Minimally invasive gynecologic surgery

minimally invasive gynecologic surgery

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Dr. Rezvina is specializes in minimally invasive gynecologic surgery (NIGS) for treatment of many conditions such as pelvic floor dysfunction, uterine fibroids, ovarian cysts, endometriosis, and other gynecologic issues. Minimally invasive gynecologic surgery involves the use of miniature instruments and cameras for surgical procedures related to the female reproductive system. The different types of minimally invasive gynecologic surgeries include:

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• Laparoscopy: During a laparoscopic procedure, the surgeon makes small incisions in the abdomen and inserts a thin tube with a tiny camera inside. This allows them to view the internal organs on a monitor and guide their instruments through the incisions.
• Laparoscopic Hysteroscopy: A hysteroscopy procedure involves inserting a thin tube with a camera through the cervix to examine or treat conditions located in the uterus.
• Laparoscopic Ovarian Cystectomy: An ovarian cystectomy is surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions in your lower abdomen.
• Laparoscopic Oophorectomy and Salpingectomy A salpingo-oophorectomy is the removal of one (unilateral) or both (bilateral) of your ovaries (oophorectomy) and fallopian tubes (salpingectomy). Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions on your lower abdomen.
• Laparoscopic Tubal ligation: Tubal ligation is a surgical procedure that creates permanent contraception, or sterilization. It is commonly referred to as having your “tubes tied.” The surgery blocks your fallopian tubes, preventing sperm from meeting egg, effectively preventing pregnancy. Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions in your lower abdomen. 
• Endometrial ablation: Endometrial ablation is used to remove or destroy the lining of the uterus. This procedure is used to treat heavy menstrual bleeding or for pain relief. It can be performed using hysteroscopic or laparoscopic techniques, depending on the condition being treated.

• Cervical Cone Biopsies / LEEP:  Conization (cone biopsy) and LEEP (loop electrosurgical excision procedure) are treatments that identify and remove abnormal tissue from the cervix in cases of cervical dysplasia. Conization is also called a cone biopsy because it removes a cone-shaped section of abnormal tissue for laboratory examination. LEEP uses a thin electrified wire to cut out abnormal tissue high in the cervix. Both conization and LEEP remove abnormal tissue and provide biopsy samples suitable to determine if cancer or dysplasia cells are present. Conization is an inpatient procedure done in a hospital or surgery center (with no overnight stay) and LEEP is an outpatient procedure done in a clinic.

• Hysteroscopy D&C and Polypectomy:  Hysteroscopic polypectomy is a surgical procedure to take out uterine polyps.  It uses a small camera that is put into the uterus.  A cutting instrument extends from the camera and removes the polyp. The doctor can see it on a video monitor. D&C is the slight widening of the opening of the uterus (cervix).  An instrument is used to scrape some or all of the lining of the uterus.  This tissue is sent to the lab to be tested to diagnose:

• Polyps
• Infection
• Hormone imbalances
• Fibroid tumors
• Cancer

It often takes less than 30 minutes to do both a hysteroscopic polypectomy and D&C.

• Labiaplasty and Vaginoplasty Vaginoplasty is a procedure that aims to "tighten up" a vagina that's become slack or loose from vaginal childbirth or aging.  Labiaplasty is a procedure on the labia (the “lips" surrounding the vagina), can be performed alone or with vaginoplasty. Labiaplasty changes the size or shape of the labia, typically making them smaller or correcting an asymmetry between them. 

Avoid A Long, Painful Recovery After Vaginal Or Ovarian Surgery

A traditional hysterectomy can require spending a night at the hospital and avoiding strenuous activity for weeks on end, but you could feel better sooner after a minimally invasive gynecologic surgery. Intuitive Women's Health performs gynecologic surgeries in Somers Point, NJ using small incisions and an endoscope.
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Benefits Of Minimally Invasive Gynecologic Surgery

In addition to faster recovery times, the benefits of minimally invasive surgery include...

• Less pain and discomfort than with open surgery.
• Reduced risk of infection since smaller incisions are made.
• Shorter recovery time as there is less tissue trauma compared to open surgeries.
• Less scarring due to the size of the incisions.
• Less blood loss and less risk of requiring a transfusion.
• Patients are often able to go home the same day, with most procedures only requiring a short hospital stay.
• Minimally invasive gynecologic surgery often results in better outcomes compared to open surgery, leading to faster recovery times and improved quality of life

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What Can Minimally Invasive Gynecologic Surgery Help With?

Minimally invasive gynecologic surgery can help with a variety of issues related to the female reproductive system, including:

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• Diagnosing and treating pelvic organ prolapse.
• Removing uterine fibroids.
• Treating endometriosis.
• Treating polycystic ovarian syndrome (PCOS).  
• Treating pelvic inflammatory disease (PID).
• Performing tubal ligations.
• Removing ovarian cysts.
• Treating uterine polyps or fibroids.
• Endometrial ablation for heavy menstrual bleeding.
• Diagnosing and treating cervical dysplasia, a precancerous condition.
• Diagnosing and treating infertility.
• Performing hysterectomies, either partial or total.
• Treating urinary incontinence.

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