minimally invasive Gynecological Surgeries in Washington DC
Endometriosis is a painful and chronic disease of pre-menopausal women. Extensive disease, scarring, and pain can prompt a series of surgeries and compromised quality of life. Our gynecologic surgeons have the expertise to manage the most complex cases, including involvement of the bowel, bladder, and extra pelvic endometriosis. They use a multidisciplinary approach collaborating with specialties such as colorectal surgery, urology, thoracic surgery, pelvic floor physical therapy, and chronic pain specialists.
There is no single recommended approach to dealing with uterine fibroids. When medications have failed to resolve a woman’s heavy or prolonged periods, pain, urinary incontinence or constipation, she may be a candidate for myomectomy. A thorough exam using flexible hysteroscopy, saline infusion sonography or MRI will helps establish an appropriate plan.
Most myomectomies can be performed minimally invasively using hysteroscopic, laparoscopic, robotic, and mini-laparotomic techniques.
Our surgeons are nationally recognized for their expertise in laparoscopic suturing. They understand the importance of careful uterine repair to help ensure successful pregnancy after treatment.
Fibroid radiofrequency ablation (Acessa)
Laparoscopic and ultrasound guided radiofrequency ablation of fibroids was recently FDA approved for the management of uterine fibroids as an alternative to hysterectomy and myomectomy. A thorough exam using flexible hysteroscopy, saline infusion sonography or MRI will help establish candidacy for this option.
A majority of patients are treated either laparoscopically or vaginally. Laparoscopic removal of even the largest uterus is completed by blending vaginal surgery, robot assisted laparoscopy, and more common two-to four-incision laparoscopy.
Alternatives to Hysterectomy
No two patients are the same. Our physicians emphasize exploring all reasonable conservative options to manage symptoms — including hormone treatments to control bleeding and pain, progesterone IUDs, office--based endometrial ablation, fertility sparing endometriosis excision, myomectomy, and radiofrequency ablation of uterine fibroids.
Prior surgery or infection can cause uterine scarring which compromises a woman’s ability to conceive. Our physicians are experienced in releasing these adhesions to restore fertility and can perform these procedures both in the office and in a hospital setting.