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Dr. Mario Nutis, MD

Expert in women’s health, specializing in robotic surgery, urogynecology, and advanced gynecologic care. Dedicated to providing compassionate, innovative, and personalized treatment for every stage of a woman’s life.

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Gynecology, Obstetrics & Robotic Surgery
At Dr. Mario Nutis, MD, we provide comprehensive care for women’s health at every stage of life. Our services range from preventive gynecology and routine check-ups, to personalized obstetric care throughout pregnancy and delivery, as well as advanced robotic and minimally invasive surgery for complex gynecologic conditions. With a patient-centered approach and state-of-the-art technology, we are dedicated to ensuring safety, comfort, and the highest standards of medical excellence.
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Our Services

What we do

01

Gynecology

We offer comprehensive gynecologic care focused on prevention, early detection, and treatment of women’s health conditions. From annual check-ups and Pap smears to contraception, menopause management, and minimally invasive treatments, our goal is to provide compassionate, personalized care that supports women’s health at every stage of life.

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02

Robotic Surgery

With the latest robotic and minimally invasive technology, we perform advanced gynecologic procedures with greater precision, smaller incisions, and faster recovery times. Robotic surgery allows for safer, more effective treatment of complex conditions while minimizing pain, scarring, and downtime—helping women return to their daily lives sooner.

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03

Obstetrics

We provide personalized and compassionate care throughout every stage of pregnancy—from preconception counseling and prenatal check-ups to labor, delivery, and postpartum support. Our focus is on ensuring a safe, healthy experience for both mother and baby, combining medical expertise with individualized attention every step of the way.

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Explore More on YouTube

Join Dr. Mario Nutis, MD on his official YouTube channel, where he shares educational videos and real examples of robotic and minimally invasive gynecologic surgeries. Discover how advanced technology is transforming women’s health, offering safer procedures, faster recovery, and better outcomes. Subscribe today to stay informed and see innovation in action.

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F.A.Q.

After Robotic Surgery

For elective or required surgeries, it is valuable to prepare yourself before meeting with Dr Nutis. There are several things you should bring with you to enable Dr Nutis to develop a complete picture of the problem or condition, including the following:
 
Copies of any X-rays, CT scans, or MRI scans already doneResults of lab testsComplete medical history record (this can be sent by your doctor in advance)List of all medications, including prescription and over-the-counter, you are taking (or have recently taken), or the medications themselvesList of all allergies you have (especially latex allergy)What you can expect during the preoperative visit
 
Dr Nutis will review the tests already done, your medical history, and the medications you are currently taking. A complete physical exam will then be done to assess your current health status. If more tests are needed to confirm the diagnosis, Dr Nutis will discuss them with you at this time. Dr Nutis will expect you to ask questions, and it will be very helpful if you write them down in advance, so you can ask everything you want to know. The following is a list of commonly asked questions when preparing you for surgery:
 
Is there any alternative to having surgery?
What are the expected results?
What are the possible risks and complications?
How long will the surgery take?
What type of anesthesia is required for this surgery?
How long will I have to stay in the hospital?
Will I have any pain and what kind of medicine will he or she receive for it?
Will I require a blood transfusion?
What will the incision look like?
Will there be scarring?
Will I require antibiotics, or other medications, after surgery?
What postoperative care will be required?
When can I resume normal activities?
 
After your questions have been answered, your surgery can be scheduled (considering the urgency of the surgery, your condition, and Dr Nutis availability). Dr Nutis office and the hospital admitting office will assist in getting preapproval from your insurance company before the day of surgery.
 
If additional questions should arise before your  scheduled surgery, call Dr Nutis or text him from this application. Your confidence in knowing what will happen before, during, and after surgery will help you.

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First and foremost, our staff is always here for you. No questions or concerns are too small. Dr Nutis and staff are always reachable both during and after hours. As Dr Nutis is in surgery during the week, you may reach The Office at 228-2491 during office hours. After hours and weekends you may text Dr Nutis at 228-2491 or if it is an emergency, go to the nearest emergency room. Please contact us with any concerns or questions you may have post operatively.

To control your pain, constipation and possible nausea you will be sent home with:

1) Motrin 800 mg – you will take the Motrin around the clock for the first week every 8 hours. After this you can take Motrin as you need it. TAKE WITH MEALS.

2) Tylenol #3 – you may take 1 – 2 tablets every 4 – 6 hours as needed for severe pain (in conjunction with the Motrin). TAKE WITH MEALS. IF YOU ARE UNABLE TO TAKE THE TYLENOL #3  FOLLOW THE INSTRUCTIONS FOR THE ALTERNATIVE MEDICATION GIVEN.
3) Phenergan 25 mg – you may take 1 tablet every 6 hours as needed for nausea /vomiting.

4) Colace 100 mg – take 1 po twice a day for constipation. ONLY take this medication if you experience constipation. This is an over-the-counter medication found in the laxative section.
Use your medication as directed for relief of pain. Take with meals. If you do not wish to use a prescription pain reliever you may use the Motrin alone.

Most patients will typically see a bowel movement within 5 – 7 days following surgery. Do not be alarmed. Remember, you were on a clear liquid diet before surgery, your bowels were emptied in preparation for surgery and during surgery the bowels slow down. AFTER you begin to consuming solid foods you should see a bowel movement within 2 – 3 days.

