The Division of Minimally Invasive Gynecologic Surgery provides comprehensive care for women with conditions including uterine fibroids, abnormal uterine bleeding, pelvic pain, endometriosis, pelvic organ prolapse, cervical incompetence and ovarian cysts – offering the latest minimally invasive options for these conditions.
We strive to provide a safer and more effective alternative to traditional open surgery by performing the vast majority of our procedures via laparoscopy or hysteroscopy. We get referrals from other providers for complicated cases that would otherwise be performed via a large abdominal incision. We are leaders in developing innovative minimally invasive procedures that offer our patients:
Early return to normal daily activities
Shorter hospital stay
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Our Minimally Invasive Gynecologic Surgery Physicians
Our physicians, all faculty members of Harvard Medical School, are leaders in their fields.
Surgery for advanced endometriosis by our MIGS division
Endometriosis is a chronic inflammatory disease that affects approximately 10% of women and may lead to infertility and severe pain. While medical treatment can be effective for some patients, surgery is required in many cases to alleviate severe symptoms such as pelvic pain, painful periods and painful intercourse.
Surgery for endometriosis can be quite challenging since endometriosis causes adhesions or scar tissue formation which tends to make organs in the pelvis and elsewhere stick together. These surgeries require significant expertise and should ideally be performed by a high-volume surgeon that is comfortable with deep pelvic anatomy.
The BWH MIGS Division specializes in surgery for advanced endometriosis and acts as a referral center for patients with this disease in the New England area and beyond. This includes endometriosis of the bowel, bladder, ureter, diaphragm, appendix and nerves. Our surgeons prefer excision over ablation, i.e. we prefer to cut or remove the lesions rather than burning them, since this provides tissue for pathologic diagnosis and ensures that the entire lesion is removed. We do realize however that pelvic pain can be multifactorial and that unfortunately some patients require additional treatments to be completely symptom free. We therefore collaborate with pelvic floor physical therapists, pelvic pain specialists as well as urogynecologists and gastroenterologists in order to evaluate and address other potential sources of pelvic pain.
Certain procedures can even be performed in the doctor’s office without the need for general anesthesia or a hospital admission.
Our experts also collaborate with other Brigham and Women’s Hospital specialists in urogynecology, gynecologic oncology, pediatric and adolescent gynecology and reproductive endocrinology to offer comprehensive, multidisciplinary care.
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