Crouse Hospital

736 Irving Avenue / Syracuse, NY
315-470-7582

Gynecologic Surgery

Your doctor may recommend surgery if you have been diagnosed with fibroid tumors, endometriosis, excessive menstrual bleeding, pelvic prolapse or cancer.

Gynecologic surgery is often performed using either traditional open surgery or minimally invasive surgery.

Open Surgery

Open surgery, also called laparotomy, is any surgical procedure in which a large cut/incision is made to reach your organs. The incision must be large enough for your surgeon to fit his or her hands and surgical instruments inside your body.

With gynecologic surgery, the incision can be horizontal or vertical. Many women are familiar with the horizontal incision (also called a "bikini" incision) since it is commonly used for a C-section.

Open surgery is used worldwide for many gynecologic conditions. However, there are some drawbacks due to the large abdominal incision and noticeable scarring.

Minimally Invasive Surgery

Laparoscopy - The most common minimally invasive surgery is laparoscopy. Instead of a large open incision, surgery is done through a few small incisions using a tiny camera and long, thin surgical instruments. The camera takes images inside your body and those images are sent to a video monitor which guides surgeons as they operate.

da Vinci® Surgery - If you are considering gynecologic surgery, ask your doctor about minimally invasive da Vinci Surgery. da Vinci surgeons make just a few small incisions instead of a large incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.

PN 1002181 Rev. B 01/2014

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures. Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions. If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary. Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. Other options may be available. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed. For more complete information on surgical risks, safety, and indications for use, please refer to www.davincisurgery.com.

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