Track 28: Minimally Invasive Gynecologic Surgery

Minimally Invasive Gynecologic Surgery (MIGS)

Minimally Invasive Gynecologic Surgery (MIGS) refers to advanced surgical techniques that allow gynecologic procedures to be performed through small incisions or natural orifices, offering patients faster recovery, less pain, and minimal scarring compared to traditional open surgery.

Common Minimally Invasive Procedures:

• Laparoscopy:
  A thin camera (laparoscope) is inserted through small incisions in the abdomen to diagnose or treat conditions such as endometriosis, ovarian cysts, and pelvic adhesions.

• Hysteroscopy:
  A slender device is inserted through the vagina and cervix to visualize and operate inside the uterus, often used for polyps, fibroids, and abnormal bleeding.

• Robotic-Assisted Surgery:
  Surgeons control robotic instruments with enhanced precision and 3D visualization, commonly used for hysterectomy, myomectomy, and endometriosis excision.

Conditions Treated with MIGS:

• Uterine fibroids

• Endometriosis

• Ovarian cysts

• Ectopic pregnancy

• Abnormal uterine bleeding

• Pelvic organ prolapse

• Infertility-related disorders

Benefits of Minimally Invasive Surgery:

• Smaller incisions and minimal scarring

• Reduced pain and need for postoperative medications

• Shorter hospital stays

• Faster return to normal activities

• Lower risk of infection and complications

Future Trends in MIGS:

• Single-port laparoscopy (scarless surgery through the navel)

• Natural orifice transluminal endoscopic surgery (NOTES)

• Integration of AI and augmented reality for enhanced surgical planning

• Remote telesurgery capabilities