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Minimally Invasive Gynecology Services
Compared to traditional open surgery, minimally invasive procedures generally mean you spend less time in the hospital, have a faster recovery, less internal scarring, less pain and a lower risk of complications.
Surgeons at the DMC use the most advanced surgical equipment, including the da Vinci® Si HD Surgical System. We were the first in southeast Michigan to have a da Vinci® Si with a dual-console configuration, making it possible for two surgeons to work on a patient at the same time.
Not only do DMC surgeons perform more da Vinci assisted gynecologic procedures than anywhere else, but our expertise is recognized on a national level and we train physicians from across the country in the use of this technology.
da Vinci® Gynecologic Procedures include:
Minimally Invasive Gynecologic Procedures
The bone density test is a simple, non-invasive procedure that takes less than 30 minutes and uses extremely low-dose x-rays, much less than a standard chest x-ray.
In addition to checking for bone demineralization due to osteoporosis, the bone densitometry equipment can also detect bone loss caused by other diseases and treatments, including diabetes, cancer, lupus, kidney disease and liver disease.
The National Osteoporosis Foundation recommends bone density testing for all women over age 65. The organization also recommends bone density testing for all women under the age of 65 who have one or more risk factors for osteoporosis.
Ablation procedures can be very effective in controlling heavy menstrual bleeding from benign causes. By destroying the endometrial lining of the uterus, bleeding can be stopped while leaving the uterus in place, though fertility will still be lost. The physician uses a hysteroscope inserted through the vagina to destroy the endometrial lining with extreme heat, extreme cold or a special cutting device.
A hysterectomy is a procedure to surgically remove your uterus. There are several different types of hysterectomy:
In a hysteroscopic procedure, the doctor inserts a flexible fiber-optic scope (a hysteroscope) into the uterus through the vagina and cervix. Through this approach, the physician can remove fibroids, polyps and lesions using special surgical tools fitted to the scope. Hysteroscopic procedures require no incisions.
Laparoscopic procedures use a long, slender device called a laparoscope, or scope. Instead of making a large incision, the physician inserts a laparoscope through a small incision in the patient’s abdomen. The scope displays images of the internal organs on a TV monitor. While watching on the monitor, the physician inserts surgical instruments through other small incisions.
Compared to open surgery, patients who have laparoscopic surgery generally spend less time in the hospital; have a faster recovery; less internal scarring; less pain; and a lower risk of complications.
Three small incisions are made in the abdomen. A laparoscope, a long, slender device commonly called a scope, is inserted through an incision near the belly button. The scope displays images of the internal organs on a TV monitor. While watching on the monitor, the physician inserts surgical instruments through small incisions along the patient’s waistline. A special instrument is used to cut the uterus apart and remove it in pieces through the small incisions.
Laparoscopic Supracervical Hysterectomy (LSH)
This procedure removes the uterus but leaves the cervix intact. This procedure usually results in shorter recovery time and less pain. Most patients leave the hospital the next day and require only oral pain medications. Since it leaves the cervix intact, the procedure may result in better bowel, bladder and sexual function. This procedure is only offered to women who have no history of cervical cancer or cervical dysplasia
Laparoscopic Tubal Ligation/Occlusion
In tubal ligation procedures, commonly known as “having your tubes tied”, the fallopian tubes are occluded (blocked) to prevent sperm from fertilizing an egg. The procedure is commonly referred to as “tubal ligation,” but the medical term “tubal occlusion” is actually more accurate since the tubes are generally occluded (or blocked), not cut.
In most cases, tubal ligation/occlusion is performed with a minimally invasive laparoscopic procedure. Recovery time for a minimally invasive laparoscopic tubal ligation is about one week or less.
A surgical procedure that removes fibroids but leaves the uterus intact, in a hysteroscopic myomectomy your physician inserts a flexible fiber-optic scope (hysteroscope) into the uterus through the vagina and cervix and removes the fibroids using special surgical tools fitted to the scope.
In a laparoscopic myomectomy, small incisions are made so a probe with a tiny camera and surgical instruments can be inserted into the abdominal cavity. The instruments are then used to remove fibroids on the outside of the uterus.
MyoSure™ Fibroid Removal - this incision-less procedure safely and effectively removes submucosal fibroids. MyoSure™ is an excellent option for women seeking to reduce heavy bleeding symptoms and preserve uterine form and function. MyoSure is an outpatient procedure and requires no incision. On average, a 3 cm fibroid (about the size of a grape), can be removed in approximately 10 minutes. Some women will experience mild cramping after the procedure. Your doctor may recommend an over-the counter pain reliever if cramping persists. You should be able to resume your normal activity within two days.
Versapoint™ Electrosurgery - this procedure vaporizes fibroids instead of shaving or cutting them. The Versapoint™ System makes it easier for the surgeon to remove the fibroid because there are no tissue pieces left in the uterus that must be withdrawn during the procedure. The procedure is performed during an outpatient visit and offers the patient a choice of local instead of general anesthesia. A hospital stay is usually not required and patients usually return to normal activity within a few days.
This is the common procedure used to repair pelvic organ prolapse. There are different types of sacrocolpopexy, including traditional and minimally invasive surgical approaches.
This is a procedure to remove your ovaries and fallopian tubes. It can be done at the same time as other surgeries, specifically other hysterectomy procedures.
Uterine Artery Embolization
Also known as uterine fibroid embolization, this minimally invasive procedure blocks the arteries that supply blood to uterine fibroids. Using a catheter, small particles are injected into the uterine arteries. The particles block the arteries that feed the fibroids and cause the fibroids to shrink. It can be an alternative to hysterectomy.
Uterine Balloon Therapy
Designed for women who do not have cancer, a balloon is inserted through the vagina and used to remove the endometrial lining of the uterus. This procedure can be an alternative to hysterectomy.
Uterine Fibroid Embolization (UFE)
Uterine fibroid tumors can cause back pain, excessive bleeding, pelvic discomfort, pressure on other organs, infertility and urinary complications. Uterine Fibroid Embolization (UFE) is a minimally invasive treatment for benign tumors. For many women, it is an excellent alternative to a hysterectomy or open abdominal surgery, and usually reduces symptoms caused by the fibroids.
UFE is a non-surgical approach to the treatment of uterine fibroids. Using imaging technology, a microcatheter will be used to insert small clotting agents that will be used to block the flow of blood to the uterine arteries - the blood supply to the problem fibroids.