All Bella physicians are highly qualified trained surgeons that can help with any surgical needs you may have.

Minimally Invasive Surgery

Minimally invasive surgery encompasses surgical techniques that limit the size of incisions needed. This lessens wound healing time, pain, and risk of infections. In gynecological surgery, laparoscopy is the technique used whereby small 5-8mm incisions in the abdomen are made. A camera and instruments are placed through these incisions in order to perform the surgery. Benefits include reduced postoperative pain, less blood loss, minimal scarring, prevention of adhesion formation, and shorter hospital stay.

At Bella, we can discuss the best surgical option for your condition.

Options include: laparoscopy, hysteroscopy and the Minimally Invasive Robotic System

The Minimally Invasive Robotic surgical system is a robotic technology that allows surgeons to perform delicate and complex operations through a few small incisions with robotic assisted instruments. It allows surgeons to have more precision and visualization during surgery.

Minimally Invasive Surgery Can be used for the following conditions

  • Endometriosis
  • Hysterectomy
  • Removal of Ovarian Cysts
  • Ectopic pregnancy surgery
  • Tubal ligation surgery
  • Removal of uterine polyps by using hysteroscopy


Hysterectomy is removal of the uterus. By definition, it does not include the fallopian tubes or ovaries. The removal of the fallopian tubes is called a salpingectomy. The removal of ovaries is called an oophorectomy. Your physician can help decide if removal of your tubes and ovaries are necessary at the time of a hysterectomy.

After a hysterectomy, you no longer have periods and cannot become pregnant.

Surgical approaches:

Total Laparoscopic Hysterectomy – minimally invasive surgery to remove your uterus. Tiny incisions are made in the abdominal wall to provide access for the camera and other surgical instruments. The uterus is usually removed through the vagina and the top of the vagina is then stitched together.

Minimally Invasive Robotic Hysterectomy – with the minimally invasive robotics procedure, your physician is able to perform the hysterectomy through a few small abdominal wall incisions, similar to traditional laparoscopy. The robotic- assisted system provides surgeons with 3D HD view inside your body, wristed instruments that bend and rotate far greater than the human hand, and enhance vision, precision and control.

Hysterectomy – the surgeon makes a cut in the abdominal wall to expose the ligaments and blood vessels around the uterus. The ligaments and blood vessels are then separated and tied off so they won’t bleed. The uterus and cervix are removed from the body and the top of the vagina is repaired by sewing it closed so a hole is not left.

The Total Laparoscopic Hysterectomy and robotic-assisted Hysterectomy have the benefit of shorter recovery time, shorter hospital stay, decreased infection rates and pain. Recovery for the two procedures are equal and they have similar hospital stays.

Not all women are candidates for minimally invasive surgery and the decision to use this method must be made on an individual basis.

D&C (Dilation and Curettage)

This is a procedure to remove tissue from inside your uterus. The surgeon dilates the cervix and inserts instruments into the uterus to remove pregnancy tissue after a miscarriage. A D&C may also be performed with a hysteroscopy to remove tissue for abnormal bleeding in patients who are not pregnant. This surgery is an outpatient procedure and recovery time is very minimal.


This is a procedure where the surgeon inserts a camera through the cervical canal into the uterine cavity in order to diagnose and treat causes of abnormal bleeding. This is a day surgery (you have surgery and go home same day). Typically, recovery time is very minimal with a very small amount of postoperative pain.

Endometrial ablation

This is a procedure that destroys the endometrial lining to help reduce or eliminate bleeding during your menstrual cycle. This is a day surgery procedure and has very little recovery time. This is not recommended for patients that still want to have babies. It is also not a form of birth control and you still need a good form of contraception after surgery.

Open surgery

It is important to remember that not all patients are candidates for minimally invasive surgery. Depending on the scope of the patient’s medical issue, their past surgical history and their personal health history, it may be safer for patients to have open surgery. Your Bella physician can discuss your individual surgical needs and determine if this is the safest route to go for your surgery.


This procedure is typically done with an open incision in your abdomen (similar to a c-section incision or “bikini cut”). The uterine muscle is then incised (cut), and fibroids are removed from the muscle wall of the uterus. The uterine muscle is then sewn back together using several layers of stitches. This surgery is a major surgery and requires recovery time in the hospital for about 2-3 days and at home for at least 4 weeks.

Schedule your appointment today!