Gynecological Surgery

Phone: (718) 358-0361 

Kathy Jian Huang, M.D., Attending Gynecological Surgeon

Many women require an assessment of gynecological anatomy and function that may result in the need for surgery.

“For example, we may be looking for the cause of abnormal bleeding or for pain or other symptoms that cannot be explained," said Kathy Huang, M.D., an attending surgeon who is an expert in advanced laparoscopic and robotic surgery.  "Or, we may be treating cancer, endometriosis, fibroids, or other conditions of the uterus. We use minimally invasive techniques as much as possible,” added Dr. Huang, “these procedures can be used for both diagnosis and treatment.”

A minimally invasive gynecological procedure utilizes a very small incision of 0.5 to 1.2 centimeters in the abdomen.  Sometimes there may be no incision, surgeons may be able to peform surgery through the natural opening of the vagina. A minimally invasive approach replaces the need for an open procedure, which can require a much larger incision.

With a minimally invasive procedure there is less blood loss, less pain and fewer narcotics, decreased potential for infection, and faster recovery. Instead of a three-day hospital stay, Dr. Huang explains, people can go home and return to their normal activities on the same day or the next. Advances in technology have made the minimally invasive approach possible, with focus on three procedures:

  • Laparoscopy. A laparoscope is a thin fiberoptic tube with a small camera on the end of it. It allows surgeons to perform both minor and complex surgeries, or either diagnostic or treatment purposes, through a few small cuts in the abdomen. It provides a channel through which an operative instrument can be passed and offers a clear, magnified image that can be projected on a monitor for the entire surgical team to see. Prior to laparoscopy, surgeons would have to use a larger incision to open the abdomen and explore the area with the naked eye. This open procedure is still being used in most hospitals today, which have not yet adopted the laparoscopic process.
  • Hysteroscopy. A hysteroscopy is the visual examination of the cervix and uterine cavity with a hysteroscope, an instrument with a camera. It can be used for both diagnosis and treatment.
  • Robot-assisted surgery. "Robotic surgery” does not mean that a robot is at the controls. Instead, the surgeon is in control of robotic and computer technologies that translate her hand movements into precise micro-movements of the surgical instruments. Advantages of this system are that it projects a magnified 3-D image of the surgical site instead of 2-D, and allows for much more precise manipulation of tissue than other instruments.New York Hospital Queens is one of a very few hospitals in the metropolitan area that has the robotic da Vinci® Surgical System, and is the only one to have two consoles. The dual controls allow two surgeons to operate at the same time for the more complex surgeries.
 
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