Other laparoscopic techniques for GYN surgery are limited in what conditions can be treated. Without performing techniques that control for blood loss or improve visibility, standard laparoscopic techniques have a higher incidence of complications and lower positive patient outcomes than CIGC techniques.
The Center for Innovative GYN Care is committed to providing the best patient results for treatment of complex GYN conditions. For that reason, it is important for patients to understand why we only perform and only recommend DualPortGYN and LAAM procedures for hysterectomy, myomectomy (fibroid removal), cystectomy, prolapse repair and other complex GYN procedures.
In order to make the best decision, it’s important to have all of the facts.
Two retrospective studies were performed at a local Maryland hospital to compare surgical techniques for hysterectomy and myomectomy procedures.
In the comparison of 2,568 patients who underwent a laparoscopic hysterectomy procedure (the review included patients who had DualPortGYN, Robotic or standard laparoscopic surgery), DualPortGYN (also known as laparoscopic retroperitoneal hysterectomy or LRH) clearly showed the best patient outcomes with the lowest complication rates, and 0% conversion to open surgery.
STANDARD LAPAROSCOPIC HYSTERECTOMY
There is a comparatively high rate of conversion to open procedures from standard laparoscopic hysterectomy procedures. Within the study, there were no conversions to open procedures from DualPortGYN hysterectomies. In addition, there are more complications during and after surgery from standard laparoscopic procedures than DualPortGYN procedures.
Complications during and after robotic hysterectomies are higher than DualPortGYN. These complications can result in longer hospital stays or need for surgical reintervention to repair damage to delicate structures within the pelvic cavity.
In the comparison of 1,313 patients who underwent a myomectomy (the review included patients who had LAAM, robotic, standard laparoscopic or open myomectomy procedure), LAAM (laparoscopic assisted abdominal myomectomy), showed the best patient outcomes, including removal of large fibroids.
STANDARD LAPAROSCOPIC MYOMECTOMY
This technique for fibroid removal has the highest rate of conversion to a mini-laparotomy or laparotomy (open) procedure. There are more complications during surgery and after standard laparoscopic myomectomy than LAAM. Standard procedures rank just below open procedures in terms of complications.
Robotic approaches to fibroid removal have a high rate of conversion to a mini-laparotomy or open procedures. Complications during and after surgery for robotic procedures are higher than LAAM procedures.