Gynecologic Minimally Invasive Surgery

Thanks to minimally invasive surgery (MIS), it's now possible for some women to have gynecologic conditions treated without traditional open surgery and a large incision. Women who receive MIS most often have post-surgery recovery times measured in days, not weeks, and experience less pain, scarring and risk for infection. Also, MIS means the procedure can be done on an outpatient basis, making an overnight hospital stay unnecessary.

Gynecologists were among the first physicians to use laparoscopy in treating patients. David Zisow, M.D., F.A.C.O.G., a gynecologist and the associate chief of Minimally Invasive Surgery at Northwest Hospital, performed the first total laparoscopic hysterectomy at Northwest Hospital in 2005. Since that time, he and other LifeBridge Health gynecologists have performed hundreds of MIS hysterectomies.

Hysterectomy is only one of many different gynecologic surgeries completed with minimally invasive methods. Treatments for urinary stress incontinence, female hernias and chronic pelvic pain can also be performed with MIS. Minimally invasive procedures may be performed using either traditional "straight stick" laparoscopic methods or with robotic assistance, depending on individual circumstances and physician preference.

Types of Procedures Performed

  • Total laparoscopic hysterectomy*
  • Subtotal or laparoscopic supracervical hysterectomy*
  • Laparoscopically assisted vaginal hysterectomy*
  • Myomectomy (removal of fibroids while preserving the uterus and fertility)
  • Treatment of endometriosis and pelvic pain
  • Presacral neurectomy to treat pelvic pain
  • Treatment of ovarian cysts and tumors
  • Treatment of tubal cysts and tumors and tubal pregnancy
  • Sacrocolpopexy to treat vaginal prolapse
  • Paravaginal repair
  • Burch-Tanagho procedure to treat stress urinary incontinence

*These hysterectomies can be performed with or without removal of fallopian tubes and/or ovaries.

Types of Conditions Treated

  • Abnormal uterine bleeding
  • Cancer
  • Endometriosis
  • Incontinence
  • Ovarian cysts and tumors
  • Uterine fibroids or polyps
  • Uterine prolapse

To learn more about MIS treatment options for gynecologic conditions, call 410-601-WELL (9355).