Four complementary minimally invasive surgical approaches, selected and tailored to the patient's clinical characteristics, the nature of the pathology, and the specific treatment goals. Each approach offers distinct advantages: the choice is not driven by technology, but by safety and disease biology.
Over the past two decades, gynecologic surgery has progressively moved away from maximally aggressive treatment, evolving toward a personalized and tailored model of care. The principle has shifted from maximum tolerated dose to minimum effective therapy, with the goal of achieving the same clinical outcome while minimizing the impact of treatment on the patient. Each of the four surgical approaches below represents a tool in this philosophy — the right tool for the right case.
High-precision minimally invasive surgery performed with the Da Vinci X and Xi systems. Prof. Di Donato is TR-400 Console Surgeon certified — one of the most advanced qualifications in robotic gynecologic surgery. Ideal for complex oncologic staging, radical hysterectomy, deep endometriosis, and surgery in patients with obesity or comorbidities.
Learn more →The gold standard for numerous gynecologic and oncologic procedures, ensuring oncologic outcomes comparable to open surgery with reduced morbidity and faster recovery. Particular expertise in stage III–IV endometriosis, adnexal surgery, laparoscopic hysterectomy, and systematic resectability assessment in advanced ovarian cancer.
Learn more →Scarless surgery — no visible abdominal incisions. Vaginal surgery is the natural and gold-standard approach for numerous gynecologic procedures. The vNOTES technique (vaginal Natural Orifice Transluminal Endoscopic Surgery) represents one of the most advanced evolutions, combining vaginal access with full endoscopic vision.
Learn more →A surgical option in selected cases, when the minimally invasive approach is not indicated for reasons of oncologic safety. A reduced abdominal access (typically < 5 cm), often low or ultra-low (below the bikini line), with direct tissue palpation and precise anatomical reconstruction. Particularly indicated in complex multiple myomectomy.
Learn more →Request a personalized consultation or a Second Opinion review. Prof. Di Donato will evaluate your case and recommend the most appropriate surgical approach.