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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Help for Couples Facing Infertility

Posted by Brigham and Women's Hospital April 25, 2013

National Infertility Awareness Week (April 21-27) aims to educate the public about a condition that affects over seven million Americans of all ages, races, and incomes. Today’s post features a summary of HealthHub posts addressing infertility, with insights from physicians at Brigham and Women’s Center for Infertility and Reproductive Surgery.

When to See a Fertility Specialist

As a couple, you’ve been trying to conceive for several months without success. Should you keep trying or should you see a fertility specialist? The correct answer is that it depends. Dr. Elena Yanushpolsky, an infertility specialist at Brigham and Women’s Hospital (BWH), discusses when it’s time to see a specialist.


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