Minimally Invasive Surgical Procedures
An “Open” Procedure is a procedure that is generally done in the operating room; it is a 4 -6 inch incision made in the lower abdomen. Probably one of the most commonly known “open” procedures is the Cesarean Section “Bikini” incision.
“Minimally Invasive” procedures, on the other hand, are a recent collection of advanced surgical procedures that are much less invasive than open procedures. These procedures allow the surgeon to remove uterus, fibroids, ovaries, and/or other gynecological abnormalities without the large incision required by the open procedure.
The surgeon gains access to the abdomen either through the vagina or through a small (1/2 – 1 cm) incision in the abdomen. Both approaches often result in much less post operative pain and a quicker recovery. Although not all; many patients are able to undergo an operation such as a hysterectomy in the morning, and then are able to go home in the afternoon. Most are able to return to their normal activities within 1-2 weeks.
Dr. Gregerson is trained in even the most advanced of these procedures.
Although there are others, some of the more commonly known “Minimally Invasive Procedures” include:
- Laparoscopic Total Hysterectomy (TLH)
- Laparoscopic Supracervical Hysterectomy (LSH)
- Laparoscopic Tubal Ligation (“Tie the Tubes”)
- Laparoscopic Myomectomy (Removal of Fibroids of the Uterus)
- Laparoscopic Pelvic Evaluation (Diagnostic Laparoscopy for evaluation of the contents of the pelvis that may be causing pain, preventing pregnancy or look abnormal when seen on the Ultrasound)
- Vaginal Hysterectomy (VH)
da Vinci Robotic Surgery
da Vinci® Surgery for Uterine or Vaginal Vault Prolapse (Sacrocolpopexy)
For many women, surgery may be the best treatment option to repair pelvic prolapse, including vaginal vault prolapse. A physical exam is performed to determine the best way to completely repair the prolapse. Pelvic prolapse surgery is known as sacrocolpopexy. Surgical mesh is used to hold the affected pelvic organ(s) in the correct anatomical position. This procedure can also be performed after a hysterectomy to treat uterine prolapse. It provides long-term support of the vagina.
Prolapse surgery has traditionally been performed as open surgery. A long horizontal incision is made in the lower abdomen to access the pelvic organs, but recovery after open surgery is often lengthy. Prolapse surgery can also be performed minimally invasively – through small incisions – with laparoscopic surgery. Traditional laparoscopy may present challenges due to the long-handled, rigid instruments needed for the procedure. Fortunately, there is a minimally invasive option that overcomes the limits of traditional open and laparoscopic surgery – da Vinci Surgery.
If surgery is recommended to treat pelvic prolapse, you may be a candidate for da Vinci acrocolpopexy. Using state-of-the-art technology, da Vinci Surgery requires only a few tiny incisions, so you can get back to your life faster. The da Vinci System enables your doctor to operate with enhanced vision, precision, dexterity and control. da Vinci’s 3D, high-definition vision system allows surgeons to see key anatomy with immense depth and clarity– critical for complex conditions.
da Vinci® Surgery Myomectomy
A new category of minimally invasive myomectomy, da Vinci ® Myomectomy, combines the best of open and laparoscopic surgery. With the assistance of the da Vinci Surgical System, Dr. Gregerson can remove uterine fibroids through small incisions with unmatched precision and control. Among the potential benefits of da Vinci Myomectomy as compared to traditional open abdominal surgery are:
- Opportunity for future pregnancy
- Significantly less pain
- Less blood loss
- Fewer complications
- Less scarring
- A shorter hospital stay
- A faster return to normal daily activities
da Vinci Myomectomy is performed with the da Vinci®Surgical System, which allows Dr. Gregerson to perform a minimally invasive, yet remarkably precise, comprehensive reconstruction of the uterine wall, regardless of the size or location of your fibroids. The unique level of control and precision of da Vinci can also help provide the most precise and thorough reconstruction possible. That can help to prevent a possible uterine rupture (tearing) during future pregnancies.
As with any surgery, these benefits cannot be guaranteed, as surgery is unique to each patient and procedure. While myomectomy performed using the da Vinci Surgical System is considered safe and effective, this procedure may not be appropriate for every individual. Always ask about all treatment options, as well as their risks and benefits.
da Vinci® Hysterectomy
Until recently, surgery for most gynecologic conditions was performed using a large abdominal incision. This is because while conventional laparoscopic surgery is effective for many routine procedures, the long-handled, rigid instruments used in laparoscopy are not usually considered effective for delicate or complex operations.
Fortunately, there is a minimally invasive option for treating gynecologic conditions designed to overcome the limits of traditional open and laparoscopic surgery – da Vinci Surgery.
If a hysterectomy to treat your condition is recommended, you may be a candidate for da Vinci Surgery. Using state-of-the-art technology, a da Vinci® Hysterectomy requires only a few tiny incisions, so you can get back to your life faster.
The da Vinci System enables Dr. Gregerson to perform a minimally invasive hysterectomy even for complex conditions — with enhanced vision, precision, dexterity and control. da Vinci Hysterectomy offers women many potential benefits over traditional surgery, including:
- Less pain
- Fewer complications
- Less blood loss
- Shorter hospital stay
- Low risk of wound infection
- Quicker recovery and return to normal activities
The da Vinci System is a state-of-the-art surgical platform with 3D, high-definition vision and miniaturized, wristed surgical instruments designed to help doctors take surgery beyond the limits of the human hand. By helping doctors to overcome the challenges of traditional open and laparoscopic surgery, da Vinci is changing the experience of surgery.