Notes on Women's Health
Notes on Women's Health

Tag: Hysterectomy

SILS Surgery Provides the Potential for No Visible Scars

For many of my patients, the word “surgery” has a host of associated meanings: long hospital stays, time away from home/family/work, significant pain, lengthy recovery period … and visible scarring. I’m excited to say that scarring will become less of an issue for some of my patients in the next few months, when I will start providing a new service called SILS™.

What is SILS?

An acronym for single incision laparoscopic surgery, SILS made its way onto the medical scene in the late 1990s. You may have heard of by a different name: “belly button surgery”. SILS has risen to the forefront of abdominal surgery in recent years along with the development of related technology. While few physicians have received training so far, SILS is gradually catching on.

What are the advantages of SILS?

With SILS, only one umbilical incision is needed to perform the procedure. Using SILS technology, multiple instruments including the telescope can be placed through the incision. (In standard laparoscopy, the umbilical port is used only for observation through the “telescope”. In order to manipulate tissue and place sutures, standard laparoscopic techniques require the placement of two or three additional abdominal ports/incisions.) Compared to traditional port placement, SILS offers a lower risk of complications and additional postoperative pain.

How does SILS work?

Read More

Major News for Women’s Health: Estrogen-Only Therapy Reduces Risk of Breast Cancer for Some Women

For years, women have been hearing about the potential risks of hormone therapy, which is used to relieve hot flashes and other symptoms of menopause. In particular, the combination of estrogen and progestin has been shown to increase a woman’s risk of breast cancer. Since progestin helps protect the uterus from estrogen’s harmful effects, an estrogen-progestin combination is often prescribed for menopausal women who still have their uterus and who are experiencing severe menopausal symptoms.

However, last week The Journal of the American Medical Association reported some surprising news that outlined some potential benefits of using estrogen-only therapy, which has been an option for the one-third of American women over the age of 50 who have had a hysterectomy (surgical removal of the uterus).

Read More

da Vinci Surgery and Hysterectomy

In my last blog, I mentioned that da Vinci surgery provides precision that’s crucial when working in close proximity to delicate organs like the bladder. In addition, the camera technology provides a great deal of detail. If you’re facing the prospect of surgery and you think of the kind of surgery you’d prefer to have, hopefully words like detail and precision are ones that come to mind.

This combination of detail and precision makes da Vinci very well suited for a variety of surgery types and procedures, including several that I do regularly as part of my medical practice. For this blog I thought I’d talk about da Vinci surgery and hysterectomy. Read More


A recent medical study found that women who had a laparoscopic hysterectomy generally experienced less blood loss, less pain and a shorter hospital stay compared with women who had a vaginal hysterectomy.


Hysterectomy, or surgical removal of the uterus, can be performed in different ways, including open surgery, laparoscopically, and vaginally. Open surgery provides the most effective way to ensure complete removal of the reproductive system but requires a wide incision through the abdominal wall. Laparoscopic hysterectomy is a minimally invasive procedure that uses thin, fiber-optic telescopes passed through into the abdomen through small cuts in the abdominal wall. In a vaginal hysterectomy, the surgeon operates entirely through the vagina.

While many tests have compared the safety and effectiveness of open and laparoscopic hysterectomies in recent years, relatively few have compared vaginal and laparoscopic hysterectomies. Read More