Menopausal and Geriatric Gynecology

Minimally Invasive Gynecologic Surgery (MIGS) represents a significant advancement in the field of women's healthcare. It encompasses a range of surgical techniques that utilize small incisions and specialized instruments to perform gynecologic procedures with precision and minimal disruption to surrounding tissues. MIGS offers numerous benefits, including reduced pain, shorter hospital stays, and faster recovery times, making it a preferred approach for many gynecologic conditions. 

Diseases Treated By The Department

• Fibroids (Uterine Leiomyomas): Fibroids are noncancerous growths of the uterus that can cause heavy menstrual bleeding, pelvic pain, and pressure on nearby organs. MIGS techniques such as laparoscopic myomectomy or hysteroscopic myomectomy can remove fibroids while preserving fertility.
• Endometriosis: Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside the uterus, causing pain and infertility. Laparoscopic excision of endometriosis lesions is a common MIGS procedure to alleviate symptoms.
• Adenomyosis: Adenomyosis occurs when the tissue lining the uterus (endometrium) grows into the muscular wall of the uterus, leading to heavy periods and pelvic pain. Minimally invasive procedures like laparoscopic or hysteroscopic techniques can help treat this condition.
• Ovarian Cysts: Noncancerous ovarian cysts, such as dermoid cysts or endometriomas, can be removed using laparoscopic ovarian cystectomy, preserving the ovaries whenever possible.
• Pelvic Organ Prolapse: MIGS offers minimally invasive options for repairing pelvic organ prolapse, a condition where pelvic organs (such as the bladder, uterus, or rectum) descend into the vaginal canal. Procedures like laparoscopic sacrocolpopexy provide support to the pelvic organs.
• Uterine Polyps and Abnormal Uterine Bleeding: Hysteroscopic resection is commonly used to remove uterine polyps and treat heavy or irregular menstrual bleeding.
• Pelvic Pain: Chronic pelvic pain can result from various gynaecological conditions. MIGS specialists use minimally invasive techniques to diagnose and treat the underlying causes, which may include endometriosis, fibroids, or adhesions.
• Ectopic Pregnancy: Ectopic pregnancies, where a fertilized egg implants outside the uterus, require prompt intervention. Laparoscopic surgery can remove the ectopic pregnancy while preserving the affected fallopian tube whenever possible.
• Tubal Ligation Reversal: Women who wish to reverse a previous tubal ligation procedure can benefit from laparoscopic tubal reanastomosis, a minimally invasive technique that reconnects the fallopian tubes.
• Cervical Insufficiency: MIGS specialists may use cerclage, a minimally invasive procedure, to treat cervical insufficiency during pregnancy by stitching the cervix closed to prevent premature birth.
• Uterine Septum: A uterine septum, a congenital condition where the uterus is divided by a wall of tissue, can lead to recurrent miscarriages or fertility issues. Hysteroscopic septum resection is used to correct this abnormality.
• Gynecologic Cancer Staging and Treatment: For certain gynecologic cancers, MIGS techniques, such as laparoscopic or robot-assisted surgery, may be employed to stage cancer or perform tumor removal.
• Tubal Ectopic Pregnancy Removal: Ectopic pregnancies occurring within the fallopian tubes can be removed using minimally invasive techniques, preserving the fallopian tube when possible.
• Ovarian Tumors and Cysts: Ovarian tumors and cysts, whether benign or malignant, can often be removed using minimally invasive surgical approaches like laparoscopy.

Common Procedures in MIGS

Common procedures performed in the MIGS department include:

• Laparoscopic Hysterectomy: This procedure involves the removal of the uterus using small incisions and specialized instruments. It can be performed for various indications, such as fibroids, endometriosis, adenomyosis, or abnormal bleeding.
• Laparoscopic Myomectomy: Myomectomy is the surgical removal of uterine fibroids while preserving the uterus. Laparoscopic myomectomy allows for minimal scarring and quicker recovery compared to traditional open surgery.
• Laparoscopic Ovarian Cystectomy: Noncancerous ovarian cysts, such as dermoid cysts or endometriomas, can be removed through small incisions using laparoscopic techniques.
• Laparoscopic Treatment of Endometriosis: Minimally invasive surgery is often used to excise endometriosis lesions from the pelvic organs and tissues, helping to alleviate pain and improve fertility.
• Laparoscopic Treatment of Adhesions: Adhesions are abnormal bands of scar tissue that can form after surgery or due to inflammation. Laparoscopic adhesiolysis involves the removal or separation of these adhesions to relieve pain and restore organ function.
• Hysteroscopic Polypectomy: Hysteroscopy is used to remove uterine polyps through the cervix, avoiding the need for abdominal incisions.
• Hysteroscopic Endometrial Ablation: This procedure is used to treat heavy menstrual bleeding by removing or destroying the uterine lining, often without the need for incisions.
• Hysteroscopic Fibroid Resection: Hysteroscopic myomectomy is performed to remove submucosal uterine fibroids that protrude into the uterine cavity, leading to heavy periods and infertility.
• Diagnostic Laparoscopy: Laparoscopic exploration of the pelvic and abdominal cavity allows for the diagnosis of various gynecological conditions, such as pelvic pain, infertility, or suspected endometriosis.
• Tubal Ligation Reversal (Tubal Reanastomosis): Women who wish to reverse a previous tubal ligation can undergo laparoscopic tubal reanastomosis to reconnect the fallopian tubes.
• Laparoscopic Cerclage Placement: A cervical cerclage is placed laparoscopically to treat cervical insufficiency during pregnancy, helping to prevent premature birth.
• Laparoscopic Removal of Ectopic Pregnancy: Laparoscopy is used to remove an ectopic pregnancy located outside the uterus, typically in the fallopian tube.
• Laparoscopic Sacrocolpopexy: This procedure is used to surgically repair pelvic organ prolapse by supporting the vaginal walls and organs with a mesh sling.
• Laparoscopic Removal of Ovarian Tumors: Ovarian tumors, whether benign or malignant, can be removed laparoscopically, often preserving the ovaries when appropriate.
• Laparoscopic Lymph Node Dissection: In cases of gynecologic cancer, laparoscopic techniques may be used to perform lymph node dissection for staging and treatment purposes.
• Robotic-Assisted Surgery: Minimally invasive procedures can be performed with the assistance of robotic surgical systems, allowing for enhanced precision and control. Robotic surgery is commonly used in complex cases, such as radical hysterectomy for gynecologic cancer.

Advantages of Minimally Invasive Gynecologic Surgery

• Reduced Pain and Discomfort: Smaller incisions result in less trauma to surrounding tissues, leading to reduced postoperative pain and a faster recovery.
• Shorter Hospital Stays: MIGS procedures often allow for shorter hospital stays, and some may even be performed on an outpatient basis, enabling a quicker return to normal activities.
• Faster Recovery Time: Women undergoing MIGS generally experience a quicker recovery compared to traditional open surgery, allowing them to resume their daily routines sooner.
• Minimal Scarring: The small incisions used in MIGS result in minimal scarring, contributing to improved cosmetic outcomes and enhanced patient satisfaction.
• Reduced Risk of Complications: MIGS techniques are associated with lower rates of complications such as infection, bleeding, and adhesion formation.
• Improved Cosmetic Outcomes: Smaller incisions and reduced scarring contribute to improved cosmetic outcomes and higher patient satisfaction.

Call 011-42888888 to book an appointment with a specialist at Sri Balaji Action Medical Institute.