Minimally Invasive Gynecological Surgery (MIGS)

Minimally Invasive Surgery for Hysterectomy

Minimally Invasive Surgery (MIS) / Laparoscopic Surgery for hysterectomy uses state-of-the-art technology to perform one of the most common surgical procedures in the United States. Over 600,000 hysterectomies are done each year and 1 in 3 women in the United States will have a hysterectomy by age 60.  MIS utilizes laparoscopy to allow the surgeon to remove the uterus without the large incision required by an open procedure.  The surgeon gains access to the abdomen through small incisions and then uses various specialized tools inserted through those dime-sized incisions in the navel and abdomen.  Women who have a hysterectomy with MIS experience faster recovery, shorter hospital stays, and less pain and scarring than women who have an Abdominal Hysterectomy (TAH).

An important decision when discussing or considering a hysterectomy is whether to remove or keep the ovaries. It is the ovaries that provide women with all their normal female hormones. The ovaries are not part of the uterus and they have their own independent blood supply. We can help women to keep their ovaries, if the patient desires that, and their ovaries are normal at the time of surgery.  Although the ovaries are left intact, the uterus is completely removed and with that gone, women no longer will have bleeding or periods.
With a minimally invasive / laparoscopic hysterectomy, the patient can leave the hospital the same day or choose to stay just overnight. Most patients are driving in 3-5 days and can return to work in about two weeks.
There are two types of laparoscopic hysterectomies--
  •  Laparoscopic Supracervical Hysterectomy (LSH) is a MIS procedure in which only the uterus is removed using laparoscopic instruments and the cervix and vagina are preserved unchanged. During a LSH, the surgeon separates the uterus from the cervix and then removes it through one of the abdominal incisions. Preservation of the cervix and vagina allows for an even quicker recovery and return to full activity. It has been suggested that by retaining the cervix and vagina unchanged, women will maintain better pelvic support. In addition, some women also feel that their sexual response is better maintained by keeping their cervix. 
     
  •  Laparoscopic Hysterectomy (LH), is similar to a vaginal hysterectomy in that the uterus and cervix are removed through an incision at the top of the vagina. The surgeon uses a laparoscope inserted into the abdomen through one of the small incisions to view the uterus and surrounding organs. The uterus and cervix are detached from the vaginal cuff under view of the laparoscope using specialized laparoscopic surgical tools also inserted through the other small incisions. The vaginal incision is closed laparoscopically and no retractors or instruments are placed in the vagina.

With our specialty training in minimally invasive gynecologic surgery, there are essentially no limits to who is a candidate for a laparoscopic or minimally invasive surgical approach. The size of the uterus does not matter for our laparoscopic surgery. We take care of all patients with a minimally invasive approach, even those with complicated prior surgical histories.