How to repair my body

Minimally invasive and inpatient surgery

 

Our top notch surgeons offer a variety of surgical procedures remove disease and improve health.  Unlike other practices, we offer multiple venues to offer you convenience, safety and value.  We try to employ minimally invasive techniques to help treat you.  These methods including robotic surgery offer quicker recovery, improved safety, less pain and faster return to your life.

We utilize the best hospital and ambulatory surgical centers in San Antonio to offer you these services. Click on the link below to learn more about the various types of surgeries we perform to keep you healthy. 











Procedures we have significant expertise in is listed below.  Click on the links to learn more about these procedures. 

​-Robotic Surgery da Vinci
     The da Vinci surgical system is a state of the art tool to provide the most effective, least invasive options for a range of uterine and pelvic conditions.  It provides our surgeons with unmatched precision and control using only a few small incisions. 

A few of the benefits of robotic surgery include:

- A faster return to your normal every day life

-significantly less pain than open surgery or even laparoscopy

-less blood loss than open or straight laparoscopic surgeries

-fewer complications,

-enhance view of operative field, increasing safety

-less scarring

-shorter hospital stay

The versatility of robotic surgery allows for use in multiple different scenarios.  A few of the usually indications for surgery include:

  • Hysterectomy (removal of the uterus)

  • Treatment for endometriosis, pelvic pain or scar tissue

  • Endometrial cancer (also known as uterine cancer)

  • Heavy or abnormal menstrual bleeding

  • Uterine fibroids

  • Ovarian cysts or tumors

  • Cervical, uterine and ovarian cancers

  • Uterine or bladder prolapse – surgery for pelvic relaxation, such as uterine or bladder descent

  • Urinary incontinence

  • Restoration of fertility after tubal ligation

  • Uterine reconstruction

  • Burch Retropubic urethroplexy (surgery for incontinence)

SINGLE SITE ROBOTIC SURGERY

Single Site Surgery has arrived to San Antonio
The surgeons at Alamo Women's Health OBGYN now offer single site robotic surgery. 

What does this mean?
For those candidates that qualify, it means complex surgery such as removal of scar tissue, ovarian cysts, endometriosis and even hysterectomies through near scar-less surgery. All the while maintaining the safety and precision that robotic surgery provides. Dr.'s Perez and Quezada now offer this technique to the women of San Antonio. With state-of-the-art da Vinci Single-Site, doctors remove your uterus through a small incision in your belly button.

Patients who choose da Vinci Single-Site Surgery experience virtually scarless results, similar to single incision traditional laparoscopy.Hysterectomy Incision ComparisonAs a result of da Vinci technology, da Vinci Single-Site Hysterectomy offers the following potential benefits:
post-op-incision-single-site
-Low blood loss
-Low rate of converting to traditional laparoscopy and opensurgery
-Low rate of complications
-Short hospital stay
-Small incision for virtually scarless results

To learn more, click on the link to the right.   


MINERVA  for HEAVY MENSTRUAL BLEEDING

We offer multiple techniques to help correct heavy menstrual bleeding without resorting to a hysterectomy.  We can offer standardized techniques such as endometrial rollerball ablation.  We also provide the latest technology called MINERVA system that provides the highest customer service and effectiveness.   

ACESSA for FIBROIDS

​The ACESSA Procedure presents a new standard of care for patients suffering from uterine fibroids. With the ACESSA procedure, a woman’s symptoms are significantly reduced or eliminated while preserving a healthy uterus. This minimally invasive, laparoscopic outpatient procedure enables the patient to quickly return to a normal quality of life without the potential long-term complications or long recovery time associated with hysterectomy. Patients return home the same day and typically resume work and other normal daily activities in 3-5 days. Importantly, the procedure has an excellent safety profile with a less than 4% complication rate and a very low incidence of recurring symptoms or the need for additional intervention


Fire Fly technology
The "Firefly" addition from Novadaq utilizes cutting edge imaging systems with 3D vision from the da Vinci to find and isolate endometriosis.  This treatment capitalizes on the fact that endometriosis involves angiogenesis where there is the new and abnormal growth of small blood vessels that proliferate to feed the endometriosis.          
        Endometriosis is the abnormal ectopic growth of endometrial glands on structures such as the peritoneal lining of the abdomen and pelvis, bladder, fallopian tubes, bowel, and other surfaces including the ovaries and uterus. The result of endometriosis is inflammation and chemical reactions such as increased prostaglandins that cause pain, adhesions that may stick together closing off structures like the fallopian tubes, causing scarring, loss of motility of the fallopian tubes, and also rejection of pregnancy implantation in the uterine cavity resulting in infertility.
        "Firefly" involves the injection of a commonly used dye which lights up blood vessels with the distinct neon color of green.  This is performed while viewing the contents and lining of the abdomen and pelvis laparoscopically with the da Vinci Robotic assisted near infrared camera thru a small incision in or near the umbilicus and while the patient is under general anesthesia in an operating room. This florescence imaging then facilitates identifying endometriosis more easily and more thoroughly to then remove those lesions to promote the healing of normal tissue and reduce the harmful effects of endometriosis. Since some of endometriosis are not readily seen with conventional surgery or laparoscopy alone, this technique appears to be a breakthrough in better identifying these abnormal areas.  Now with the advent of "Firefly" the surgical evaluation and treatment of endometriosis through the da Vinci has taken another unique step forward to improve the treatment of this disabling condition.


Laparoscopy
This minimally invasive surgery offers the ability to look into the body to discover pain causing pathology or disease while minimizing risk and injury to your body.  The various conditions that can be treated using this technique and helping your go home and recover sooner include:


-Ectopic pregnancy
-Diagnostic (too look and see what is wrong)
-Sterilization (close or cut fallopian tubes to prevent pregnancy)
-Ovarian cyst removal
-Uterine fibroid removal
-Infertility workup to assess if tubes are open
-Recover a misplaced IUD
-Remove scar tissue
-Perform hysterectomy
-Repair/reinforce vaginal prolapse and its supports


Stress urinary incontinence surgery
We offer a variety of surgical options to correct stress related urinary incontinence.  They include Kelly plication to more modern approaches with mid-urethral sling procedures. 
Tension Free Vaginal or Obturator tape procedure
Burch Retropubic urethroplexy
Biodesign mesh

Vaginal surgery
Several problems can be treated using vaginal surgery.  This approach is minimally invasvie and offers quick recovery and possible going home same day. 
-Vaginal prolapse surgery
-remove lesions
-perform hysterectomy
-remove cervix
-vaginal reconstructive surgery