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Advanced Laparoscopic GYN Techniques Give Women Back Their Lives Faster
Your time is precious. Many women who suffer from complex GYN conditions including fibroids, endometriosis, adenomyosis or ovarian cysts, and who experience period-related pelvic pain or uncontrollable bleeding often put their lives on hold to get through the next bout of these symptoms, but are willing to put off having surgery because of the time necessary for recovery. Recovery from advanced laparoscopic surgical procedures performed by highly trained and experienced specialists actually makes it possible for women to return to their normal lives in about a week.
Delaying Treatment For GYN Conditions Can Lead To Complications
Many women are unaware that delaying treatment for any reason can be doing more harm. Subsequent problems like anemia, infertility and damage to the kidneys, circulatory system, or bowels can develop if these conditions are not treated effectively.
Not All Laparoscopic Surgical Techniques Are Created Equal
It’s important to know that just because your OBGYN or general practitioner recommends one method of surgery, that does not mean it is your only option.
It is always better to have a laparoscopic procedure performed by a GYN surgical specialists rather than an open procedure performed by a low-volume surgeon. Minimally invasive procedures use smaller incisions, which are better for the patient. However, even with laparoscopic surgery, the outcomes are only as good as the surgeon’s experience and training and the technique used. Conventional and robotic techniques are limited by the severity of the condition.
In many cases, hysterectomy, myomectomy, or endometriosis excision are complicated surgeries, and their success depends on the skill of the surgeon, the type of surgery used, and the size, number, and placement of the incisions. As minimally invasive techniques have advanced, incisions can be incredibly small, which helps patients heal faster.
Women Deserve Better Surgery Through High-Volume Surgeons
GYN procedures should be performed by skilled, high-volume laparoscopic specialists.
Andrew Walter, MD stated in his Presidential Address at the 42nd Annual Scientific Meeting of the Society of Gynecologic Surgeons in Palm Springs, CA “Most women undergoing hysterectomy in the United States have their surgery performed by a low-volume gynecologic surgeon. Evidence supports that, when compared to patients operated on by high-volume surgeons, these women have worse outcomes including fewer minimally invasive procedures and increased rates of complications. The factors that promote low-volume surgeons and suggestions for how to change this are reviewed in this Viewpoint.” Every Woman Deserves A High-Volume Gynecologic Surgeon AJOG February 2017.
The American College of OBGYN (ACOG), the premier society in the United States and around the world for OBGYNs and GYN surgical specialists (including GYN Oncology, Maternal Fetal Medicine, Reproductive Endocrinology and Infertility, and Urogynecology), recognizes the growing need for high-volume, focused laparoscopic GYN surgeons who are trained to perform the most modern and advanced minimally invasive techniques. ACOG created a fellowship program in advanced training for gynecology physicians. The American Association of GYN Laparoscopic Surgeons (AAGL) fellowship is sanctioned by ACOG and allows more and more gynecology physicians to be trained in this advanced field.
Advanced Laparoscopic GYN Techniques Make Better Surgical Procedures
Through years of training and experience, the GYN surgical specialists at The Center for Innovative GYN Care (CIGC) have developed advanced laparoscopic techniques for hysterectomy, myomectomy, ovarian cystectomy, endometriosis excision, and removal of pelvic adhesions (internal scarring).
The DualPortGYN® technique makes it possible to perform minimally invasive GYN surgery like hysterectomy in an outpatient setting. Incisions are tiny and placed in cosmetically appealing locations. One 5 mm incision is placed at the belly button, and another 5 mm incision is placed at the bikini line, so they are practically invisible after they heal. These incisions go through the midline, not through muscle, which aids in the recovery.
The LAAM® technique for fibroid removal for fertility combines the best aspects of laparoscopic and open approaches. Using very small incisions, one 5 mm incision at the belly button and one 3 cm incision at the bikini line, the CIGC specialists are able to remove even large fibroids. Through the lower incision, the surgeon can feel all of the fibroids in the uterus to ensure thorough removal.
The advanced techniques used during CIGC procedures make it possible for patients to have very small incisions with remarkable results. Even women who have been told that they must have an open procedure due to the complexity of their case are often candidates for CIGC laparoscopic procedures.
The CIGC techniques make each procedure more efficient so that patients spend less time under anesthesia, return home the same day, have less pain, and recover quicker than conventional laparoscopic or robotic procedures.
Advanced Laparoscopic Techniques Increase Patient Safety
“Removing an enlarged uterus or large fibroids is often problematic for many surgeons because controlling loss of blood is one of the main safety concerns throughout the entire procedure,” said Paul MacKoul, MD. “By using specialized techniques, RP Dissection and Uterine Artery Ligation or Occlusion, we are able to create a safer surgical environment for complex surgeries.”
Retroperitoneal dissection (RP Dissection), and uterine artery ligation/occlusion (UAL) are what set the DualPortGYN and LAAM procedures apart from other laparoscopic GYN procedures. RP Dissection allows the surgeon to map the pelvis, which is essential to protecting all of the delicate structures that can be damaged by performing the surgery. UAL controls the loss of blood, both improving visibility during the procedure and minimizes the need for a blood transfusion. These techniques should only be performed by fellowship-trained laparoscopic specialists.
Choosing an advanced laparoscopic surgical specialist to perform a needed hysterectomy, myomectomy or other GYN procedure can improve the patient’s overall experience, from the initial consultation to the surgery and throughout the recovery. Patients are better informed to make a proper decision about their care with expert guidance. Due to the exceptional recovery from CIGC procedures, women are back to their lives faster with less pain than other laparoscopic or open surgical options.
CIGC is dedicated to providing information and materials for women to help navigate the complicated healthcare system. CIGC minimally invasive GYN surgical specialists Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD developed their advanced GYN surgical techniques using only two small incisions with patients’ well-being in mind. Book a consultation at The Center for Innovative GYN Care or call 888-787-4379.