Laparoscopic or "keyhole" surgery has been well established to result in fewer complications (less blood loss and lower infection rates) and shorter hospital stays and recovery periods.  As a result, there has been a growing role for the application of advanced laparoscopic techniques in a number of gynaecologic cancers in appropriately selected patients, particularly endometrial and cervical cancers.  Studies have similarly shown improved outcomes in these cancers with no compromise in cancer outcomes (survival, recurrence rates).  

In certain cases an open surgery via an incision is the best option.  In particular, ovarian cancers usually requires a complex surgery often requiring bowel resection, urologic surgery, peritoneal / diaphragm stripping, etc. Dr. Sayer is subspecialty trained as a gynaecologic cancer surgeon to perfom all of these procedures which are necessary to achieve the best possible outcomes. 

Complex benign gynaecologic surgery is sometimes best performed by a subspecialist.  Dr. Sayer has the advanced training to deal with the potentially difficult surgical situations often associated with extensive surgical histories, obesity and multiple comorbidities.