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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.
Dr. Douglas N. Brown is director and chief of the MIGS Center at Mass General. The MIGS Center provides individualized, minimally invasive options to diagnose and treat the full range of gynecologic conditions.
Watch video to learn more
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. Read our Frequently Asked Questions to learn more about minimally invasive surgical procedures.
Depending on your personal history and symptoms, our expert physicians may recommend one or a combination of minimally invasive treatments to address your individual condition. See a list of minimally invasive procedures performed at the MIGS Center.
The multidisciplinary MIGS Center at Mass General includes specialists from reproductive endocrine, urogynecology, oncology, benign OBGYN and specialized MIGS fellows. Our surgeons take a collaborative approach to patient care to determine the best procedure for every patient.
The MIGS Center team treats gynecologic conditions including:
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 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.
Patient stories from the Minimally Invasive Gynecologic Surgery Center.
Condition: Pelvic pain, painful periods, infertility and stage 4 endometriosisProcedure: Laparoscopic resection (removal) of endometriosis, removal of scar tissue
Clementina struggled with pelvic pain, painful periods and related infertility for many years. When she sought help conceiving, she was diagnosed with stage 4 endometriosis. Clementina completed a course of treatment that included multiple hormonal formulations and an open surgery. When she and her husband moved to Boston for work, Clementina sought care from the Minimally Invasive Surgery Center and not long after became pregnant with her first child.
Read Clementina's story
Condition: 14-inch cystic ovarian massProcedure: Laparoscopic ovarian cystectomy
Before coming to Mass General for care, Alexa had increasing trouble with severe acid reflux and keeping food down and had seen physicians elsewhere who were unable to diagnose her problem. After struggling to find an explanation or successful treatment for her symptoms, she came to Mass General, where she was diagnosed with a large mass on her ovary.
Read Alexa's story
Condition: Painful periods, fibroids, adenomyosis and endometriosisProcedure: Laparoscopic hysterectomy, bilateral salpingectomy (removal of Fallopian tubes)
Irene suffered from heavy bleeding related to adenomyosis (a condition of the uterus) and fibroids for most of her life. After trying many different treatment options, she was told she would need an invasive open surgery hysterectomy to remove her greatly enlarged uterus. Instead, she came to Mass General, where she was treated with a less invasive laparoscopic hysterectomy.
Read Irene's story
Douglas Brown, MD, chief of Mass General's MIGS Center, answers common questions about our unique approach to gynecologic surgery.
What is minimally invasive surgery?
Minimally invasive surgery limits the size of incisions made for surgery, which sets it apart from traditional “open surgery”. There are three main types of minimally invasive surgery:
Do your surgeons perform robotic surgery?
Yes. This type of surgery has been performed at Mass General since 2008. Your physician will determine based on your specific needs whether a robotic-assisted approach may be useful in your care.
What are the advantages of minimally invasive surgery?
There are many benefits to choosing minimally invasive surgery over traditional surgery. Because it requires only tiny incisions, minimally invasive surgery results in less trauma to the body and faster recovery compared to a large open incision. In fact, the method of choice for surgeons and patients has shifted from traditional “open surgery” to less invasive means.
This is good news for patients and surgeons as it often means that patients who choose minimally invasive surgery recover faster and frequently experience:
How many incisions will there be from my surgery?
The exact number of incisions will depend on the specifics of your surgery. Generally, there are anywhere from three to five small incisions (usually around 5mm across).
What will my recovery be like?
While the time and experience of recovery is different for every patient, in general recovery from minimally invasive surgery is much smoother than open surgery.
Most patients find that they have minimal pain. You likely won’t be able to exercise for a few weeks, but many patients are able to resume their normal activities around two weeks post-surgery.
Will I have to stay in the hospital after my surgery?
Recovery varies from patient to patient, but most patients are able to go home a few hours after their surgery is completed.
How do I get ready for my initial appointment?
It’s important to come prepared for your appointment to get the most out of it.
How can I make an appointment?
Call 855-MIGS-MGH to speak make an appointment for a consultation.
NOTE: If you have not previously seen a doctor at Mass General or within the Partners HealthCare Network, please call the Mass General Registration & Referral Center at 866-211-6588 to register before calling to make your appointment.
What is unique about the Minimally Invasive Gynecologic Surgery Center at Mass General?
The MIGS Center at Mass General takes a multidisciplinary approach to patient care. Our expert team of surgeons collaborates to identify the best procedure for each patient and provide the best surgical care for each patient’s unique health concerns.
Who will take care of me during my time at Mass General?
Your care team at Mass General will include physicians, nurses, social workers and other clinical staff. One advantage of receiving care at Mass General is you’ll also have access to the full resources of the hospital treatment programs in addition to your physician and surgical team.
Are your surgeons certified to perform minimally invasive surgery?
All of our surgeons are certified in obstetrics and gynecology, along their respective subspecialties, and have advanced training. Douglas N. Brown, MD, Chief of the Minimally Invasive Gynecologic Surgery Center, completed advanced surgical training through a specialized two-year fellowship in Minimally Invasive Gynecologic Surgery sponsored by the American Association of Gynecologic Laparoscopists (AAGL). Several other surgeons are specially certified to perform laparoscopic procedures by a national program called Fundamentals of Laparoscopic Surgery (FLS).
Learn more about minimally invasive surgery from AAGL's MIS for Women site.
The Minimally Invasive Gynecologic Surgery (MIGS) Center at Massachusetts General Hospital provides individualized, minimally invasive options to diagnose and treat the full range of gynecologic conditions, including endometriosis, fibroids, abnormal uterine bleeding, ovarian cysts/masses, pelvic pain, urinary incontinence and gynecologic cancers.
The multidisciplinary Minimally Invasive Gynecologic Surgery (MIGS) Center includes specialized surgeons, fellows and a variety of other specialists. Our surgeons take a collaborative approach to patient care to determine the best procedure for each patient. Meet members of the MIGS team and hear one patient's story in this video by the American Congress of Obstetricians and Gynecologists (ACOG).
Depending on your personal history and symptoms, your multidisciplinary team of physicians and surgeons may recommend one or a combination of the following minimally invasive treatments to address your individual condition.
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:
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:
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:
Procedures that can be performed with one incision include:
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:
Our services are available from two locations:
40 Second Avenue, Suite 400 Waltham, MA 02451 Phone: 781-487-3860 Fax: 781-487-3870
Massachusetts General Hospital Yawkey 4E Boston, MA 02114 Phone: 855-644-7644
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.
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 is long-standing pain that persists beyond the usual recovery period or occurs along with a chronic health condition, such as arthritis.
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 is a menstrual condition characterized by severe and frequent menstrual cramps and pain associated with menstruation.
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 is a common gynecological condition involving abnormal buildup of tissue, often causing pain or 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 is the most common type of abnormal uterine bleeding characterized by heavy and prolonged menstrual bleeding.
Ovarian cancer is a disease in which malignant cells are found in an ovary.
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 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.
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.
Fibroids are the most frequently seen tumors of the female reproductive system.
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 is a malignancy that can occur on any part of the external organs, but most often affects the labia majora or labia minora.
The Fibroid Program at Massachusetts General Hospital offers patients access to a full range of multidisciplinary options to treat uterine fibroids.
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