Women's Health Services

NewYork-Presbyterian Women's Health Services

Minimally Invasive Gynecologic Surgery

Ranked #4 Nationally for Gynecology by U.S. News & World Report

At NewYork-Presbyterian, our experienced gynecologic surgeons provide the most advanced surgical care, including the latest minimally invasive techniques such as laparoscopy and robotic-assisted surgery, to treat a wide range of gynecologic disorders, including pelvic pain, endometriosis, abnormal bleeding, and fibroids.

With subspecialty expertise in minimally invasive surgery, including laparoscopic and robotic techniques, endometriosis, fibroids, and pelvic reconstructive surgery, our gynecologic surgeons offer individualized, comprehensive, and compassionate care to women of all ages with the most complex gynecologic conditions. Our goal is to empower women to address their condition with the least invasive surgical approaches that minimize complications and recovery times, so they can achieve optimal health and quality of life.

What is minimally invasive gynecologic surgery?

Minimally invasive gynecologic surgery is transforming the treatment of the entire spectrum of gynecologic conditions. Compared with traditional, or “open” surgery, minimally invasive gynecologic surgery such as laparoscopy and robotic-assisted surgery involves one or a few tiny incisions that surgeons use to insert surgical equipment and a camera for viewing. These less invasive procedures result in less pain, less blood loss, fewer and smaller incisions, less risk of infection, shorter hospitalization, and faster recovery. Additionally, the smaller incisions result in better cosmetic results and minimal scarring. These procedures are typically performed on a same-day, outpatient basis.

Types of minimally invasive gynecologic surgery

Our gynecologic surgeons use a variety of minimally invasive surgery:

  • Hysteroscopy: A hysteroscope (a slim, light-transmitting telescope) views and operates inside the uterus.
  • Laparoscopy:   A light-transmitting laparoscope (telescope) views the abdomen and pelvis and allows surgeons to perform procedures without making major incisions.
  • Robotic-assisted laparoscopic surgery: Provides the surgeon with greater agility and enhanced, high-resolution 3D imaging to perform delicate procedures with greater control and precision.
  • Vaginal access minimally invasive surgery: Uses the vaginal opening to access organs in the pelvic cavity and requires no abdominal incisions.

Gynecologic conditions we treat

At NewYork-Presbyterian, our gynecologic surgeons have subspecialty training in minimally invasive surgical techniques to treat a wide spectrum of gynecologic conditions:

  • Endometriosis
  • Fibroids
  • Ovarian cysts
  • Abnormal uterine bleeding
  • Chronic pelvic pain
  • Pelvic adhesions
  • Pelvic organ prolapse
  • Cervical disorders
  • Stress urinary incontinence
  • Congenital (Mullerian) anomalies

Our Approach to Care

Advanced gynecologic surgical care that is individualized, comprehensive, and compassionate

Doctor speaking with patient

One of our greatest assets is the compassionate care delivered every day by our dedicated physicians and staff. We view each patient as a whole person with emotional, ethical, spiritual, and physical needs.

We accurately and efficiently diagnose each patient's condition and develop a targeted treatment plan that considers the patient’s symptoms, goals and reproductive plans. We offer a variety of innovative, state-of-the-art approaches, including minimally invasive surgical procedures and fertility-protecting treatments. Through every step of diagnosis, treatment, and recovery, we empower the patient with the information she needs to make informed decisions.

Our goal is to offer the best treatment through the least invasive method. We are constantly exploring innovative surgical techniques. While we are often referred to as specialists in minimally invasive gynecologic surgery, we have become specialists in advanced pelvic surgery.

Convenient treatment closer to home

Across our locations in the New York metropolitan area, we provide superior care with renovated operating rooms and state-of-the-art technology, including the Da Vinci Xi robotic platform, in an intimate and convenient setting.

Virtual visits are also available for most new and follow-up visits.

