Minimally Invasive Surgery


Experienced Women's Health Providers

Ko'olau Women's Healthcare specializes in minimally invasive surgery, allowing for less pain and fewer risks in gynecology and obstetric care. Our experienced women's health providers team takes extra steps to ensure the highest quality patient outcomes.

This includes ensuring that every step of your procedure is as safe, comfortable, and stress-free as possible. Our commitment to providing quality care means you can trust Ko'olau Women's Healthcare with your gynecological or obstetric needs.

  • Belly Button Surgery
  • Single Site Hysterectomy
  • Single Site Ovarian Cyst Removal
  • Single Site Fibroid Treatment
  • Acessa
  • vNOTES
Belly Button Surgery
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single port minimally invasive surgery

Single Port Belly Button Surgery

Ko'olau Women's Healthcare offers the latest in minimally invasive procedures to help women look and feel their best. One of these procedures is single port belly button surgery.

This type of surgery allows for entry through a single, small incision that can reduce the amount of downtime and recovery time needed compared to traditional methods. For more information, contact Ko'olau Women's Healthcare today!

All the following treatments can be done single site:

single port belly button surgery examples
Single Site Hysterectomy
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Single Site Hysterectomy

A hysterectomy is a surgical procedure to remove the womb (uterus). If you have not gone through menopause, you'll no longer have periods, regardless of your age.

During your consultation, our skilled medical professionals will explain the process of a hysterectomy and address any questions or concerns that you may have, so don't hesitate to reach out if this is the right path for you!

Single Site Ovarian Cyst Removal
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Ovarian Cyst Treatment in KAILUA, HI

Single Site Ovarian Cyst Removal

A cyst is a fluid-filled sack that can form in several places throughout the body. Women have two ovaries on each side of the uterus where eggs can develop and mature.

During their lives, most women will develop a cyst of some sort on at least one of their ovaries that may either disappear without treatment or cause severe symptoms. These cysts usually form during ovulation periods but can also happen outside of that window.

What Causes Ovarian Cysts?

Several different types of cysts may have different causes. Most will develop due to your menstrual cycle and are considered functional, while others may develop outside of your menstrual cycle, posing separate issues. The most common types are as follows:

Follicular Cyst

A follicular cyst is a functional cyst and happens around the middle of your current menstrual cycle. The follicle is essentially the sac in which an egg grows and is broken open when the egg is released. However, if the follicle doesn't open, it will eventually become a cyst.

Corpus Luteum Cyst

After the egg is released from a follicle, the follicle becomes a corpus luteum, which is responsible for aiding in conception. If fluid accumulates inside this follicle, it can turn into a cyst.

Endometriomas/ Dermoids/ Cystadenomas

These are non-functional cysts typically created outside of your menstrual cycle. Endometriomas are caused by endometriosis, dermoid cysts are formed from cells present from birth or an embryo, and cystadenomas are developed from watery fluid on the surface of an ovary.

It's important to note that any cyst should be checked by a board-certified OBGYN in Honolulu, HI, to determine the exact cause and type. This will help determine if they are benign or malignant as well.

What Are The Symptoms of an Ovarian Cyst?

Most ovarian cysts will not cause symptoms and go away on their own. But, if the cyst is large enough, there is a chance that it may cause issues such as pelvic pain, bloating, dull back pain, unexplained weight gain, or pain during the period.

If you are experiencing anything out of the ordinary, especially during your menstrual cycle, please contact Ko'olau Women's Healthcare today to discuss it.

How Do I Treat Ovarian Cysts?

If you've been diagnosed with ovarian cysts, there's a chance that your doctor will not immediately discuss a plan involving surgery or medication. In fact, many will suggest that you wait and be re-examined to see if the cyst goes away within a month or two. In addition, it is recommended that you receive pelvic ultrasounds during your visits to determine if the cyst has grown. You may be prescribed new hormonal contraceptives to keep them from progressing, but this will not assist in treating existing cysts.

If the cyst is large, your doctor may recommend the removal of the cyst by surgery. However, if the cyst is cancerous, you may be referred to a gynecologic cancer specialist.

Request an Appointment for Ovarian Cyst Treatment

If you are concerned that you are affected by ovarian cysts or have further questions regarding treatment options, please schedule your appointment with Ko'olau Women's Healthcare.

Single Site Fibroid Treatment
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Single Site Fibroid Treatment

Our team offers single-site fibroid treatment - a minimally invasive procedure that provides symptom resolution with short recovery times.

With Ko'olau Women's Healthcare, you can find experienced medical personnel and innovative care options, so you don't need to look any further for a comprehensive healthcare plan. We aim to help our patients live joyful lives free from fibroid-related pain or discomfort.

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Acessa Procedure for Fibroid Treatment

Acessa Procedure

Our board-certified OBGYNs at Ko'olau Women's Healthcare specialize in the Acessa procedure, the latest advancement in fibroid treatment.

Fibroids are noncancerous tumors that grow from the muscle tissue of the uterus. Women are typically between the ages of 30-50 when they develop fibroids, though they can develop fibroids at any stage of their life.

Fibroids Symptoms

Not all women with fibroids will experience symptoms, but many will go through them. Fibroid symptoms can become extremely debilitating and affect their everyday lives.

