Procedures

Procedures

CIGC Procedures

At The Center for Innovative GYN Care® (CIGC®), our specially trained, advanced laparoscopic experts have redefined the meaning of minimally invasive GYN surgery. We have developed groundbreaking techniques such as DualPortGYN® and LAAM® that use small, strategically placed incisions to minimize pain and reduce recovery time. Our surgical procedures can treat all GYN conditions at all levels of severity.

Myomectomy

A myomectomy is normally an invasive open surgical procedure that removes fibroids while leaving the uterus intact in order to maintain fertility. At CIGC, we take the worry out of this procedure, with our advanced LAAM-BUAO® technique. Our specialists perform minimally invasive myomectomies in an outpatient setting using only two small incisions. The LAAM procedure is as effective as open surgery, but requires a shorter recovery time of only two weeks. Pain and recovery time are optimized, while complications associated with the procedure are greatly minimized. LAAM can be used for most cases of myomectomy providing an effective minimally invasive option without a large open incision or multiple robotic incisions.

Hysterectomy

We have developed the exclusive DualPortGYN procedure to minimize pain and reduce recovery time for hysterectomies. DualPortGYN is faster and more efficient than the standard laparoscopic or robotic surgical procedures and is among the safest and most effective minimally invasive gynecological surgeries available worldwide.

Endometriosis Excision

Endometriosis excision is a complicated surgical procedure, often removing disease that may involve the bladder, bowel, or ureters, as well as the ovaries and uterus. It is essential that the disease is resected, not just cauterized, to ensure all is removed. As surgical specialists, the physicians at CIGC are trained to treat all stages of endometriosis. Patients should always seek out a surgical specialist for the removal of endometriosis to ensure that the entire disease is resected and cauterization is not used. Our advanced DualPortGYN technique is utilized for this procedure, using only two to three tiny incisions to minimize pain. Endometriosis excision is the gold standard approach in managing endometriosis. Although there is no cure for this disease, surgical resection followed by medical management will help to control pain and bleeding, and is a positive step toward fertility and pregnancy.

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Ovarian Cystectomy

The type of surgical treatment you receive for an ovarian cyst depends on its condition and also on whether or not you wish to maintain fertility. When you visit CIGC, we will ensure that you are aware of all of your treatment options, as well as the potential risks and side effects of each.

Resection of Pelvic Adhesions

Advanced GYN surgical expertise is needed for pelvic adhesions, which are usually caused by multiple pelvic/abdominal surgeries, infection, or endometriosis. Our specialists use advanced minimally invasive surgical techniques that provide excellent care with a rapid recovery. The ability to “lyse” or remove adhesions is one of the most important factors leading to a successful laparoscopic surgery. A well-trained surgeon can remove adhesive diseases, “normalize” anatomy in the pelvis, and avoid conversion to open surgery to ensure patients do not have a prolonged recovery time of eight weeks. CIGC physicians have extensive training in laparoscopic lysis of adhesions to ensure that procedures are completed successfully through minimally invasive surgery.

Hysteroscopy

Hysteroscopy is a procedure in which a long thin camera is inserted into the uterus through the vagina and can be diagnostic or operative. Hysteroscopic removal of fibroids is very effective for smaller fibroids involving the cavity. Hysteroscopy can also be used to sample the uterine lining and to remove polyps. For patients with scarring to the cavity, CIGC physicians have developed protocols to allow for “lysis” or removal of scarring to the cavity, followed by intrauterine balloon placement to prevent adhesion reformation. The procedure is followed by high-dose estrogen therapy which helps to restimulate the lining. This protocol, usually for fertility patients with known scarring to the cavity, helps to regenerate the uterine lining and create a more successful environment for embryo implantation during IVF procedures and for spontaneous pregnancy.

Hormone Replacement Therapy

Many patients are candidates for hormone replacement therapy (HRT). Hysterectomy patients, for example, that are near menopausal age may often decide to remove the ovaries to prevent the development of ovarian cancer or cysts. In these patients, the ovaries are producing low levels of estrogen, which can cause various menopause-related symptoms. Estrogen can be used safely in some patients who have had a hysterectomy, with no increased risk of breast cancer, heart disease, and other complications usually associated with estrogen therapy when the uterus is present. CIGC surgeons often treat menopausal patients who may be candidates for estrogen replacement therapy.

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