Minimally invasive gynaecologic surgery service

Minimally invasive gynaecologic surgery service

We provide innovative care including laparoscopic, same day surgery as well as trans -cervical procedures to treat patients.  Certain gynaecological conditions are now treated with less invasive surgical procedures.  The Minimally Invasive Gynaecologic Surgery Service (MIGS) of CIMS offers treatment options for women with benign gynaecologic disorders through use of laparoscopy and hysteroscopy.

The following conditions can potentially be treated with minimally invasive gynaecologic surgery:

  • Investigation and treatment of pelvic pain
  • Uterine fibroids
  • Uterine fibroid embolization (UFE)
  • Suspension surgery (pelvic organ prolapse repair)
  • Endometriosis
  • Adenomyosis
  • Tubal ligation – both laparoscopic and hysteroscopic procedures
  • Endometrial ablation
  • Abnormal uterine bleeding
  • Laparoscopic removal of the uterus or ovary
  • Removal of ovarian cysts

Benefits of minimally invasive gynaecologic surgery 

  • Can be done on an outpatient-basis
  • Faster recovery
  • Minimal post-operative discomfort
  • Less blood loss
  • Less likelihood of infections
  • Faster return to normal activities
  • Can improve or maintain fertility


Traditionally, hysterectomies have been performed using a technique known as total abdominal hysterectomy (TAH). However, in recent years, two less-invasive procedures have been developed

  • vaginal hysterectomy
  • laparoscopic hysterectomy 

Types of hysterectomy

  • Total Abdominal Hysterectomy(TAH)
  • Only advantage of total abdominal hysterectomy is that the surgeon can get a complete, unobstructed look at the uterus and surrounding area. There is also more room in which to perform the procedure. This type of surgery is especially useful if there are large fibroids or if cancer is suspected.
  • Disadvantages include more pain and a longer recovery time than other procedures, and a larger scar.
  • Vaginal Hysterectomy
  • vaginal hysterectomyis done through a small incision at the top of the vagina.
  • Vaginal hysterectomy heals faster than abdominal hysterectomy, results in less pain, and generally does not cause external scarring.
  • laparoscopic hysterectomy

In laparoscopic hysterectomy, special surgical tools are used to operate through small incisions in the abdomen and vagina. Laparoscopically Assisted Vaginal Hysterectomy (LAVH) is similar to vaginal hysterectomy, and the uterus and cervix are removed through an incision at the top of the vagina; however, the surgeon also uses a laparoscope (miniature camera) inserted into the abdomen to see the uterus and surrounding organs. Other laparoscopic tools are inserted into abdominal incisions to detach the uterus before removing it.