Symptoms of fibroids include:

  • Heavy and painful periods.
  • Periods lasting longer than 7+ days.
  • Stomach, lower back, and pelvis pain.
  • Stomach protrusion which causes women to look pregnant when they aren't.
  • Anemia.
  • Infertility.
  • Painful sex.
  • G.I. issues like gas and constipation.
What Is Acessa?

The Acessa procedure is recommended for pre-menopausal women (typically younger than 55 years old). Particularly those who are tired of living with the ongoing pain and discomfort of fibroids and are looking for a minimally invasive option that allows them to keep their uterus and return to daily life quickly after the procedure. Dr. Bhattacharyya can perform this procedure with a minimally invasive single-site incision.

Acessa Results
  • 94% of patients responded that the treatment had been somewhat, moderately, or very effective in eliminating their symptoms.
  • Only 11% of patients required additional reintervention after the Acessa procedure.
  • 98% reported that they would probably or definitely recommend the procedure to their friends with the same health problem.
What to Expect

The Acessa® procedure is also known as Laparoscopic Radiofrequency Ablation (LAP-RFA) and essentially delivers heat directly into a fibroid to destroy its tissue and relieve your symptoms. The procedure contains six steps.

  • Step 1: Prep – You are prepped and brought into the operating room for anesthesia.
  • Step 2: Access – Your physician makes three small incisions-one in your belly button – one below your bikini line – and inserts a tiny camera and ultrasound into each incision.
  • Step 3: Visualize – Your Physician precisely located each fibroid with the Acessa ultrasound probe and guidance mapping, allowing a full view of your uterus.
  • Step 4: Deploy – Next, your physician deploys the tip of the Acessa handpiece into the fibroid while preserving healthy uterine tissue.
  • Step 5: Treat – The physician deploys controlled heat through the Acessa handpiece to destroy the fibroid tissue. The physician repeats this process until every targeted fibroid is fully treated. Once the procedure is complete, your physician stitches the small incisions on the skin.
  • Step 6: Recover – You will wake up in the recovery room. Most patients get cleared to go home within two hours. Women typically feel ready to return to work and daily activities after 4-5 days. In terms of when you will see symptom relief – this is a hot topic. It depends on how big the fibroid is and what symptoms you're experiencing.

Talk to a specialist in Honolulu and Kailua, HI

Only a trained doctor can determine whether you are eligible for an Acessa procedure. All treatment options for intrauterine pathologies have benefits, warnings, precautions, and risks. These specific risks may only be evaluated in consultation with a doctor experienced in Acessa procedures.

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vNOTES Gynecologic Surgery in Honolulu

vNOTES Surgery

Vaginal natural orifice transluminal endoscopic surgery is an advanced, minimally invasive gynecologic procedure using the vagina as a surgical access route. The vNOTES technique is most commonly used for hysterectomy procedures, as well as salpingectomy, oophorectomy, and cystectomy procedures.

The American College of Obstetricians and Gynecologists (ACOG) and the American Association of Gynecologic Laparoscopists (AAGL) have recommended vaginal hysterectomy as the approach of choice whenever feasible.

What Is vNOTES?

You play an essential role in your surgery and your recovery. Research shows that patients who are well-informed about their treatment options enjoy better outcomes and are more satisfied with their results

vNOTES (vaginal natural orifice transluminal endoscopic surgery) is another option for your hysterectomy. It is the next advancement in minimally invasive surgery and does not require abdominal skin incisions.

In the vNOTES procedure, your doctor uses specialized instruments inserted through the vagina instead of creating visible abdominal incisions in the body. This allows your doctor to gain access to the uterus or fallopian tubes and ovaries without any visible scarring.

Benefits of vNOTES
  • Shorter Hospital Stay.
  • Less Postoperative Pain.
  • Shorter Recovery Time.
  • Less Pain Medication.
What to Expect with vNOTES

Before the Procedure

Your OBGYN will advise you on any pre-surgical tests and give you guidelines for eating, drinking, and taking medications.

During the Procedure

vNOTES is performed under general anesthesia, so you will be asleep throughout the procedure.

An incision is made in the vagina, and a specialized vNOTES device is placed to give your doctor access to the uterus, fallopian tubes, and ovaries. The abdomen is then inflated with carbon dioxide gas (similar to traditional laparoscopic surgery) to give your doctor the necessary space to see and operate.

Next, a high-definition camera and specialized instruments are inserted through the vNOTES device, allowing your OBGYN to operate with the utmost precision and visualization. Once the surgery is complete, the vNOTES device is removed, the gas is evacuated, and all internal incisions are closed.

After the Procedure

You may be discharged the same day as your procedure. Your doctor will advise you on your recovery and schedule a follow-up appointment.

Talk to an OBGYN in Honolulu and Kailua, HI

Only a trained doctor can determine whether you are eligible for a vNOTES procedure. All minimally invasive surgical procedures, including vNOTES, present risks to the patient, such as the potential for conversion to a traditional vaginal, laparoscopic, or abdominal approach. These specific risks may only be evaluated in consultation with a doctor experienced in vNOTES procedures.