Procedures we offer

Laparoscopic and robot-assisted approaches

  • Biopsies for diagnostic purposes
  • Hysterectomy:  Removal of the uterus through tiny incisions
  • Myomectomy:  Removal of fibroids for patients who desire to retain their uterus for childbearing. When the fibroids involve the uterus' cavity, they can sometimes be removed through hysteroscopy without any incisions.
  • Salpingo-oophorectomy:  Removal of the ovaries or fallopian tubes through tiny incisions performed to treat ovarian cysts and masses or as part of treatment for pelvic pain caused by severe endometriosis or inflammatory disease.
  • Prolapse repair: Laparoscopic vault suspension attaches the vagina to the strong ligaments attached to the sacrum using a variety of minimally invasive surgical techniques
  • Ovarian cystectomy: Removal of ovarian cysts while preserving the ovaries
  • Excision of endometriosis
  • Ultrasound-guided laparoscopic radiofrequency ablation of fibroids

Vaginal approaches

  • Vaginal hysterectomy:  In some cases, hysterectomy can be performed through the vagina with no abdominal incisions
  • Vaginal prolapse repair: Disorders of pelvic support may be treated vaginally in some patients
  • Ultrasound-guided transvaginal radiofrequency ablation of fibroids

Why Choose Us

Experts in minimally invasive gynecologic surgery

Our gynecology teams have unmatched expertise in minimally invasive approaches in treating the most complex and challenging gynecologic conditions.

With the goal of improving the lives of patients, our gynecologic surgeons are committed to extending the boundaries of what is possible in the diagnosis, management, and treatment of gynecologic conditions. As leaders and innovators in the field, they work collaboratively to develop and refine minimally invasive techniques that ease patients' recovery with fewer complications. These include the ever-growing application of robotics in fertility-sparing and fertility-enhancing surgery to treat fibroids, endometriosis and pelvic floor conditions. 

Pioneers in robotic-assisted surgery

Robotic-assisted surgery enables the surgeon to perform minimally invasive surgery with greater agility, precision, and control. This approach is instrumental in complicated gynecologic surgeries such as laparoscopic hysterectomy, myomectomy (fibroid removal) for uterine preservation, and correcting vaginal prolapse.

Columbia and Weill Cornell Medicine gynecologic surgeons are among the world’s most experienced gynecologic robotic surgeons. Many lead innovative research so that our patients have access to the latest treatment options. They are committed to the continual pursuit of progress in the labs and at the bedside to achieve the best possible outcomes and quality of life for our patients.

Multidisciplinary care from leading experts

At NewYork-Presbyterian, New York’s #1 hospital and #4 in the country as ranked by U.S. News and World Report, gynecologic surgeons collaborate with a vast network of specialists from a wide range of disciplines, including reproductive endocrinology and infertility and maternal-fetal medicine, to provide the best health care with superb outcomes for the most complicated cases. We also work closely with specialists in Pain Management and Integrative Medicine to manage the many complex symptoms of gynecologic conditions that affect women’s health and wellbeing.

The latest cutting-edge techniques and technologies

Our gynecologic surgeons are continually committed to incorporating the latest evidence-based treatment technologies into patient care:

  • Laparoscopic-guided radiofrequency ablation for the treatment of fibroids.
  • Incisionless radiofrequency ablation for the treatment of fibroids.
  • Robotic-assisted surgery with the da Vinci® Surgical System, the leading robotic surgery technology, provides surgeons with greater agility and enhanced, high-resolution 3D imaging to perform delicate procedures with greater control and precision.
  • Fertility-sparing and fertility-enhancing robotic surgery, including robotic myomectomy
  • Uterine fibroid embolization is performed with our interventional radiologists.
  • Single-port laparoscopic surgery to perform various procedures, such as hysterectomy, through a single entry point in the navel, leaving only a single scar.
  • Minilaparotomy, which combines the simplicity of traditional open hysterectomy with physical appearance and recovery similar to laparoscopy.
  • Laparoscopic abdominal cerclage for women with cervical insufficiency.
  • Treatment of uterine prolapse through the vagina, with no abdominal incisions.

 

locations

Our Providers are Conveniently Located in Manhattan, Queens, Brooklyn, & Westchester:

Hudson Valley (Northern Westchester)

Weill Cornell OB/Gyn Faculty Practice

Herbert Irving Pavilion

NewYork-Presbyterian Brooklyn Methodist Hospital

NewYork-Presbyterian Queens

ColumbiaDoctors - Westchester

Locations in Scarsdale and Orangeburg

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