Minimally Invasive Surgery
Surgeries We Perform
Drs. DeNoble and Damian-Coleman perform gynecologic surgeries using minimally-invasive surgical techniques. This includes both the use of laparoscopy and robotic surgery with the daVinci Robotic system.
Hysterectomy is a surgical procedure where the uterus is removed as a definitive way to treat conditions including uterine fibroids, endometriosis, chronic pelvic pain, abnormal uterine bleeding, adenomyosis, and uterine prolapse. Many of these conditions can be treated without surgery or a hysterectomy and should be considered first, especially in a woman who wants to preserve her fertility since pregnancy is not possible after a hysterectomy treatment.
Myomectomy is a surgical procedure where we remove tumors called fibroids from the uterus, but leave the uterus in place. This is usually done in order to preserve the uterus and preserve the potential for pregnancy. Myomectomy can be performed in a number of ways, depending on the number and size of the fibroids and their location.
An ovarian cystectomy is where an ovarian cyst (a fluid‐filled sac in or on the ovary) is removed. Minimally invasive laparoscopic surgical techniques are usually used to remove these cysts.
Endometriosis is a condition where the tissue that lines the uterine cavity grows outside of the uterus, most commonly in the peritoneum, ovaries, fallopian tubes, behind the uterus, and on the surfaces of the uterus, bladder, rectum or intestines. The most common symptom of endometriosis is chronic pain in the pelvis, usually right before or during the menstrual period. Women with endometriosis may also have urinary symptoms and pain with urination, or pain during bowel movements. Because of the inflammation and scarring associated with endometriosis, there may be difficulty in getting pregnant. Surgical treatment of endometriosis can help relieve or improve pain, and can restore fertility.
Endometrial ablation is performed to treat heavy uterine bleeding, as an alternative to hysterectomy when medical treatment has failed or is not desired. This procedure should not be done if a woman wants to get pregnant.
Pelvic organ prolapse repair is performed to treat a bulging of the uterus, bladder or intestines in the vagina.
Hysteroscopy is performed using a long, thin camera placed into the uterine cavity. It allows us to diagnose problems inside the uterus and to remove fibroids, cut away septums, and/or to remove scarring.