Minimally Invasive Surgery and the da Vinci System

About Minimally Invasive Surgery

Minimally Invasive Surgery has redefined the field of surgery. The elimination of large open incision based procedures through Laparoscopy, Endoscopy or Robotic has led to decreases in recovery time, pain and scarring– Getting you back to life quickly.

The Robotic Method - daVinci Surgical System

If it’s been determined that you need surgery, you may have several options to consider. One minimally invasive option is da Vinci Surgery. With the da Vinci System, Dr. Kafali-Nazarof is able to operate through just a few small incisions. The da Vinci System represents the latest in surgical and robotics technologies. The surgeon is 100% in control of the da Vinci System at all times. da Vinci technology translates hand movements into smaller, precise movements of tiny instruments inside your body.


  • Laparoscopic Myomectomy

    A myomectomy is normally an invasive surgery that removes fibroids while leaving the uterus intact in order to maintain fertility. At AWH we take the worry out of this procedure, with our advanced techniques Dr. Kafali-Nazarof performs laparoscopic myomectomies for fertility in an outpatient setting using only 2 small incisions.


  • How are STDs treated?
    STD treatment depends on the type and severity of the disease. Dr Kafali-Nazarof uses antibiotics to treat most bacterial STDs, like syphilis, gonorrhea, and chlamydia. Other infections like HIV & herpes never go away, but can be managed with antiviral drugs. Depending of your case, you may be able to reduce your viral count to virtually undetectable levels. Even if your STD is under control, it is still transmittable, so be sure to discuss safe-sex methods with Dr Kafali-Nazarof. And remember, there is no need to feel shame or embarrassment over an STD, at AWH, Dr Kafali handles every personal health concern with discretion and compassion.
  • Does robotic surgery eliminate the need for a real surgeon?
    No, the surgeon is in control of the entire surgical system throughout the procedure. Although the robot allows the surgeon to make more precise hand and wrist movements, it cannot be programmed to perform surgery on its own. All maneuvers must be performed by a qualified surgeon who has been specifically trained and precepted in robotics. In addition, a resident/assistant and surgical scrub are at the bedside with the patient to assist the surgeon and change instruments as needed.
  • How is robotic surgery different from traditional surgery?
    A traditional open GYN surgery requires either a low transverse incision (like a cesarean incision) or a vertical incision from the pubic bone to just above the navel. This size of this incision can result in a lengthy recovery of approximately six weeks and an increased risk of infection for some patients. Patients are also often left with a large scar and some abdominal muscle weakness following the procedure. Both laparoscopy and robot-assisted surgery require smaller incisions, which result in a quicker recovery for the patient and decreased risk of infection. The tools used to perform laparoscopic procedures are rigid and do not allow for the extended range of mobility offered by the instruments used during robot-assisted surgery. As a result, procedures that are often challenging to perform with laparoscopy are made easier with robot-assisted surgery.
  • How safe are robotic surgeries?
    Performing a GYN surgery using robotics is as safe as other accepted surgical techniques. This surgical technology has been approved by the FDA since 2005. Since then, more than 100,000 robot-assisted hysterectomies have been performed throughout the United States.