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 Our Staff at Totowa OB/GYN, Comprehensive Women’s Healthcare and Surgery - Totowa, NJ
Minimally Invasive Surgery

Minimally invasive surgery is a type of surgery that uses advanced technology and specialized tools with miniature cameras and instruments to perform diagnostic and operative procedures for treatment.

Minimally invasive options have smaller incisions or no incisions, reduce how much of the body’s tissue gets damaged, allows for shorter recovery time for quick return to regular activities, produces less scarring, and allows for outpatient procedures or shorter inpatient stays for those procedures requiring admission. Laparoscopy, Robotic-Assisted Laparoscopy, and Hysteroscopy are two commonly minimally invasive techniques used.


What is Laparoscopy?

  Gynecological Surgical Procedures Utilizing Robotic Technology
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Laparoscopy uses a small camera called a laparoscope that is place through a small incision in the belly button to visualize the abdominal and pelvic cavities. The abdomen is filled with carbon dioxide gas to allow for visualization of the pelvic organs. The image from the camera is enlarged on a computer screen for the surgeons to see and operate. The doctor then makes two to three incisions that are about a half-inch long for additional instruments to perform surgical procedures. Laparoscopy is performed in the operating room and requires anesthesia but allows for quick recovery allowing patient to return to work within two - three weeks.

Procedures that can be performed laparoscopically include hysterectomy, removal of ovarian cysts, removal of endometriosis, removal of fibroids, and many more.


  Full robotic system features tiny instruments
What is Robotic-Assisted Laparoscopy?

Robotic surgery is a type of minimally invasive surgery. “Minimally invasive” means that instead of operating on patients through large incisions, we use miniaturized surgical instruments that fit through a series of quarter-inch incisions. When performing surgery with the da Vinci Si—the world’s most advanced surgical robot—these miniaturized instruments are mounted on three separate robotic arms, allowing the surgeon maximum range of motion and precision. The da Vinci’s fourth arm contains a magnified high-definition 3-D camera that guides the surgeon during the procedure.

The surgeon controls these instruments and the camera from a console located in the operating room. Placing his fingers into the master controls, he is able to operate all four arms of the da Vinci simultaneously while looking through a stereoscopic high-definition monitor that literally places him inside the patient, giving him a better, more detailed 3-D view of the operating site than the human eye can provide. Every movement he makes with the master controls is replicated precisely by the robot. When necessary, the surgeon can even change the scale of the robot’s movements: If he selects a three-to-one scale, the tip of the robot’s arm will move just one inch for every three inches the surgeon’s hand moves. And because of the console’s design, the surgeon’s eyes and hands are always perfectly aligned with his view of the surgical site, minimizing surgeon fatigue.

Click for Endometriosis Surgery brochure PDF The ultimate effect is to give the surgeon unprecedented control in a minimally invasive environment. As one of our surgeons notes, “It’s as if I’ve miniaturized my body and gone inside the patient.” Utilizing this advanced technology, our surgeons are able to perform a growing number of complex urological, gynecological, cardiothoracic and general surgical procedures. Since these procedures can now be performed through very small incisions, our patients experience a number of benefits compared to open surgery, including:

spacer• Less trauma on the body
spacer• Minimal scarring, and
spacer• Faster recovery time

We invite you to explore our website to learn more about our robotic surgery team and the procedures we offer. If you’re facing surgery, you couldn’t be in better hands. The da Vinci Si includes a number of new surgeon-friendly features that make surgical procedures easier and more efficient than ever. These include:

3-D high-definition vision. The da Vinci Si’s two stereoscopic high-definition cameras provide the surgeon with a magnified view of the surgical site that combines superbly accurate depth perception with a 40 percent sharper image then previous models.

Click for Uterine Fibroids brochure PDF An additional arm. This additional arm, which can be used to hold a retractor or other surgical instrument, gives the surgeon 50 percent more operating capability.

Instant image referencing. This innovative feature lets the surgeon display up to two diagnostic images of the area being operated on (such as ultrasound or CT scans taken prior to surgery) inside the da Vinci’s monitor, directly alongside the view of the real-time procedure—providing a critical extra reference where necessary.

Extra-mobile “wrist action.” The da Vinci Si’s patented mechanical wrists, which can hold a wide array of specialized instruments, function just like a human’s but with even greater range of motion.

Scalability. This innovation lets the surgeon calibrate the robot’s arm to move a fraction of an inch for every inch the surgeon’s hand moves—simplifying the most complex movements, including delicate resections as well as suturing and knot-tying. “With the da Vinci, there are no awkward movements,” says one NYU surgeon.


Click for Considering Hysterectomy brochure PDF What is Hysteroscopy?

Hysteroscopy is procedure that allows the physician to directly visualize the inside of the uterine cavity. It can be performed either in the office or in the operating room depending on the type of surgical treatment that is required. During this procedure you will be lying on an exam table and a speculum is placed in the vagina. A camera attached to the end of a hysteroscope is placed into the vagina along with saline solution to allow the uterus to be distended for visualization and to allow the doctor to perform the procedure.

Hysteroscopy can be used for diagnostic purposes to determine causes of abnormal uterine bleeding, removal of polyps, sterilization procedures, removal of fibroids, and resection of scar tissue.

Most patients are able to have their GYN condition treated laparoscopically including irregular of heavy menstrual periods, fibroids, ovarian cysts, endometriosis and pelvic pain. Please contact Dr. Day to set up an appointment to discuss your options further.