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Advanced surgical techniques

In the past, all surgeries involved large incisions so surgeons could easily access the organs and tissues in need of repair. However, technical advances have led to the rise of minimally invasive techniques. Instead of relying on large incisions, these techniques make use of multiple smaller incisions, or natural openings in the body, which can help patients recover from surgery faster.

At MultiCare, our surgeons work closely with you to choose the surgical method best suited to your unique needs and situation.

Open surgery

During a traditional open surgery, a surgeon uses a scalpel to make a single large incision to an area of the body. Open surgeries are not as common as they used to be, but they may be the best treatment option for some conditions affecting the heart, spine, brain and other areas of the body. Open surgery may be preferable to minimally invasive approaches when a surgeon needs access to a large surgical site.

Minimally invasive surgery

MultiCare surgeons have been at the forefront of minimally invasive surgery, pioneering innovative solutions for conditions such as gastroesophageal reflux disease (GERD) and leading the nation in performing robotic-assisted hysterectomies.

While not appropriate in all situations, minimally invasive surgery offers several benefits. In addition to facilitating a faster recovery, minimally invasive techniques reduce the risk of complications and postoperative pain. Most people can resume normal activities within a matter of days following minimally invasive surgery.

Minimally invasive techniques are often used to perform the following:

Some types of minimally invasive surgery we perform include:

During laparoscopic surgery, a surgeon makes multiple small incisions. A thin tube with a small video camera and light attached to it — known as a laparoscope — is inserted through one of these incisions. The camera transmits images to a video monitor, giving the surgeon a clear view of the surgical site. The team then uses specially designed tools to perform the procedure.

With this form of surgery, a surgeon uses a computer console to direct a robot’s mechanical arms. The arms are equipped with specialized surgical instruments and a high-definition camera. The camera magnifies the surgical area and transmits real-time 3D images back to the console. With the images as a guide, your surgeon uses hand and foot controls to direct the robot’s arms to perform the surgery. This surgical approach may be ideal for complex procedures in areas of the body that are hard to reach or have delicate tissue. 

Transanal minimally invasive surgery (TAMIS) is often used to remove polyps and cancerous tumors within the rectum and lower colon. This procedure does not require incisions. Polyps and tumors are removed through the anus using laparoscopic instruments.

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