Dr Nancy Peters

Minimally Invasive Surgery

Advanced Minimally Invasive (Keyhole) Gynaecological Surgery

Dr Nancy Peters provides a wide range of gynaecological procedures for women requiring investigation, symptom relief or treatment of underlying conditions.

With advanced fellowship-level training through the Australasian Gynaecological Endoscopy & Surgery (AGES) Accredited Training Program, Dr Peters has undertaken dedicated training in advanced laparoscopic surgery, hysteroscopy and minimally invasive (keyhole) techniques.

Minimally invasive (keyhole) surgery can often result in:

  • Smaller incisions
  • Less pain after surgery
  • Reduced blood loss
  • Shorter hospital stays
  • Faster recovery
  • Less scarring
  • Earlier return to work and daily activities

Dr Peters believes in carefully assessing each woman’s symptoms, goals and preferences before recommending surgery. In many cases, non-surgical options may be considered first. Where surgery is appropriate, she aims to provide safe, evidence-based care with a focus on achieving the best possible outcome.

Laparoscopic Surgery

Laparoscopic surgery, often called “keyhole surgery”, involves performing surgery through a number of very small incisions in the abdomen using a camera and specialised instruments.

Compared with traditional open surgery, laparoscopic surgery generally offers a quicker recovery and less discomfort.

Dr Peters performs laparoscopic surgery for a range of conditions, including:

  • Ovarian cysts
  • Endometriosis
  • Fibroids
  • Permanent contraception
  • Risk-reducing surgery
  • Investigation of unexplained symptoms

While many ovarian cysts resolve naturally, some require surgery if they are large, painful, growing, suspicious in appearance or causing complications.

Laparoscopic surgery can often be used to remove the cyst while preserving the ovary where possible.

For women who do not wish to have future pregnancies, laparoscopic removal of the fallopian tubes can provide permanent contraception.

This procedure is known as salpingectomy and is now commonly recommended instead of tubal ligation because it reduces the future risk of ovarian cancer.

Some women may be at increased risk of ovarian or fallopian tube cancer due to family history, genetic factors or other medical reasons.

Risk-reducing surgery may involve removal of the fallopian tubes and, in some situations, removal of the ovaries.

After careful consideration and where non-hormonal and hormonal medical management options have not been successful endometriosis excision surgery may be an option. 

Dr Peters’ advanced AGES (Australasian Gynaecological Endoscopy & Surgery) training includes experience in managing complex endometriosis and advanced laparoscopic surgery. This will include careful planning, may involve referral for specialised endometriosis ultrasound and occasionally the involvement of other specialists such as a urologist or colorectal surgeon. 

A hysterectomy is surgery to remove the uterus, cervix and fallopian tubes. Where possible and appropriate the ovaries are conserved prior to menopause, so having a hysterectomy does not automatically mean going through menopause.  

Dr Peters performs laparoscopic hysterectomy using minimally invasive (keyhole) techniques wherever appropriate.

Conditions that may be treated with hysterectomy include:

  • Heavy periods/menstrual bleeding
  • Fibroids
  • Adenomyosis
  • Precancerous conditions

Compared with open surgery, laparoscopic hysterectomy generally allows for:

  • Smaller scars
  • Less pain
  • Faster recovery
  • Shorter hospital stay

Dr Peters understands that having a hysterectomy is a major decision and ensures women have a clear understanding of their options before proceeding.

A myomectomy is surgery to remove fibroids while preserving the uterus.

This may be an appropriate option for women who:

  • Have fibroid-related symptoms
  • Wish to preserve fertility
  • Want to avoid having a hysterectomy

Dr Peters will discuss whether myomectomy is suitable based on the number, size and location of your fibroids.

Hysteroscopic Surgery

Hysteroscopic surgery involves inserting a thin camera through the cervix into the uterus without making any abdominal incisions.

This allows Dr Peters to examine the inside of the uterus and treat certain conditions at the same time.

Hysteroscopic surgery may be used to:

  • Investigate abnormal bleeding
  • Remove uterine polyps
  • Remove submucosal fibroids
  • Investigate infertility
  • Assess the uterine cavity
  • Remove retained pregnancy tissue

Cervical Surgery

Some women require treatment for precancerous changes of the cervix caused by HPV.

These changes are often identified after cervical screening and colposcopy.

LLETZ is a procedure used to remove abnormal cells from the cervix using a fine wire loop.

It is commonly performed for high-grade pre-cancerous cervical changes and aims to prevent these changes from progressing to cervical cancer.

Dr Peters usually performs this procedure under general anaesthetic (with the option for referral if wanting the procedure under local anaesthetic).

A cone biopsy involves removing a larger section of tissue from the cervix for diagnosis or treatment.

Why Choose Dr Nancy Peters for minimally invasive surgery?

Women often choose Dr Nancy Peters because of her combination of surgical expertise and compassionate care.

She understands that surgery can feel overwhelming and aims to ensure women feel informed, supported, well prepared and reassured throughout the process.

Her advanced AGES (Australasian Gynaecological Endoscopy & Surgery) fellowship training in laparoscopic and hysteroscopic techniques means patients can access modern minimally invasive (keyhole) surgical options close to home in the Sutherland Shire.

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Contact our team

If you are experiencing heavy bleeding, endometriosis, fibroids, ovarian cysts or another gynaecological condition, Dr Nancy Peters can provide a thorough assessment and discuss whether surgery may be appropriate.

Appointments are available in Miranda for both public and private patients.

 

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