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Minimally Invasive Surgery

Consistent with A Bella Baby OBGYN’s mission to promote healing and wellness for women, when surgery is necessary Dr. Caruso advocates minimally invasive surgery to resolve gynecologic conditions. This allows women to promptly  return to work and resume their activities of daily living.

Minimally invasive surgery is any surgical procedure that avoids the large traditional incision. Often, minimally invasive surgery can be scheduled as an outpatient procedure, thereby allowing the woman to return home the day of surgery.

In Gynecology and Reproductive surgery, Laparoscopy is the minimally invasive method utilized whereby small 5mm incisions in the abdomen are made through which the camera and instruments are placed to perform the procedure. Dr.
Caruso offers a range of minimally invasive surgical techniques, including laparoscopy, hysteroscopy, and  inilaparotomy approaches.

Dr. Caruso utilizes minimally invasive surgery for several specific gynecologic conditions, including:

Uterine Fibroids: the removal of these benign growths is called myomectomy and is an alternative to hysterectomy. The fibroids are removed while the uterus is left intact. This allows women to preserve and, sometimes improve, their fertility.

Endometriosis: this is a condition where in the tissue that is normally found on the inner lining of the uterus actually grows on outside your uterus and throughout the pelvis. These growths often attach to the ovaries or other pelvic organs, and cause increased pain and scarring. This often leads to infertility. Recent studies show that removal of endometriosis may result in reduced incidence of cancer in these women. Endometriosis is particularly amenable to
minimally invasive surgery, including the robotic platform.

Polycystic Ovarian Disease (PCOD): this condition is a complex metabolic and hormone disturbance and is relatively common in women. PCOD is a cause of anovulation, that is, a lack of regular, cyclic ovulation. Women can experience long cycles without periods, sometimes then leading to prolonged irregular bleeding. It also is commonly accompanied by increased male hormone levels being produced by the ovary. This frequently results in infertility.

When medical approaches fail to resolve PCOD, Bilateral Ovarian Diathermy helps to restore the ovary to its normal function. This condition is also particularly suited to minimally invasive surgery.
Hysterectomy: this is removal of the uterus. In cases where significant disease in the uterus is encountered, and when childbearing is completed, then hysterectomy is a reasonable option for women. Examples of such cases include
large or multiple fibroids, adenomyosis, endometriosis, or abnormal uterine bleeding refractory to conservative measures. Again, minimally invasive surgery may allow faster recovery and return to normal life. Of course, this is only recommended when all conservative methods fail.

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