In Minimally Invasive Gynaecologic Surgery (MIGS), major or minor Gynaecologic Surgeries for women’s disease can be performed via small incisions or openings. This is commonly known as the “keyhole” or laparoscopic technique, since the size of the wounds can range from 0.3cm to 1.5cm depending on case.
Laparoscopy utilising multiple small incisions has been the main technique to perform such Minimally Invasive Surgeries. Over the years, MIGS has evolved and nowadays it can be performed using conventional multiple incisions or even single incisions, also known as SILS (Single Incision laparoscopic Surgery).
Other than that, Single incision surgeries have progressed to the stage whereby a “totally scarless” technique called the VNOTES(Vaginal Natural Orifice Transluminal Endoscopic Surgery) can be used to treat patients. VNOTES is totally scarless, affording the superior advantage of even faster recovery and lesser pain since the disease or pathology is removed via advanced endoscopic techniques though the vagina. Advanced Robotic Arms can also be used to perform MIGS.
For Gynaecologic Cancers, MIGS has also gained pace over the years and it is possible to treat Women’s Cancer using precision surgery such as the “Sentinel Lymph Node” Technique, whereby a selective resection of lymph nodes will reduce complications and morbidity for the patient. Chemotherapy and radiotherapy as adjuvant can also be started faster after MIGS, contributing to better survival and lower recurrence rates.
The hallmark of MIGS is “shorter hospital stays, faster recovery and fewer wound related complications”. MIGS is also referred to as virtual surgery; as the surgeon performs surgery while looking at an image projected by a high definition screen monitor.
According to Obstetrics and Gynaecology expert Dr. Chua Peng Teng, “Minimally Invasive Surgery has a better outcome in terms of patient recovery whereby we minimise the trauma and tissue damage to the patient.”