Vinci Surgical System
The da Vinci Surgical System offers the following advantages over traditional open surgery:
- Less pain
- Smaller incisions
- Less scarring
- Less bleeding
- Shorter hospital stay
- Shorter recovery time
Gynecologic Procedures Performed With the da Vinci Surgical System
The following robotic surgeries may be performed using the da Vinci Surgical System:
A hysterectomy is the surgical removal of the uterus and is one of the most commonly performed procedures in the Unites States. This may include removal of just the uterus, the uterus and cervix, or the uterus, cervix and fallopian tubes.
A sacrocolpopexy is the procedure performed to repair the prolapse or falling of a pelvic floor organ, such as the vagina, uterus or bladder. The prolapse is corrected by using mesh to support the area in its anatomical position.
Myomectomy is the procedure to treat uterine fibroids, the non-cancerous tumors that occur in the uterine lining. While there are many treatments available to remove fibroids, only surgery ensures the complete removal with little risk of recurrence. Robotic-assisted myomectomy offers the surgeon a more precise ability to remove the tumor while leaving healthy tissue intact.
While robotic surgery offers many advantages over traditional open procedures, the procedure may not be for everybody. Some women may still require open surgery to treat their conditions.