It is normal to experience light bleeding for several weeks. If you are concerned about the amount of bleeding you may use the following guideline to help you. “Am I needing to change my pad every hour? Is the pad saturated when I change it?” If you are using a maxi pad and the answer is “yes”, then you should contact the office. If the answer is “no” the bleeding is most likely normal and will eventually subside. If you are unsure do not hesitate to call us. Your first and second periods following surgery may be irregular in timing (late/early), may be heavier than usual and may be more painful. Do not be alarmed. This is normal. If at any time bleeding or pain concerns you, refer to the above guidelines. If you feel that you need mediation for the pain and Tylenol or Motrin is not helpful, please contact the office. DO NOT USE TAMPONS for the first 2 – 3 weeks after surgery.

Some patients experience shoulder/chest pain. During surgery your abdomen is filled with gas to distend the cavity for surgery. While most of this is released prior to closure, some remains. This can sometimes cause what is best described as a “nagging ache” in your shoulders or as “cramps” in your chest. One suggestion that has worked for many patients is hot tea with lemon. Generally the best way to relieve the gas pains and help it work through your system is to walk and move around. This increases your bowel activity and moves the air and gas through. It also speeds your recovery. Another suggestion is the use of an over the counter simethicone such Gas-X which may help relieve pressure and bloating.

A mild sore throat is common after robotic surgery because a breathing tube is placed during anesthesia. This irritation usually improves within a day or two. Drinking warm liquids, using throat lozenges, or staying hydrated can help relieve the discomfort. If the sore throat is severe, persistent, or accompanied by fever or difficulty breathing, contact Dr Nutis immediately.

Our goal is for a gradual return to a normal diet. Please start with small amounts of a bland diet (i.e. applesauce, mashed potatoes, rice, fish, etc.) If you tolerate this diet well you may begin a normal diet.

******NO OVERUSE OF THE ABDOMINAL MUSCLES FOR 2 WEEKS (i.e. lifting, straining, etc.) However, we DO want you up and moving around. Do not become a “couch potato”. This will prolong your recovery. Simple things at first like fixing your own bite to eat, getting a drink, taking small walks around your home … etc. This will help you heal faster and also force the gas in your system to begin breaking up and moving through your system. In general, patients should be able to return to light exercise and sexual activity in 2 – 4 weeks. However, return to these activities should be discussed with the office and physicians after surgery, as these guidelines can change dependent on your surgery.
***Hysterectomy Patients ***
NO SEXUAL ACTIVITY IS ALLOWED FOR 6 WEEKS POST-OPERATIVE***
For our hysterectomy patients, sexual and exercise activity should not be resumed until you have been seen for your first post operative visits in our office, at which time the physician may release you to return to such activity.

Some swelling, redness and pain are common with all wounds and normally will go away as the wound heals. If swelling, redness or pain increases, or if the wound feels warm to the touch, call the office. If your wound edges re-open or separate, we need to be contacted. The steri-strips over each incision SHOULD be removed in 48 hours in the shower. When the strips are wet, they easily peel from the skin without pulling at the skin around the incision. The umbilical incision site is prone to infection, so we ask that you gently clean the area with soap and water every day in the shower. Afterwards, use a blow dryer to dry the area to absorb extra moisture in the belly button. If this care is not done your belly button is at risk for infection. DO NOT apply liquid or ointment medications or any other product to your wound.

You may shower as often as you like after surgery. We ask that the patients refrain from sitting in the bathtub or swimming for the first 3 – 4 weeks, allowing the incisions to heal. Make sure that your incisions are dry after water exposure. The abdominal support band (girdle) you are sent home with is optional. If you find this band to be of benefit to you and provides you additional support, wear it as you like. You do not have to wear the band.

Patients should not feel rushed to return to work. Recovery is an important part of the process. Returning to work or activities too soon can extend your recovery. Again, recovery time will differ from patient to patient dependent on the type and extent of surgery. Typically, patients can return at approximately 2 weeks. By law you may take up to 6 weeks disability when recovering from surgery. If you have any questions please ask the nurse or physicians so we can help you determine a reasonable recovery time for your particular case.

Patients are asked to refrain from driving for a minimum of 7 days. Never drive while taking pain medications. If you do not feel that you could react with force (i.e. slamming on the brakes) if needed to avoid an accident, we ask that you do not drive. PLEASE use good judgment before driving.

This is dependent on the type of surgery performed and the distance you plan to travel. Generally, it is safe to travel at about 2 – 3 weeks. However, myomectomy and hysterectomy patients may fall within the 3 – 6 week guidelines. It is best to see your doctor BEFORE traveling, especially if you are going out of the state of country.

If you are a fertility patient and plan to attempt pregnancy following your recovery, please discuss your particular case with your doctor BEFORE attempting pregnancy on your own or through medical intervention. Often there are specific instructions in these cases.

Please notify us if:
You develop a temperature of 100 degrees or greater.Using the guidelines for bleeding, you are experiencing heavy vaginal bleeding.Undue pain that is not manageable by your pain medicationsSevere nausea and vomiting.Excessive bloody drainage or colored discharge from wounds.
We wish you a speedy recovery. Our office is dedicated to the health and recovery of each and every patient. Do not hesitate to call us anytime you have questions or concerns.We wish you a speedy recovery. Our office is dedicated to the health and recovery of each and every patient.
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