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October 24, 2017  
COMMUNITY: Frequently Asked Questions
Uterus1: What new advances do you see on the horizon?
Dr. Amy Garcia: The use of robotics is going to increase to some extent. Robotics offer a flashy way of doing laparoscopic surgery. While it is easier to operate with a robot, it is also very expensive, so its widespread use may be limited. Industry will continue to pave the way with newer, more innovative products that address a larger realm of gynecological issues. There will be changes in the area of pelvic reconstruction as treatment for prolapse. There will be new meshes developed as we learn more about which materials are better for these types of procedures. And, people will continue to advance their own skills and become better at minimally invasive surgery. Minimally invasive surgery is here to stay.
Dr. Hugo Ribot: I don’t think anybody ever imagined that we could do almost every single procedure that gynecologists do in a minimally invasive fashion. In my 16-year span as a doctor, I’ve gone from almost everything requiring abdominal surgery and a significant recovery time to less than one percent requiring these things. There is no reason to believe that that will not continue.
Dr. Angela Cope: There have been three advances in healthcare that have really excited me. One is ablation. Number two is cord blood regeneration with stem cells – it is just a passion of mine. We are seeing childrens’ lives be saved and just changed forever. I met a family the other day whose son was cured of sickle cell disease that was going to kill him. They saved his little brother’s cord blood and that core blood happened to be a match and saved his life. Just incredible – so I am doing a lot of education on cord blood right now. Another thing in office that’s really cool is Esure, a form of sterilization. We don’t have to take women to the operating room anymore. We can do that in the office with very little risk involved.
Dr. Amy Garcia: The use of robotics is going to increase to some extent. Robotics offer a flashy way of doing laparoscopic surgery. While it is easier to operate with a robot, it is also very expensive, so its widespread use may be limited. Industry will continue to pave the way with newer, more innovative products that address a larger realm of gynecological issues. There will be changes in the area of pelvic reconstruction as treatment for prolapse. There will be new meshes developed as we learn more about which materials are better for these types of procedures. And, people will continue to advance their own skills and become better at minimally invasive surgery. Minimally invasive surgery is here to stay.
Dr. Hugo Ribot: I don’t think anybody ever imagined that we could do almost every single procedure that gynecologists do in a minimally invasive fashion. In my 16-year span as a doctor, I’ve gone from almost everything requiring abdominal surgery and a significant recovery time to less than one percent requiring these things. There is no reason to believe that that will not continue.
Dr. Angela Cope: There have been three advances in healthcare that have really excited me. One is ablation. Number two is cord blood regeneration with stem cells – it is just a passion of mine. We are seeing childrens’ lives be saved and just changed forever. I met a family the other day whose son was cured of sickle cell disease that was going to kill him. They saved his little brother’s cord blood and that core blood happened to be a match and saved his life. Just incredible – so I am doing a lot of education on cord blood right now. Another thing in office that’s really cool is Esure, a form of sterilization. We don’t have to take women to the operating room anymore. We can do that in the office with very little risk involved.

Dr. Amy Garcia


Dr. Amy Garcia is currently the only fellowship-trained, laparoscopic gynecologist in New Mexico who offers advanced, minimally invasive surgical options for women. This type of surgery means fewer complications and a quicker recovery. Dr. Garcia earned her medical degree at the University of New Mexico School of Medicine. Having completed residency and fellowships in advanced gynecologic endoscopy and faculty development at the University of Illinois at Chicago, Dr. Garcia returned to her home state of New Mexico to build a practice. Now, the Center for Women’s Surgery offers the women of New Mexico high quality care and advanced surgical options. Board-certified in obstetrics and gynecology, Dr. Garcia has received several awards, participated in numerous committees, and frequently travels to give presentations.

