photo

Minimally Invasive Gynecologic Surgery Center

The Minimally Invasive Gynecologic Surgery (MIGS) Center at Massachusetts General Hospital delivers innovative, multidisciplinary care for a full range of gynecologic conditions including endometriosis, fibroids, abnormal uterine bleeding, ovarian cysts/masses, pelvic pain, urinary incontinence and gynecologic cancers.

  • Call 855-MIGS-MGH or 855-644-7644 to request an appointment or refer a patient

MIGS team

MIGS team at Mass General (left to right): Douglas Brown, MD; Samantha Pulliam, MD; Carey York-Best, MD; John Petrozza, MD; and David Boruta, MD

Our multidisciplinary team

The Minimally Invasive Gynecologic Surgery (MIGS) Center at Massachusetts General Hospital brings together nationally recognized surgeons from every gynecologic discipline, including the Mass General Cancer Center. Each member of our team is dedicated to providing individualized, minimally invasive surgery options to diagnose and treat the full range of gynecologic conditions and improve our patients’ quality of life.

The MIGS Center team treats gynecologic conditions including:

Minimally Invasive, Personalized Treatment

Minimally invasive surgical procedures are associated with significantly less blood loss during surgery, less scarring, less postoperative pain and faster recovery than traditional open surgery. This allows patients to recover faster and return to their lives and daily activities with improved quality of life.

Depending on personal history and symptoms, our expert physicians may recommend one or a combination of the following minimally invasive treatments to address each patient’s individual condition.

Hysteroscopic procedures

Hysteroscopy is a technique for visually examining the inside of the uterus and treating a variety of intra-uterine conditions without making incisions. A long, thin telescope-like instrument (called a hysteroscope) is inserted through the vagina and cervix. A small video camera attached to the end of the telescope gives the doctor a magnified view on a video monitor. Specific procedures include:

  • Endometrial ablation
  • Dilation and curettage
  • Lysis of adhesions
  • Myomectomy
  • Polypectomy
  • Tubal occlusion

Laparoscopic procedures

Laparoscopic surgery is a minimally invasive, video-guided technique. Instead of making a large incision through the skin and underlying muscles (called laparotomy), a laparoscopic procedure requires three to four small incisions: one for a long, narrow telescope with a camera attached, and two or three others for the instruments needed to perform a procedure. Laparoscopic procedures include:

  • Excision, ablation or removal of endometriosis, endometriomas, endometrial implants
  • Lysis of adhesions
  • Myomectomy
  • Ovarian cystectomy
  • Presacral neurectomy
  • Salpingo-oophorectomy
  • Supra-cervical hysterectomy
  • Total hysterectomy
  • Trachelectomy

Robotic procedures

Robotic surgery is a type of laparoscopic surgery. The surgeon makes three to four small incisions: one for a magnified, high-definition 3-D camera that guides the surgeon during the procedure, and two or three others for the robotic instruments that allow the surgeon maximum range of motion and surgical precision. The surgeon controls the instruments and the camera from a console located next to the patient in the operating room. Procedures that can be performed with this method include:

  • Excision, ablation or removal of endometriosis, endometriomas, endometrial implants
  • Lysis of adhesions
  • Myomectomy
  • Ovarian cystectomy
  • Presacral neurectomy
  • Salpingo-oophorectomy
  • Supra-cervical hysterectomy
  • Total hysterectomy
  • Trachelectomy

Single-incision surgery

Procedures that can be performed with one incision include:

  • Hysterectomy
  • Ovarian cystectomy
  • Salpingo-oophorectomy

Vaginal procedures

Vaginal surgery is a procedure that is performed within the vagina to remove the uterus, cervix or ovaries and tubes; repair the vaginal tissue that supports the bladder, rectum and uterus; or repair leakage of urine (called stress urinary incontinence). The procedures are performed vaginally so there are no abdominal incisions:

  • Cystocele repair
  • Rectocele repair
  • Tension-free vaginal tape for stress urinary incontinence
  • Uterine/vaginal resuspension (uteropexy, sacroculpopexy)

What to Expect

New patients at the Mass General MIGS Center will be paired with a multidisciplinary team of physicians and surgeons. Our consultation process involves a thorough discussion of treatment options, both innovative and traditional, that are uniquely suited to address individual conditions and medical history. Our patients are integral members of their care teams. Patients work directly with their MIGS physicians to develop an optimal treatment plan. Patient questions and feedback are an important part of each visit.

