Minimally Invasive Surgery & Robotic Surgery

Minimally invasive surgery & robotic surgery for fertility treatment at a glance

Surgery to address issues causing infertility can often be performed using minimally invasive techniques that involve smaller incisions and quicker recovery time.
Complex gynecologic conditions related to infertility may be treated with robotic surgery using the da Vinci Surgical System, which allows the surgeon increased dexterity and precision.
Conditions causing infertility that may be treated surgically include uterine fibroids and anomalies, tubal blockage, ovarian cysts, and endometriosis.

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Providence, RI 02903

The role of surgery in treating infertility

Surgery can play a vital role in treating infertility and helping a woman conceive. A fertility doctor may perform a surgical procedure that allows a woman to conceive naturally or increases her odds of success with fertility Hip young couple going for a bike ride on a sunny day in the city_11zon treatments such as IUI (intrauterine insemination) or IVF (in vitro fertilization).

A number of abnormalities and conditions, listed below, can hinder or prevent a woman from getting pregnant. Beyond causing reproductive problems, these abnormalities can produce unpleasant side effects such as chronic pelvic pain and heavy bleeding. Surgical intervention may be the most effective option for providing relief from these symptoms.

When it is determined that surgery may improve a woman’s chances of conceiving, minimally invasive techniques such as laparoscopy and hysteroscopy can often be used. These techniques use small incisions and high-definition cameras that project the area of operation on a monitor rather than large, open incisions traditionally used in surgery. This reduces pain, recovery time, risk of infection, and blood loss, and generally leads to better surgical outcomes.

Patients facing complex diagnoses may also benefit from minimally invasive robotic surgery, which uses computer-controlled instruments that are precisely guided by the surgeon.

Minimally Invasive Gynecologic Surgery (MIGS)
At Women & Infants Hospital

We want to be your partner in making surgical decisions to improve your quality of life. Individuals with complex cases are referred to MIGS at Women & Infants Hospital. Our experts will help guide you through the operative experience, from the initial consultation to recovery.

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Types of surgeries that address infertility

There are several surgical approaches for treating conditions contributing to infertility. Ultimately, the surgeon will discuss these options with the patient and explain the recommended method based on the patient’s specific condition and its severity. Minimally invasive techniques such as laparoscopy and hysteroscopy often lead to improved outcomes and faster healing time, but there are certain cases in which laparotomy (open surgery with larger incisions) is the best course of action.

Laparoscopy

Surgeries performed laparoscopically use a long, thin device called a laparoscope. It is inserted through a small incision, typically 5 to 10 mm (about ¼” to ½”). The device is outfitted with a small, HD camera that sends a live feed to a monitor in the operating room. The surgeon may use other specially-designed tools along with the laparoscope, often making one or more additional small incisions in the same area. Laparoscopy may be used to treat many conditions that contribute to infertility including ovarian cysts, fibroids and endometriosis.

Hysteroscopy

The hysteroscope is a slender device that is inserted vaginally through the cervix and into the uterus. It allows the doctor view the inside of the uterus without making any incisions. There is a light on the end that is inserted, and an eyepiece on the opposite end.

Diagnostic hysteroscopy is used to view and diagnose abnormalities such as uterine bleeding, uterine fibroids, endometrial scarring and endometrial polyps. Operative hysteroscopy can often then be used to treat the abnormalities. Hysteroscopy is sometimes used in conjunction with laparoscopy.

Da Vinci robotic surgery

The da Vinci Surgical System is a robotic machine that allows the surgeon to perform complex gynecologic surgeries using minimally-invasive techniques. It improves the surgeon’s control and access, offering increased dexterity, precision and vision compared with traditional laparoscopy.

Laparotomy (open surgery)

In a few cases minimally invasive or robotic surgical techniques are not the best way to address a condition. In these cases a laparotomy, which is a surgery involving a larger incision that grants the surgeon direct access, may be the best technique. A gynecologic surgeon specializing in fertility issues can help a patient make the best choice regarding the approach to surgery.

Conditions causing infertility that may be treated surgically

Outlined below are some of the more common infertility-causing conditions that can be surgically addressed.

Uterine fibroids

Fibroids are muscular growths in any part of the uterine wall. Whether they are symptomatic or cause infertility depends on their size, number and location. In far greater than 99 percent of cases, they are benign (noncancerous). They affect up to 1 in 5 women of reproductive age, and for many women they do not cause symptoms. However, they can cause infertility and have a negative effect on IVF outcomes.

Surgery to remove uterine fibroids is called myomectomy. Fibroids are one of the most common reasons that patients at Women & Infants Fertility Center receive surgery.

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Minimally Invasive Surgery & Robotic Surgery for Fertility Treatment