GBMC offers an array of minimally invasive procedures for both benign and malignant gynecologic conditions.
Laparoscopy, a surgical technique where a small camera, usually between 5 and 10 mm (less than ½ inch), is inserted into a patient's abdomen for the purpose of the visualization of the pelvic and abdominal anatomy, diagnosis of a disease condition, and treatment of such condition by a minimally invasive approach. Several small incisions (less than ¼ inch) are made in the bikini line for the introduction of laparoscopic instruments, such as laparoscopic scissors or scalpel. Multiple gynecologic procedures and surgeries that are routinely done by an open technique can be potentially done by laparoscope, including:
- Removal of the uterus (laparoscopic hysterectomy)
- Removal of the fibroids (laparoscopic myomectomy)
- Surgical treatment of ovarian cysts (laparoscopic cystectomy)
- Treatment of urinary and fecal incontinence and pelvic organ prolapse
- Treatment of endometriosis and pelvic pain
GBMC was one of the first hospitals in Maryland to perform GYN robotic surgery. The da Vinci® surgical system allows surgeons to operate through small, dime-sized incisions and direct robotic arms to perform the surgery with a variety of tiny surgical instruments. Seated at a console, the physician views the surgical site through a tiny endoscopic camera.
- Cancer staging (cervical, endometrial and ovarian)
- Hysterectomy for large fibroid uteri
- Treatment of endometriosis
- Removal of pelvic masses
Laparoendoscopic single site surgery (LESS) is an advanced minimally invasive approach in which the surgeon operates through a single entry point, typically the patient's navel. LESS surgery is associated with better cosmetic results from a hidden scar at the base of the belly button, results in less pain, faster recover time, and fewer complications.
Dr. Amanda Nickles Fader is one of only a handful of gynecologic surgeons in the country trained on the LESS procedure.
LESS surgery can be used for:
- Ovarian cysts
- Pelvic masses
- Ovary removal
- Early stage endometrial and ovarian cancer