Facing Gynecologic Surgery While Experiencing Infertility

Posted by Brigham and Women's Hospital April 21, 2015

Antonio Gargiulo, MD, Medical Director, Center for Robotic Surgery

Today’s post is written by Antonio Gargiulo, MD, Medical Director, Center for Robotic Surgery and a fertility expert in the Center for Infertility and Reproductive Surgery (CIRS) at Brigham and Women’s Hospital in Massachusetts and the Center for Reproductive Care at Exeter Hospital in New Hampshire.

Often my patients experiencing infertility need gynecologic surgery because certain conditions can either cause infertility or impair infertility treatments. Most of these conditions can be treated through minimally invasive surgical techniques, resulting in fewer complications and quicker recovery.

The following post provides information about conditions requiring gynecologic surgery and your treatment options. I recommend that all women of reproductive age that need gynecologic surgery should consult a reproductive surgeon (infertility specialists who practice gynecologic surgery). These physicians have received highly specialized surgical training, which is critical in successfully treating gynecologic conditions that may affect your fertility. I also remind patients that obtaining a second opinion before agreeing to any surgical plan is an essential step in their care.

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Minimally Invasive Gynecologic Surgery: What You Need to Know

Posted by Brigham and Women's Hospital July 18, 2013

Dr. Sarah Cohen, Division of Minimally Invasive Gynecologic Surgery

Today’s post is written by gynecologic surgery specialist Dr. Sarah Cohen, leader of our new Minimally Invasive Gynecologic Surgery  service in Foxborough.

For many patients, the thought of having gynecologic surgery can be worrisome. Thanks to minimally invasive surgery techniques, however, most women can now undergo surgery with minimal interruption to their lives. Benefits include a shorter hospital stay, minimal pain after surgery, less chance for surgical and post-operative complications, and less blood loss. My patient “Sue” is a good example. I recently performed minimally invasive gynecologic surgery to remove her fibroid tumors. After a short overnight stay in the hospital, she returned home and was back to work within a week.

What is minimally invasive gynecologic surgery?

Minimally invasive gynecologic surgery (MIGS) is a technique by which traditional pelvic surgery can be accomplished using small incisions or openings, as opposed to traditional “open” surgery (which includes a large abdominal incision). MIGS includes several surgical techniques. Laparoscopy is a procedure where a surgeon uses small incisions (5-10mm) to insert tiny instruments into a patient’s abdomen and perform the operation. Robot-assisted laparoscopy is similar to conventional laparoscopy, except the surgeon controls instruments and camera movement from a separate console in the operating room instead of by hand. Vaginal surgery and hysteroscopy (using a camera and instruments to perform intra-uterine surgery) are also used by physicians specializing in MIGS.

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