Dr. Hugo Ribot


Hugo D. Ribot Jr., MD, FACOG, is an obstetrician and gynecologist in Cartersville, Georgia, a suburb of Atlanta. Born in Buenos Aires, Argentina, he grew up in the Bahamas. After earning his bachelors degree from Dartmouth College, Dr. Ribot attended medical school at the University of Miami School of Medicine and completed his residency at Emory University. He was Emory’s first recipient of the annual American Association of Gynecologic Laparoscopists resident award in advanced laparoscopic gynecology. In his medical community, he was the first to perform total laparoscopic hysterectomy, laparoscopic removal of ectopic pregnancy, and laparoscopic bladder suspension and pelvic floor reconstruction. Most recently, he was the first to perform the TVT procedure for minimally invasive treatment of urinary incontinence. In 2006 he became the first gynecologic surgeon in the state of Georgia to routinely perform outpatient total laparoscopic hysterectomy, which does not require an overnight stay in the hospital. Dr. Ribot also became the first surgeon in Georgia to demonstrate the feasibility of performing endometrial ablation for the treatment of abnormal uterine bleeding in an office setting, providing women with a non-lifestyle-disrupting alternative to hysterectomy. He is now involved in training other physicians in this procedure.

Dr. Ribot also has been active in his community, serving on the board of the local battered women’s shelter and the local chamber of commerce. He is also the Chairman of the Department of Ob/Gyn at Cartersville Medical Center.

Dr. Angela Cope


Angela L. Cope, M.D. is a gynecologist at Present Women’s Integrated Healthcare, P.A. in Grapevine, Texas. She received her Doctor of Medicine from Texas Tech University School of Medicine in 1990 and became a board certified gynecologist in November of 1996. She is a member of the American College of Obstetrics and Gynecology, the American Medical Association and the Texas Medical Association. Dr. Cope treats women of all ages and specializes in treating abnormal bleeding. Currently, she resides in Southlake, Texas with her husband and three kids. In her free time, she enjoys camping, watching her children play softball, and taking family trips.

Dr. Amy Garcia


Dr. Amy Garcia is currently the only fellowship-trained, laparoscopic gynecologist in New Mexico who offers advanced, minimally invasive surgical options for women. This type of surgery means fewer complications and a quicker recovery. Dr. Garcia earned her medical degree at the University of New Mexico School of Medicine. Having completed residency and fellowships in advanced gynecologic endoscopy and faculty development at the University of Illinois at Chicago, Dr. Garcia returned to her home state of New Mexico to build a practice. Now, the Center for Women’s Surgery offers the women of New Mexico high quality care and advanced surgical options. Board-certified in obstetrics and gynecology, Dr. Garcia has received several awards, participated in numerous committees, and frequently travels to give presentations.

Dr. Hugo Ribot


Hugo D. Ribot Jr., MD, FACOG, is an obstetrician and gynecologist in Cartersville, Georgia, a suburb of Atlanta. Born in Buenos Aires, Argentina, he grew up in the Bahamas. After earning his bachelors degree from Dartmouth College, Dr. Ribot attended medical school at the University of Miami School of Medicine and completed his residency at Emory University. He was Emory’s first recipient of the annual American Association of Gynecologic Laparoscopists resident award in advanced laparoscopic gynecology. In his medical community, he was the first to perform total laparoscopic hysterectomy, laparoscopic removal of ectopic pregnancy, and laparoscopic bladder suspension and pelvic floor reconstruction. Most recently, he was the first to perform the TVT procedure for minimally invasive treatment of urinary incontinence. In 2006 he became the first gynecologic surgeon in the state of Georgia to routinely perform outpatient total laparoscopic hysterectomy, which does not require an overnight stay in the hospital. Dr. Ribot also became the first surgeon in Georgia to demonstrate the feasibility of performing endometrial ablation for the treatment of abnormal uterine bleeding in an office setting, providing women with a non-lifestyle-disrupting alternative to hysterectomy. He is now involved in training other physicians in this procedure.

Dr. Ribot also has been active in his community, serving on the board of the local battered women’s shelter and the local chamber of commerce. He is also the Chairman of the Department of Ob/Gyn at Cartersville Medical Center.

Dr. Angela Cope


Angela L. Cope, M.D. is a gynecologist at Present Women’s Integrated Healthcare, P.A. in Grapevine, Texas. She received her Doctor of Medicine from Texas Tech University School of Medicine in 1990 and became a board certified gynecologist in November of 1996. She is a member of the American College of Obstetrics and Gynecology, the American Medical Association and the Texas Medical Association. Dr. Cope treats women of all ages and specializes in treating abnormal bleeding. Currently, she resides in Southlake, Texas with her husband and three kids. In her free time, she enjoys camping, watching her children play softball, and taking family trips.

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