Gynecologic surgery has gone through significant advancements over the past few decades. New techniques favor approaches that are less invasive than traditional open surgery. These minimally invasive techniques often translate to shorter hospital stays, less pain, reduced scarring, and quicker overall patient recovery times. On balance, patient outcomes are much better than in years past. The following are some of the most innovative technological solutions in gynecological care.
Laparoscopic Surgery
Laparoscopic or laparoscopy is a minimally invasive surgery that’s becoming popular in gynecology. Many surgical procedures that used to be performed through larger abdominal incisions are now performed laparoscopically. Laparoscopic surgery has been shown to have better patient outcomes, such as less pain postoperatively and faster healing when compared to traditional open surgery.
Laparoscopy can be used for several gynecological procedures, including:
- Tubal Ligation – Getting fallopian tubes for permanent birth control
- Myomectomy – Removal of fibroids
- Certain types of surgery on the ovaries to remove
However, it’s important to remember that laparoscopic surgery is not always the right choice for everyone or every type of gynecological surgery. Your doctor will discuss whether this surgery is a good option for your specific situation.
Robotic-Assisted Surgery (RAS)
Robotic-assisted surgery (RAS) is where the surgeon uses a special machine to help them operate. In any robotic-assisted surgery, it is important to note that the robot does NOT do the surgery independently – the surgeon is in complete control the entire time. Studies show that RAS has the following benefits.
- Smaller Incisions: This means less pain, smaller scars, and a faster recovery for the patient.
- Precision and Dexterity: The robotic arms can reach tricky areas inside the body and move in ways human hands can not, allowing surgeons to be precise. This is especially helpful for complex surgeries.
In gynecology, RAS may be used in the following procedures.
- Hysterectomy – Removal of the uterus. Using robotic assistance can make this procedure less invasive.
- Myomectomy – Removal of fibroids (non-cancerous growths in the uterus) while leaving the uterus in place. The robot helps the surgeon carefully remove the fibroids.
- Pelvic Organ Prolapse Repair – This surgery is used to fix organs within a woman’s pelvis that may have shifted out of place.
- Endometriosis treatment.
Robot-assisted surgery is gaining more popularity in many leading hospitals due to demonstrated positive outcomes. Its use is mostly limited to high-volume medical centers with experienced surgeons. So, although this technique is only available in some places, it is certainly gaining popularity.
Discuss these modern advancements openly with your doctor to learn if they suit your particular needs and circumstances.
References
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9572807/
- https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/09/robot-assisted-surgery-for-noncancerous-gynecologic-conditions
- https://www.bcm.edu/healthcare/specialties/obstetrics-and-gynecology/ob-gyn-procedures/laparoscopic-gynecological-surgery
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9913063/