Minimally Invasive Gynaecologic Surgery

Minimally invasive gynaecologic surgery (MIGS) encompasses a range of laparoscopic and hysteroscopic procedures for the diagnosis and treatment of gynaecological conditions, offering patients effective surgical care with dramatically reduced recovery compared to traditional open approaches. SilverOak Health's MIGS programme is led by advanced laparoscopic surgeons with subspecialty expertise in complex benign gynaecological conditions including endometriosis, fibroids, ovarian cysts, and pelvic floor disorders.

Laparoscopic procedures performed include ovarian cystectomy, salpingo-oophorectomy, myomectomy (fibroid removal preserving the uterus for women wishing future fertility), excision of deep infiltrating endometriosis, management of ectopic pregnancy, and surgical treatment of pelvic inflammatory disease complications. Hysteroscopic procedures — performed entirely through the cervix without abdominal incisions — include endometrial polypectomy, submucosal fibroid resection, uterine septum division, and endometrial ablation for heavy menstrual bleeding.

Endometriosis surgery requires particular expertise in the identification and excision of lesions affecting the bowel, bladder, ureters, and ovaries — structures where incomplete excision risks recurrence and where overly aggressive dissection risks serious complications. Our endometriosis surgeons work within a dedicated multidisciplinary team including colorectal surgeons, urologists, and pain management specialists, ensuring complex cases are managed with the breadth of expertise they require. Fertility-sparing approaches are prioritised for women of reproductive age, with careful counselling regarding the balance between surgical thoroughness and ovarian reserve preservation in patients with bilateral endometriomata.