Minimally Invasive (Laparoscopic & Robotic) Surgery
Minimally invasive surgery uses specialised instruments and a high-definition camera inserted through small incisions in the abdomen. Compared with traditional open surgery, laparoscopic and robotic assisted techniques are associated with less postoperative pain, reduced blood loss, shorter hospital stays, faster recovery, and smaller scars.
As an AGES-accredited gynaecological surgeon with advanced laparoscopic skills credentialed to the highest level of benign Gynaecological surgery (Level 6B), Dr. Mathias utilises minimally invasive surgical techniques to manage a broad range of benign and complex gynaecological conditions, including advanced endometriosis and fertility-preserving surgery. Her fellowship training in advanced laparoscopy and robotic surgery allows her to offer contemporary, evidence-based surgical care tailored to each patient's individual needs.
Procedures performed include:
Total laparoscopic hysterectomy (removal of the uterus with or without the cervix and adnexa)
Adnexal surgery, including ovarian cystectomy (removal of ovarian cysts)
Oophorectomy (removal of one or both ovaries) including residual ovaries
Salpingectomy (removal of one or both fallopian tubes)
Trachelectomy ( removal of residual cervix after previous subtotal hysterectomy)
Myomectomy (removal of uterine fibroids while preserving the uterus)
Caesarean scar niche repair
Tubal patency assessment and fertility-related procedures
Treatment of endometriosis, from superficial disease to advanced Stage IV endometriosis
Excision of deep infiltrating endometriosis (including adhesiolysis)involving the bowel, bladder, ureters, diaphragm, and other pelvic structures
Complex endometriosis surgery often requires a multidisciplinary approach. Dr. Mathias works closely with colorectal surgeons, urologists, radiologists, pain specialists, fertility specialists, and other healthcare professionals to provide comprehensive care for women with advanced disease.
Every treatment plan is individualised, with a focus on symptom relief, preservation of fertility where desired, and achieving the best possible long-term outcomes.