We also welcome patients and physicians who are seeking a second opinion on treatment options for any gynecologic condition.

At the Mass General MIGS Center, expert, board-certified physicians from every gynecologic discipline work together to deliver innovative, minimally invasive surgical care for a full range of gynecologic conditions.

Cervical Cancer

If abnormal cells on the surface of the cervix spread deeper into the cervix, or to other tissues or organs, the disease is then called cervical cancer, or invasive cervical cancer.

Chronic Pain

Pain is an unpleasant feeling that lets you know that something may be wrong. It is one of the body's warning signals that indicates a problem that needs attention.

Cystocele (Fallen Bladder)

Cystocele is the name for a hernia-like disorder in women that occurs when the wall between the bladder and the vagina weakens, causing the bladder to drop or sag into the vagina.

Dysmenorrhea

Dysmenorrhea is a menstrual condition characterized by severe and frequent menstrual cramps and pain associated with menstruation.

Endometrial Cancer

Cancer of the endometrium, the most common cancer of the female reproductive organs, is a disease in which malignant (cancerous) cells are found in the endometrium. Endometrioid cancer is a specific type of endometrial cancer.

Endometriosis

Endometriosis is a common gynecological condition involving abnormal buildup of tissue, often causing pain or infertility.

Infertility

Infertility is defined by the American Society for Reproductive Medicine (ASRM) as a disease of the reproductive system that impairs the body's ability to perform the basic function of reproduction.

Menorrhagia

Menorrhagia is the most common type of abnormal uterine bleeding characterized by heavy and prolonged menstrual bleeding.

Ovarian cancer

Ovarian cancer is a disease in which malignant cells are found in an ovary.

Pelvic Inflammatory Disease (PID)

Caused by a certain type of bacteria, pelvic inflammatory disease results in pelvic pain and the possibility of an ectopic pregnancy (a fertilized egg becoming implanted outside the uterus).

Pelvic Pain

Pelvic pain may originate in genital or extragenital organs in and around the pelvis, or it may be psychological, which can make pain feel worse or actually cause a sensation of pain, when no physical problem is present.

Urinary Incontinence

Uterine Cancer

Cancers that occur in each part of the uterus have their own names, such as cervical cancer or endometrial cancer, but are sometimes broadly defined as uterine cancer because the structure is part of the uterus.

Uterine Fibroids

Fibroids are the most frequently seen tumors of the female reproductive system.

Vaginal Cancer

Cancer of the vagina, a rare kind of cancer in women, is a disease in which malignant cells are found in the tissues of the vagina.

Vulvar Cancer

Vulvar cancer is a malignancy that can occur on any part of the external organs, but most often affects the labia majora or labia minora.

MIGS Center frequently asked questions

Douglas Brown, MD, chief of the Minimally Invasive Gynecologic Surgery (MIGS) Center at Massachusetts General Hospital, answers frequently asked questions about our unique approach to gynecologic surgery.

Learn more about minimally invasive gynecologic surgery

Information from the American Association of Gynecologic Laparoscopists (AAGL) for those considering minimally invasive surgery options

A New Approach to Fibroid Management

The Fibroid Program at Massachusetts General Hospital offers patients access to a full range of multidisciplinary options to treat uterine fibroids.

MIGS Center frequently asked questions

Douglas Brown, MD, chief of the Minimally Invasive Gynecologic Surgery (MIGS) Center at Massachusetts General Hospital, answers frequently asked questions about our unique approach to gynecologic surgery.

Learn more about minimally invasive gynecologic surgery

Information from the American Association of Gynecologic Laparoscopists (AAGL) for those considering minimally invasive surgery options

Minimally Invasive Gynecology Surgery (MIGS) Center at Mass General

Yawkey 4 E
Boston, MA 02114

Phone: 855-644-7644

Next Steps:

  • Call 855-MIGS-MGH or 855-644-7644 to request an appointment or refer a patient