Advanced Surgical Techniques

Advanced Surgical Techniques


Dr Nikam and A/Professor Chan are both qualified at the highest level in Advanced Gynaecological Surgery (RANZCOG Level 6) in Laparoscopic “Keyhole” and Robotic Surgery.

Dr Nikam and A/Professor Chan have both undergone additional training in minimally invasive surgery and are capable of providing the full range of Benign Gynaecological surgical procedures.

At AEVAFEM, our specialists will discuss and offer you the best possible surgical approach, should you ever need surgery.



Laparoscopic Surgery is performed under general anaesthesia. Tiny incisions are made in the patient’s abdomen to perform the surgery.

Gas (carbon dioxide) is used to expand the abdominal cavity so Dr Nikam & A/Professor Chan can perform laparoscopy with a pencil-thin instrument called a laparoscope. It has a powerful light and a miniature camera that sends images of the surgical field to a high definition video monitor above the operating table.

The tiny incisions are usually placed through the umbilicus (belly button) for the laparoscope and additional accessory incisions in the abdomen are utilized, allowing slim operative instruments to be inserted.

Laparoscopy is used to diagnose and treat many different gynaecological conditions. At the conclusion of the surgery, the instruments are withdrawn, the gas released and the tiny incisions are closed with dissolvable sutures or skin glue (no sutures) below the skin.

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Robotic Surgery


The da Vinci Robotic Surgical System is now the surgical tool of choice by surgeons for select procedures. At AEVAFEM, we pride ourselves at being at the forefront of surgical care and offer patients with superior minimally invasive surgical options should they need surgery.

Dr Nikam is an accredited Robotic Surgeon who can provide this cutting edge technology to patients for select gynaecological procedures.

Dr Nikam and A/Professor Chan have undergone an intense training program including a certification program in the USA.

Please read further to understand how we can help you with Robotic Assisted Surgery.

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Hysteroscopy is a minimally invasive technique that allows visualisation of the inside of your uterus. It involves passing a camera (Hysteroscope) into the uterine cavity. This can help diagnose and treat causes of abnormal bleeding and uterine abnormalities including endometrial polyps and fibroids. Hysteroscopy can be either diagnostic or operative.

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Microsurgery is a surgical technique used to help repair the fallopian tubes, especially after previous tubal ligation.

Even if you have had your “tubes tied” by tubal ligation previously, we understand circumstances can change. Although IVF can be an option (and may be a superior option, especially if there are other fertility factors), it does not let you conceive naturally.

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