Minimally Invasive GYN Surgery

  • Hysteroscopy
    • A minimally invasive surgical procedure in which a lighted instrument (hysteroscope) is inserted into the uterus.  The image is then viewed on a screen.  It is used to diagnose and treat disorders of the uterus, such as polyps or fibroids in the uterine wall.  It is also used in sterilization procedures.
  • NovaSure® Endometrial Ablation
    • www.novasure.com
    • This minimally invasive surgical procedure is used to treat heavy menstrual bleeding without hormones or hysterectomy.
    • It is a fast procedure that can be done in the office or hospital.
    • It is an alternative to a hysterectomy.
  • Laparoscopic Gynecological Surgery
    • This is a minimally invasive surgical procedure in which a lighted instrument (laparoscope) and surgical instruments are placed into the belly through one to three small incisions.
    • Laparoscopy offers better anatomical visualization, reduces operative complications, reduces cost, reduces recovery time and leaves a better scar.
  • Hysterectomy
    • Abdominal Hysterectomy
      • Even in experienced surgical hands, it may be necessary to remove a large uterus through a horizontal or vertical incision in the belly.
    • Laparoscopic Assisted Vaginal Hysterectomy (LAVH)
      • Part of the surgery is done laparoscopically with the uterus and cervix removed through the vagina.
    • Vaginal Hysterectomy
      • The uterus and cervix are removed with the entire surgery being done through the vagina.  There is no visible surgical scar.
  • Laparoscopic Tubal Sterilization via Bilateral Salpingectomy (Removal of Both Fallopian Tubes)
    • Sterilization is meant to be irreversible. It will permanently prevent you from naturally conceiving a child. Sterilization should only be done by women who have completed their family or who never desire to have children or who have medical conditions in which pregnancy is not recommended. It can be done legally after age 21.
    • There are many minimally invasive ways in which your obstetrician and gynecologist may perform female sterilization. However, Dr. Chambers now offers only one method based on the results of recent research.
    • Recent clinical data suggests that certain ovarian cancers (serous, endometrioid and clear cell carcinomas) originate from the fallopian tubes and endometrium.
    • As a result, Dr. Chambers has modified his practice and only offers bilateral salpingectomy (removal of both fallopian tubes) for tubal sterilization. Bilateral salpingectomy is also the method used by Dr. Chambers at Cesarean section.
    • See “Salpingectomy for Ovarian Cancer Prevention,” ACOG Committee Opinion #620, Obstet Gynecol 2015 (Jan); 125 (1): 279-81.
    • A small incision (about 0.5 cm in size) is made in your navel along with two other small incisions (about 0.5cm in size) in your lower abdomen; one is placed near your right iliac crest and the other near your left iliac crest. You can locate your iliac crests by placing your hands on your hips.
    • The fallopian tubes are removed through these small incisions in your lower abdomen. Your uterus remains so you will still have your monthly period. Your ovaries remain so you will not go through menopause.