Minimal access surgery and cancer services

Minimal Access surgery and Cancer services

Minimally invasive surgery allows your surgeon to use techniques that limit the size and number of cuts, or incisions, that they need to make. It’s typically considered safer than open surgery. You will usually recover more quickly, spend less time in the hospital, and feel more comfortable while you heal.

In traditional open surgery, your surgeon makes one large cut to see the part of your body that they’re operating on. In minimally invasive surgery, your surgeon uses small tools, cameras, and lights that fit through several tiny cuts in your skin. This allows your surgeon to perform surgery without opening a lot of skin and muscle.

Some minimally invasive surgeries are done with robotic technology that allows more precise control over the surgery. Other minimally invasive surgeries are done without robotic assistance.

In modern medicine, most surgeries for women, Barr caesarean sections can be done either laparoscopically, robotically or vaginally to minimise stay in hospital, reduce pain, improve healing and enhance early return to work and routine activities.

At Lotus Medics, Dr Kotasthane endeavours to offer the least invasive options for any surgery required for all his patients.

Combining the latest imaging, and minimally invasive techniques, he strives to make the patient journey comfortable enabling women to return to work, with shorter stays in hospital, lesser pain, improved healing and lesser long-term morbidity.

The first step towards minimally invasive surgery is to avoid the operating theatre if at all possible. By performing procedures like colposcopies, Mirena insertions and removal, and a variety of other diagnostic and treatment procedures, Dr Kotasthane endeavours to reduce the number of women needing hospital admissions in the first place.
Hysteroscopy is a minimally invasive procedure that allows visualisation of the interior of the uterus to diagnose and treat heavy bleeding, polyps, fibroids, endometrial cancer and conditions which contribute to infertility and miscarriage like adhesions, polyps, fibroids and uterine septums.

Dr Kotasthane introduced this latest generation of ablation procedures to Orange and this continues to reduce the need for performing a hysterectomy by offering very high success rates for treatment of heavy periods.

For more information please visit the Novasure website –

If you have fibroids and polyps that cause heavy bleeding, these can now be successfully removed using Myosure, a unique hysteroscopic tissue morcellation system.

To know more about Myosure, watch the video and visit the website: and

In addition to these, Dr Kotasthane also performs a variety of advanced hysteroscopic procedures like intrauterine septum resections and treatment of Asherman’s syndrome, which causes intrauterine adhesions and can lead to infertility.

Dr Kotasthane has established a complex laparoscopic service in Orange, Parkes and Bathurst since he came to this NSW region.

This includes performing complex level 4 endometriosis surgeries, laparoscopic hysterectomies and myomectomies(removal of fibroids laparoscopically)

This remains the gold standard for diagnosis and treatment of endometriosis. Treatment involves diathermy of isolated superficial spots to excision of deep infiltrating endometriosis (DIE) and division of adhesions and restoration of normal anatomy.

Endometriotic cysts also called chocolate cysts (because the old endometriosis secretions and old blood extruded from them is dark brown resembling colour of chocolate). Dr Kotasthane has teamed up with the colorectal surgeons and urologists in Orange to offer comprehensive treatment to endometriosis patients with bowel and/or bladder/ureteric involvement.

For a long time, “open” hysterectomy through a cut in the abdomen was the standard.

This has now been replaced by laparoscopic, robotic and vaginal hysterectomy.

Removal of the uterus does not equal menopause as is the common myth. In fact, there is good evidence to suggest conservation of “healthy normal” ovaries is more beneficial in the long run.

Dr Kotasthane individualises needs of women in this regard by taking into account their medical, gynaecological and family history including cancer risk, personal wishes and tailors an individualised plan centred around informed choice for conservation versus removal of ovaries.

By performing hysterectomies laparoscopically, women are able to go home either the same day or the next day and have an enhanced recovery and return to routine activities and work. Most women require simple analgesia and less opioid-based medication as compared to women who have an “open” hysterectomy.

Please see the section on fibroids for more information.