Research on Non-CIGC Laparoscopic GYN Procedures
Other laparoscopic techniques for GYN surgery provide limited results for successfully treating complex GYN conditions. Without performing techniques that control for blood loss or improve visibility, standard laparoscopic techniques have a higher incidence of complications and less chance of positive patient outcomes than The Center for Innovative GYN Care® (CIGC®) techniques.
Non-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 recommend and perform DualPortGYN® and LAAM® procedures for hysterectomy, myomectomy (fibroid removal), cystectomy, prolapse repair, and other complex GYN procedures.
In order for you to make the best decision, it’s important to have all of the facts.
Two retrospective studies were performed at a hospital in Maryland, USA, to compare surgical techniques for hysterectomy and myomectomy procedures.
Hysterectomy
In the comparison of 2,689 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 percent conversion to open surgery.
Hysterectomy Complications from Local Hospital Study
|
LRH (CIGC) N=756 |
Standard N=1236 |
Robotic N=576 |
|
|---|---|---|---|
| Intraop comp, N (%) | 17 (2.2%) | 71 (5.7%) | 31 (5.4%) |
| PostOp Comp, N (%) | 24 (3.2%) | 81 (6.6%) | 62 (10.8%) |
| Convert to open, N (%) | 0 (0.0%) | 13 (1.1%) | 1 (0.2%) |
|
LRH (CIGC) N=756 |
Standard N=1236 |
|---|---|
|
Intraop comp, N (%) 17 (2.2%) |
Intraop comp, N (%) 71 (5.7%) |
|
PostOp Comp, N (%) 24 (3.2%) |
PostOp Comp, N (%) 81 (6.6%) |
|
Convert to open, N (%) 0 (0.0%) |
Convert to open, N (%) 13 (1.1%) |
|
LRH (CIGC) N=756 |
Robotic N=576 |
|---|---|
|
Intraop comp, N (%) 17 (2.2%) |
Intraop comp, N (%) 31 (5.4%) |
|
PostOp Comp, N (%) 24 (3.2%) |
PostOp Comp, N (%) 62 (10.8%) |
|
Convert to open, N (%) 0 (0.0%) |
Convert to open, N (%) 1 (0.2%) |
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.
Robotic Hysterectomy
Complications during and after robotic hysterectomies are higher than DualPortGYN. These complications can result in longer hospital stays or a need for surgical reintervention to repair damage to delicate structures within the pelvic cavity.
Myomectomy
In the comparison of 1,313 patients who underwent a myomectomy (the review included patients who had LAAM, robotic, standard laparoscopic, or open myomectomy procedures), LAAM (laparoscopic-assisted abdominal myomectomy) showed the best patient outcomes, including the removal of large fibroids.
Myomectomy Complications from Local Hospital Study
|
LAAM (CIGC) N=308 |
Standard N=163 |
Robotic N=156 |
Open N=686 |
|
|---|---|---|---|---|
| Intraop comp, N (%) | 12 (3.9%) | 8 (4.9%) | 10 (6.4%) | 64 (9.3%) |
| PostOp Comp, N (%) | 17 (5.5%) | 17 (10.4%) | 9 (5.8%) | 85 (12.4%) |
| PostOp Blood Transfusions, N (%) | 19 (6.2%) | 7 (4.3%) | 6 (3.8%) | 130 (19.0%) |
| Convert to Minilap or Open, N (%) | 2 (0.7%) | 58 (35.6%) | 37 (23.7%) | N/A |
| Convert to Minilap, N (%) | N/A | 31 (19.0%) | 27 (17.3%) | N/A |
| Convert to open, N (%) | 2 (0.7%) | 27 (16.6%) | 10 (6.4%)* | N/A |
|
LAAM (CIGC) N=308 |
Standard N=163 |
|---|---|
|
Intraop comp, N (%) 12 (3.9%) |
Intraop comp, N (%) 8 (4.9%) |
|
PostOp Comp, N (%) 17 (5.5%) |
PostOp Comp, N (%) 17 (10.4%) |
|
PostOp Blood Transfusions, N (%) 19 (6.2%) |
PostOp Blood Transfusions, N (%) 7 (4.3%) |
|
Convert to Minilap or Open, N (%) 2 (0.7%) |
Convert to Minilap or Open, N (%) 58 (35.6%) |
|
Convert to Minilap, N (%) N/A |
Convert to Minilap, N (%) 31 (19.0%) |
|
Convert to Open, N (%) 2 (0.7%) |
Convert to Open, N (%) 27 (16.6%) |
|
LAAM (CIGC) N=308 |
Robotic N=156 |
|---|---|
|
Intraop comp, N (%) 12 (3.9%) |
Intraop comp, N (%) 10 (6.4%) |
|
PostOp Comp, N (%) 17 (5.5%) |
PostOp Comp, N (%) 9 (5.8%) |
|
PostOp Blood Transfusions, N (%) 19 (6.2%) |
PostOp Blood Transfusions, N (%) 6 (3.8%) |
|
Convert to Minilap or Open, N (%) 2 (0.7%) |
Convert to Minilap or Open, N (%) 37 (23.7%) |
|
Convert to Minilap, N (%) N/A |
Convert to Minilap, N (%) 27 (17.3%) |
|
Convert to Open, N (%) 2 (0.7%) |
Convert to Open, N (%) 10 (6.4%)* |
|
LAAM (CIGC) N=308 |
Open N=686 |
|---|---|
|
Intraop comp, N (%) 12 (3.9%) |
Intraop comp, N (%) 64 (9.3%) |
|
PostOp Comp, N (%) 17 (5.5%) |
PostOp Comp, N (%) 85 (12.4%) |
|
PostOp Blood Transfusions, N (%) 19 (6.2%) |
PostOp Blood Transfusions, N (%) 130 (19.0%) |
|
Convert to Minilap or Open, N (%) 2 (0.7%) |
Convert to Minilap or Open, N (%) N/A |
|
Convert to Minilap, N (%) N/A |
Convert to Minilap, N (%) N/A |
|
Convert to Open, N (%) 2 (0.7%) |
Convert to Open, N (%) N/A |
Standard Laparoscopic Myomectomy
This technique for fibroid removal has the highest rate of conversion to a minilaparotomy or laparotomy (open) procedure. There are more complications during and after standard laparoscopic myomectomy than LAAM. Standard procedures rank just below open procedures in terms of complications.
Robotic Myomectomy
Robotic approaches to fibroid removal have a high rate of conversion to a minilaparotomy or open procedures. Complications during and after surgery for robotic procedures are higher than LAAM.
