Minimally Invasive Gynecology Surgery (MIGS)

Minimally invasive gynecology surgery, often called MIGS, offers a gentler, more modern surgical option for your health needs. This approach uses very small incisions or sometimes none at all. This can mean less pain after surgery, smaller or no scars, and a faster return to daily life with a lower risk of complications than with traditional open surgery.
MIGS can treat many noncancerous conditions that still cause major symptoms, such as heavy bleeding or pelvic pain. Trust us to help relieve your symptoms and heal safely and quickly.
Expert MIGS Surgeons
Your MIGS care team at VHC Health includes board-certified OB/GYNs. They have completed an additional two to three years of fellowship training in minimally invasive surgery. This advanced training makes them experts at performing procedures through the smallest possible incisions. Fellowship-trained MIGS surgeon Elizabeth Brunn, MD, leads this highly skilled team.
Your surgeons use the latest techniques to perform even complex procedures while preserving as much healthy tissue as possible. They carefully choose the least invasive and safest approach for your needs.
Benefits of MIGS
MIGS has many advantages:
- Faster recovery times
- Less pain and discomfort
- Less scarring
- Reduced risk of infection
- Healthy tissue left alone
Many MIGS procedures are outpatient. So, you return home the same day for a more comfortable recovery.
Conditions Treated with MIGS
Less-invasive surgery can treat:
- Heavy and painful periods
- Fibroids (growths)
- Endometriosis (cells like the uterine lining that grow outside the womb)
- Adenomyosis (uterine lining that grows into the wall of the womb)
- Ovarian cysts (growths)
- Uterine anomalies (unusually shaped womb)
- Adhesions (scar tissue) in the pelvis or womb
- Pelvic pain
These conditions can affect your daily life. They may cause pain, tiredness, or problems with your period. Some can also affect fertility. We'll help you understand your condition and treatment choices.
Common Procedures We Offer
VHC Health surgeons provide:
- Endometrial ablation – Removes or destroys the lining of the uterus to help reduce heavy periods
- Excision of endometriosis – Removes endometriosis tissue to help relieve pain and other symptoms
- Hysterectomy – Takes out the uterus
- Hysteroscopy – Puts a small camera through the cervix to look inside the uterus and treat problems like polyps or bleeding
- Hysteroscopic septoplasty – Removes a wall of tissue (septum) inside the uterus to improve the shape of the uterus
- Isthmocele repair – Repairs a small “pouch” or scar defect in the uterus, often from a past C-section
- Myomectomy – Removes fibroids while keeping the uterus
- Ovarian cystectomy – Removes a cyst from the ovary while saving the ovary when possible
- Removal of intrauterine adhesions – Takes out scar tissue from the uterus to treat Asherman’s syndrome and improve periods and fertility
- Tubal ligation – Blocks or closes the fallopian tubes to prevent pregnancy
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Advanced Surgical Techniques
Ask your surgeon if they'll treat your condition using:
- Laparoscopy – Makes a few tiny cuts in the belly and inserts a thin tube with a light and camera to guide the surgeon
- Robotic surgery – Uses robotic arms that can move very smoothly and precisely
- Vaginal techniques – Enters through a natural opening in the body, so there's no incision in the skin
- Hysteroscopy – Puts a thin camera through the vagina and cervix to reach the uterus, and doesn't make an incision
What to Expect at Your Consultation
When you come in for your MIGS consultation, you receive a thorough evaluation and a care plan tailored to your needs. You're unique, and your experience matters. Your care team takes the time to listen to you, understand your symptoms, and learn what relief means to you.
You can expect compassionate guidance every step of the way. Your provider explains your condition in clear, simple language and walks you through your treatment options, so you feel confident about your next decisions.
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