MIGS 101: Minimally Invasive Gynecologic Surgeries

It can be extremely overwhelming to deal with reproductive issues, especially those that may require surgery. Luckily, years of extensive research have advanced the understanding of gynecologic health, leaving more treatment options than ever before. Minimally invasive gynecologic surgeries (MIGS) are groundbreaking procedures revolutionizing women’s healthcare. As the focus has shifted away from traditional open surgeries in the United States, MIGS has emerged as a pivotal advancement in gynecological procedures. In this blog, we will explore what minimally invasive gynecologic surgeries are, their significance in women’s health, and the specialized services we offer at Essex County OB/GYN. 

What are Minimally Invasive Gynecologic Surgeries?

Minimally invasive gynecologic surgery is an approach in which specialized tools and techniques are used to make small incisions. These incisions are usually less than an inch in size, setting these procedures apart from traditional open surgery which uses large incisions to cut through muscle and other tissue. There are three main types of minimally invasive gynecologic surgeries:

  • Laparoscopic: These video-guided procedures require three to four small incisions. One incision is for a long, thin tube with a camera attached, and the others are for the tools needed to perform the procedure. 
  • Hysteroscopic: In this type of procedure, a hysteroscope, which is a long, narrow telescope-like instrument with a camera attached, is inserted through the vagina and cervix. This allows the surgeon to visualize and evaluate the uterus and affected areas without an incision. Small surgical tools can be inserted through the hysteroscope to perform the necessary procedure.
  • Robotic: This approach is similar to laparoscopic procedures as it is video-guided and requires three to four small incisions: one for a magnified, HD, 3D camera, and the others for the robotic instruments. The difference is in how the tools are controlled. Surgeons use a tool called the da Vinci Surgical System, where they control the various instruments and the camera from a console located next to the patient in the operating room. The automated robotic tools increase accuracy and precision, allowing surgeons to operate on cases that may be too complex for traditional laparoscopic procedures.

Essex County OBGYN Minimally Invasive Gynecology Team – (From Left to Right) Dr. Courtney Fox, Amanda Saxton, PA-C and Andrea Twomey, PA-C

Why is MIGS important?

The goal of minimally invasive gynecologic surgery is for a quicker recovery to allow women to return to function and their normal routines much sooner than with prior laparotomy techniques. The small incisions and techniques used during minimally invasive procedures also allow for shorter hospital stays, less painful recoveries, less scarring, and reduced costs. 

What We Offer at Essex County OB/GYN

Essex County OB/GYN is proud to have Dr. Courtney Fox on our team of physicians. Dr. Fox is a fellowship-trained minimally invasive gynecologic surgeon, meaning she completed two additional years of surgical training in a high-volume center to gain complex gynecologic surgery skills. In addition to being board certified in obstetrics and gynecology, she utilizes minimally invasive surgery techniques with laparoscopy, robotics, and hysteroscopy, as well as conventional vaginal surgery to manage complex pathologies. 

Common pathologies that can be managed with minimally invasive surgery are endometriosis excision surgery, management of fibroids, fertility surgery, and pelvic organ prolapse repair.

Dr. Courtney Fox

At Essex County OB/GYN, our commitment to excellence ensures our patients receive cutting-edge, comprehensive care personalized to their needs. By embracing innovation and expertise, we are proud to stand as your trusted partner in maintaining optimal health throughout your lifetime with the latest advancements in minimally invasive gynecologic surgeries. Contact us today to book an appointment.

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