While many reproductive medical problems can be treated with medications, sometimes surgery is necessary. Our reproductive surgeon operates at the University Medical Center of Princeton now located in Plainsboro:
With hysteroscopy, a telescope inserted into the uterus through the cervix. From there, the surgeon to inspect the uterine lining then diagnose and treat problems such as:
- synichiae (scar tissue within the uterus)
Dr. Derman was the lead author one of the first research papers to show that hysteroscopic surgery was effective in the long term.
Laparoscopy refers to inserting a telescope into the abdominal cavity through a small incision. This done after the abdomen is inflated with carbon dioxide. Several other small incisions may be needed as well. The surgeon can then looks the outside surfaces of the pelvic organs (fallopian tubes, uterus, ovaries). Laparoscopy enables us to diagnose and treat:
- Scarred or damaged fallopain tubes
- Pelvic adhesions
Surgery with the Da Vinci Robot
The daVinci robotic device is a laparoscopic instrument that enables the surgeon to perform procedures with a minimally invasive technique that might otherwise require open surgery. The DaVinci robot enables the surgeon to manipulate the instruments in ways that might be difficult with old fashioned laparoscopy and the high quality 3D optics that gives the surgeon a more detailed view.
Reproductive surgeons and may use robotic surgery for:
- fibroid excision (myomectomy)
- Removal of the uterus (hysterectomy)
- Tubal reanastomosis (reversal of tubal ligation)
- Endometriosis surgery
- other surgeries on the tubes and ovaries
Delaware Valley OBGYN and Princeton IVF's surgeons are among the most experienced DaVinci surgeons in the Princeton area.
Laparotomy refers to surgery "open surgery" in which a bikini-type or up-and-down incision is used similar to a c-section or hysterectomy. While laparoscopy is much less invasive and has a short, sometimes open surgery is required due to excessive scar tissue or concerns about cancer.
Myomectomy refers to the surgical removal of fibroid tumors of the uterus. Fibroids, properly known as myomas, are benign tumors but may affect fertility or disrupt a woman's menstrual cycle or ability to carry a pregnancy, depending on their location and/or size. Myomectomies can be done with open surgery (laparotomy). laparoscopically (usually with the Da Vinci surgical robot) or hysteroscopically. The method of myomectomy that can be used also depends on location and size of the fibroids.
Tubal reanstomosis, also known as tubal reversal or tuboplasty is an operation used to restore fertility in women who have had their fallopian tubes tied (or cut or burned). It is usually done as an open surgery (laparotomy) but may be done laparoscopically with the daVinci robot. Although we offer this surgery to women with prior sterilization, most couples will chose IVF instead of the operation.