MIGS
SGF is proud to offer minimally invasive gynecologic surgery (MIGS) to help patients manage their reproductive healthcare. Complex minimally invasive gynecologic surgery covers a wide range of hysteroscopic (intrauterine), laparoscopic, vaginal, and mini-open procedures for a broad range of benign gynecologic conditions.
In the fertility setting, fellowship trained MIGS surgeons routinely manage fibroids, endometrial polyps, embedded foreign objects like intrauterine devices (IUDs), endometriosis, adenomyosis, intrauterine and intraabdominal scarring, retained products of conception, incomplete or missed abortions (miscarriages), cervical insufficiency, cesarean uterine scar defects, developmental (mullerian) anomalies of the reproductive tract, fallopian tubal disease, laparoscopy during pregnancy, and atypical ectopic pregnancies.
MIGS surgeons often provide their own in-office diagnostic ultrasound evaluations and hysteroscopies and can perform a wide variety of hysteroscopic surgical procedures right in the office without the need for anesthesia.
Additional Information
Causes of infertility
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Conditions to treat with MIGS
- Adenomyosis
- Endometriosis
- Uterine fibroids
- Endometrial polyps
- Ovarian cysts
- Intrauterine adhesions
- C-section scar defects
- Mullerian anomalies (e.g. septate, bicornuate, and unicornuate uteri)
- Fallopian tubal disease
- Incomplete or missed miscarriages
- Retained products of conception and placenta accreta
- Ectopic pregnancies
- Cervical insufficiency
Benefits of MIGS over traditional gynecologic surgeries
Minimally invasive gynecologic surgery (MIGS) has revolutionized the field of women’s reproductive healthcare. Unlike traditional open surgeries, which require large incisions and longer recovery times, MIGS uses advanced techniques and smaller or no incisions, offering numerous benefits for patients.
1. Reduced recovery time
One of the most significant advantages of MIGS is the drastically reduced recovery time. Traditional gynecologic surgeries, such as hysterectomies or fibroid removals, often involve large abdominal incisions, requiring several weeks of recovery. In contrast, MIGS procedures typically involve small keyhole incisions or no incisions, allowing patients to return to their normal activities much sooner — often within a few days.
2. Less postoperative pain
The smaller incisions used in MIGS result in less tissue damage and, consequently, less postoperative pain. This means that patients often require fewer pain medications, reducing the risk of side effects and complications associated with pain management. The decreased pain also contributes to a faster recovery and a quicker return to daily activities.
3. Lower risk of infection
Smaller incisions not only reduce pain but also lower the risk of infections. Traditional open surgeries expose more internal tissue to potential contaminants, increasing the chance of postoperative infections. MIGS minimizes this exposure, leading to a lower incidence of infections and promoting a safer surgical experience.
4. Minimal scarring
Cosmetic outcomes are an important consideration for many patients. Traditional gynecologic surgeries can leave significant scars, which can be a source of concern and discomfort. MIGS results in minimal scarring due to the use of tiny incisions. The cosmetic benefits are particularly appealing for patients who may feel self-conscious about visible scars.
5. Precision and accuracy
Minimally invasive techniques, such as laparoscopy, hysteroscopy, and robotic-assisted surgery, provide surgeons with enhanced precision and control. These technologies offer high-definition, magnified views of the surgical area, allowing for more accurate and delicate manipulation of tissues. This precision reduces the likelihood of accidental damage to surrounding organs and structures, leading to better surgical outcomes.
6. Shorter hospital stays
Due to the less invasive nature of MIGS, patients often experience shorter hospital stays. Many procedures can be performed on an outpatient basis, allowing patients to go home the same day. This not only improves patient comfort and convenience but also reduces healthcare costs associated with prolonged hospital stays.
7. Cost-effectiveness
While the initial cost of MIGS may be higher due to advanced technology and specialized equipment, the overall cost-effectiveness is evident when considering the shorter hospital stays, reduced need for postoperative care, and quicker return to work and daily activities. The cumulative savings make MIGS a financially viable option for many patients and healthcare systems.
8. Enhanced quality of life
The combination of less pain, minimal scarring, and quicker recovery contributes to an enhanced quality of life for patients undergoing MIGS. They can resume their normal activities, including work and family responsibilities, much sooner than those who undergo traditional surgery. The improved cosmetic outcomes and reduced physical limitations also positively impact mental and emotional well-being.
MIGS surgeons at Shady Grove Fertility
Medical contribution by James K. Robinson III, M.D., M.S.
James K. Robinson III, M.D., M.S. is board certified in Obstetrics and Gynecology (OB/GYN) and fellowship trained in Minimally Invasive Gynecologic Surgery (MIGS). Dr. Robinson completed his residency in OB/GYN at the University of Wisconsin Hospital and Clinics, in Madison, Wisconsin. From there, Dr. Robinson completed his MIGS fellowship at the Minimally Invasive Gynecologic Surgery Center at Newton Wellesley Hospital in Newton, Massachusetts.