Minimally Invasive Procedures Easier on Patients
At Capital Women’s Care Howard County, our board-certified and board-eligible ob/gyn physicians offer the latest minimally invasive procedures as a management option for some issues. There are generally shorter recovery times than with conventional surgical techniques and less scarring. Some minimally invasive techniques include:
Hysteroscopy – This is a procedure during which a small telescope is inserted into the uterus, through the vagina, in order for the gynecologist to see inside the uterus. It is used for diagnosing and/or treating a variety of gynecologic problems. Several of the procedures below use hysteroscopy.
Hysteroscopic sterilization – An alternative to tubal ligation, hysteroscopic sterilization (using Essure®) is a permanent birth control solution that does not require any incisions. It is performed at the outpatient surgery facility at Howard County General Hospital (Ambulatory Care Center) under sedation (a light general anesthesia). Recovery time is minimal for most women; they return to their regular routine the following day. Essure is highly effective for birth control, allowing freedom and peace of mind. For more information on Essure, visit essure.com.
Endometrial ablation – A procedure to manage heavy uterine bleeding. It has eliminated the necessity for some women to have a hysterectomy. A hysteroscope is inserted into the uterus, through the vagina; there are no incisions. Energy is then delivered to the lining of the uterus and this layer of tissue is destroyed. The delivery of energy can be accomplished in several different ways; the physician and patient decide which is best in her particular case. NovaSure®, ThermaChoice® and Hydro ThermAblator® are examples of the systems used to deliver energy. Generally downtime is only a day or two. Most women have shorter, lighter periods after this procedure and in some women the periods stop completely.
Laparoscopy – Used for diagnosis and/or treatment of intra-abdominal issues (as opposed to hysteroscopy which assesses intrauterine issues). It requires a general anesthetic and may be an outpatient procedure or require a hospital stay, depending on the extent of the findings and procedure. Ovarian cysts, endometriosis and ectopic pregnancy are some of the conditions that may be managed with laparoscopic techniques.
Laparoscopic hysterectomy – When hysterectomy is the planned course of action, many factors go into the decision of how to approach the procedure. A “traditional” abdominal hysterectomy involves a 4- to 6-inch (approximate) incision in the abdomen and a longer hospital stay and recovery but is still recommended in some specific situations. In many cases, however, a minimally invasive approach can be planned. Vaginal hysterectomy requires no incisions (the uterus is removed through the vagina) and a laparoscopic hysterectomy uses three small incisions (two about ½ inch in size and one up to 2 inches) to accomplish removal of the uterus.
Learn more about minimally invasive gynecologic procedures at Capital Women’s Care Howard County. Call 410-531-7557 or use our online Request an Appointment form to make an appointment. Our MIS patients come to us from Fulton, Laurel, Maple Lawn, Columbia and Ellicott City in Howard County, MD and nearby communities.