Queen of Hearts NaPro Technology- Natural Treatments for Women

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Queen of Hearts NaPro Technology- Natural Treatments for Women

Queen of Hearts NaPro Technology- Natural Treatments for WomenQueen of Hearts NaPro Technology- Natural Treatments for WomenQueen of Hearts NaPro Technology- Natural Treatments for Women
Home
Infertility
PCOS
endo
PMS
menopause
Patient Handouts
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Thyroid Problems
Vitamin D
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Abnormal Uterine Bleeding
Osteoporosis
Education
Semen Analysis
Laparoscopy
NaPro Symposiums
CrMS
FCP webpage
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Learn about a Bilateral Ovarian Wedge Resection (BOWR) for PCOS

How is Napro Laparoscopic Surgery different from Mainstream?

NaPro surgeons use a "Near-Contact Approach" and Treat Completely

The removal of ectopic endometrial implants and/or pelvic adhesions helps to optimize fertility and/or to decrease pelvic pain if present.  NaPro surgeons will strive to completely remove ALL ectopic endometrial implants and/or ALL pelvic adhesions, which also reduces the risk of recurrence both. One difference that sets us apart is that our surgeons will use a "Near-contact approach". A high powered camera will be mounted on the end of the laparoscope to allow for visualization of very small endometrial lesions, which will be completely excised. Many mainstream medicine ObGyn surgeons do not believe these very small implants affect fertility, but we have found that they do. When they are removed, our couples do have success in achieving a pregnancy. 


A video recording is made and shared with the couple, which ensures they have an in-depth understanding of their diagnosis and the surgery that was performed. If the endometriosis is extensive. The woman will be scheduled for a subsequent laparoscopy to allow the surgeon to remove all implants. 


Oftentimes, endometrial and endocervical cultures will be taken to assist in the diagnosis and guide further treatment of underlying problems(s) if necessary. Many women who have endometriosis are also found to have a condition called Chronic Endometritis, in which there is a low level "subclinical" infection in the endometrium that is contributing to their infertility or recurrent pregnancy loss. 

NaPro Surgeons use a "Near-Adhesion-Free" Surgical Technique

Surgeries and procedures performed within the abdominopelvic cavity most often result in the formation of "adhesions" or scar tissue. This is an expected outcome and accepted as unavoidable among mainstream ObGyn surgeons.  Adhesions in the pelvic cavity are well known to cause many problems, themselves, including but not limited to: infertility, pelvic pain, and in some cases blockage of the bowels (intestinal obstruction) which can be a medical emergency. 


NaPro Surgeons are especially trained to use a “Near-Adhesion-Free” surgical technique when performing their surgeries.  They use special delicate instruments and "non-adhesive-producing" suture material.  They neatly close all areas they have surgically cut. Whereas, it is acceptable practice by mainstream surgeons to leave small excised areas unsutured. Additionally, Napro surgeons take extra time to bury the sutures, and oftentimes cover the reproductive organs with an anti-adhesion, absorbable graph, similar to the Gortex graph in the picture, but will naturally be absorbed, so does not have to be removed at a later point in time. 


This protocol has been shown to result in an extremely minimal production of adhesions. Thus, NaPro surgeries are truly "Near-Adhesion Free". 

NaPro Surgeons Reconstruct the Pelvic Organs and Tissues

The NaPro surgeon will reconstruct the uterus, tubes, ovaries and pelvic tissues. The primary goal is to return the damaged organs and tissues to their original, healthy state as much as possible. 


The NaPro surgeon often spends much more time reconstructing the organs and tissues as compared to the time spent excising or lasering ectopic endometrial implants or adhesions.  For this reason, NaPro surgeries are referred to as "Plastic Surgery of Pelvis" or Pelvioplasty". 


Image References: "Pelvioplasty" Lecture presented by Dr. Thomas Hilgers, MD.

Treat Completely, Reconstruct Anatomy & Eliminate Adhesions

Endometrial implant in the Pouch of Douglas

Extensive endometriosis surrounding the uterus

Endometrial implant in the Pouch of Douglas

A CO2  laser is used to lyse (burn) or to excise (remove) even the smallest ectopic endometrial implants. The NaPro surgeon takes great care to remove all of the lesions completely. Ectopic lesions do not always have the typical red-brown appearance. 

Endometrial implant in the Pouch of Douglas

Extensive endometriosis surrounding the uterus

Endometrial implant in the Pouch of Douglas

When the endometrial lesions are completely excised (removed), the risk of re-growth is very unlikely, and the risk of continued pain and/or infertility is also minimized. 


Extensive endometriosis surrounding the uterus

Extensive endometriosis surrounding the uterus

Extensive endometriosis surrounding the uterus

This image is showing the pelvic cavity where multiple lesions of endometriosis have been removed from several areas of the uterine sacral ligaments. 

[The uterine ligaments attach the uterus to the side walls of the pelvis]

Excision of Endometrial implants

Repair and Reconstruction of the tissue

Extensive endometriosis surrounding the uterus

The two white structures seen in this image are the patient's right and left ovaries. Note the deep open wound, between the ovaries. This is an area of tissue from where a large ectopic endometrial implant was completely removed. 

Repair and Reconstruction of the tissue

Repair and Reconstruction of the tissue

Repair and Reconstruction of the tissue

This image is the same patient after the large open defect has been repaired/reconstructed. Notice how the normal healthy tissue has been pulled together and the sutures (the zigzag line in the middle) are buried, preventing adhesion (scar) formation. 

Near-Adhesion Free Technique

Repair and Reconstruction of the tissue

Repair and Reconstruction of the tissue

This image shows a patient's uterus, fallopian tubes and ovaries which have been carefully covered after laparoscopic surgery with Gortex graft to prevent adhesion formation. Today, an absorbable graphs are more often used.  

Dr. Naomi Miriam Whittaker, MD

UPMC Divine Mercy Womens Health

225 Grandview Avenue, St 302, Camp Hill, PA 17011

 Instagram page: NaPro-Fertility-surgeon


The course includes 8 sections covered in 3 hrs.

  • Gain expertise in advanced multifaceted management of endometriosis in the context of a fertility-minded restorative approach.
  • Explore NaProTechnology's meticulous techniques focused on adhesion prevention. 


Click the image to the left to be directed to:   

https://www.rrmacademy.org/challenge-page/masterclass-in-endometriosis-and-surgery 

Learn more about endometriosis Learn more about Infertility & Recurrent Pregnancy Loss Learn more about Chronic Pelvic Pain

Copyright © 2025 Queen of Hearts Fertility Care  & Napro Technology - All Rights Reserved---Ocean Video image courtesy of Sitthijate Poonboon. 

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