Gynecologic Minimally Invasive Surgery

Many gynecologic problems can be treated with minimally invasive procedures designed to speed recovery and be less disruptive to your work and family. It is important to consult with your doctor to determine if you are a candidate for one of these high-tech surgeries.

A complete history and physical examination, combined with imaging studies, will provide better insight into your medical condition. Once a diagnosis is made, it is important to understand the surgical options available to treat your condition.

Operative Hysteroscopy

Hysteroscopy is a procedure performed with a light source and specialized camera to see inside the uterine cavity. A liquid solution is used to expand the uterine cavity, and the hysteroscope is introduced through the cervix and into the uterus without the need for incisions.

This procedure is used to evaluate and treat abnormal uterine bleeding, polyps, and fibroids, and it is usually performed along with a curettage (D&C). A uterine septum can also be treated to help restore fertility.

Polyps, fibroids, and septae are removed with specialized surgical instruments. All specimens are sent to pathology for further examination. Removal of fibroids and septae is more complicated because it involves cutting the tissue into small pieces, a process that can be lengthy and must sometimes be divided into two procedures to avoid complications.

The most common complication of hysteroscopy is fluid overload, which occurs when the fluid used to expand the uterine cavity is absorbed into the blood stream too rapidly. Monitors are used throughout the procedure to let your surgeon know how much fluid is being absorbed and to stop operating, if necessary.

Recovery from hysteroscopy is typically very fast. Most women can be back to their usual activities within two days. Pain medication may be given to manage cramping, and the bleeding typically resolves within a week.