What is minimally invasive surgery?

Historically abdominal surgery was done almost exclusively though large incisions called laparotomies.  About 50 percent of hysterectomies are still done this way in many parts of the country. Laparotomy incisions are more painful, have a longer recovery, are more expensive, lead to more scar tissue and are less pretty than smaller laparoscopy incisions. 



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This is when the skill of your surgeon plays a big roll.  Luckily we can avoid big incisions almost 100% of the time for noncancerous GYN surgery.  Even doing a wide variety with very difficult surgeries, I have had zero big incisions in the last 4 years. 

Most hysterectomies can be done with very small incisions which we call laparoscopy or no visible incisions and done 100 percent vaginally.