Gynecologic Surgical Procedures

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We offer a variety of gynecologic surgical procedures.  Click on each of the titles below for more information:

Laparoscopic Surgeries

Laparoscopic surgery, also referred to as minimally invasive surgery, describes the performance of surgical procedures with the assistance of a video camera and several thin instruments. During the surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports which allow access to the inside of the patient.

The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.

Benefits of minimally invasive or laparoscopic procedures are:

  • Less post operative discomfort since the incisions are much smaller
  • Quicker recovery times
  • Shorter hospital stays
  • Earlier return to full activities
  • Much smaller scars
  • There may be less internal scarring when the procedures are performed in a minimally invasive fashion compared to standard open surgery.

The following procedures can be performed with Laparoscopic surgery:

  • Hysterectomy
  • Myomectomy
  • Ovarian Cystectomy
  • Oophorectomy

Tubal Ligations

A tubal ligation — also known as having your tubes tied or tubal sterilization — is a type of permanent birth control. During a tubal ligation, the fallopian tubes are cut or blocked to permanently prevent pregnancy. A tubal ligation disrupts the movement of the egg to the uterus for fertilization and blocks sperm from traveling up the fallopian tubes to the egg. A tubal ligation doesn’t affect your menstrual cycle.

A tubal ligation can be done at any time, including after childbirth or in combination with another abdominal surgical procedure, such as a C-section. It’s possible to reverse a tubal ligation — but reversal requires major surgery and isn’t always effective.

Hysterectomies & Abdominal Myomectomy

Hysterectomy is the most common non–pregnancy-related major surgery performed on women in the United States. This surgical procedure involves removal of the uterus and cervix, and for some conditions, the fallopian tubes and ovaries.

Reasons for choosing this operation are treatment of uterine cancer and various common noncancerous uterine conditions such as fibroids, endometriosis, prolapse that leads to disabling levels of pain, discomfort, uterine bleeding, and emotional stress.

Although this procedure is highly successful in curing the disease of concern, it is a surgical alternative with the accompanying risks, morbidity, and mortality that an operative procedure carries and it leads to sterility in women who are premenopausal. The patient may be hospitalized for several days and may require 6-12 weeks of convalescence. Complications, such as excessive bleeding, infection, and injury to adjacent organs, also may occur.

Abdominal myomectomy is performed under general anesthesia, which means you’re asleep during the surgery. In this operation, your surgeon enters the pelvic cavity through one of two incisions:

A vertical incision that starts in the middle of your abdomen and extends from just below your navel to just above your pubic bone. The vertical incision gives your surgeon greater access to your uterus and reduces bleeding. Some surgeons recommend a vertical incision if your uterus has reached or exceeded the size it would be if it were carrying a 16-week pregnancy. This incision might also be used if a fibroid is in a ligament between your uterus and pelvic wall.

A horizontal bikini-line incision that runs about an inch (about 2.5 centimeters) above your pubic bone. This incision follows your natural skin lines, so it usually results in a thinner scar and causes less pain than does a vertical incision. Because it limits the surgeon’s access to your pelvic cavity, a bikini-line incision may not be appropriate if you have a large fibroid.

During the procedure, your surgeon inspects your uterus visually and by touch for fibroids. She makes an incision in your uterus down to the level of the fibroid, grasps the tumor with instruments, and peels it away from normal uterine tissue. She then repairs the uterus.

Cystocele and Rectocele Repairs For Pelvic Relaxation

Thirty million American women suffer from symptoms of vaginal relaxation and stress urinary incontinence. Many women have difficulty controlling their urine in certain situations or notice changes in their bowel habits. These two symptoms may be related to a common set of problems that may occur as a result of childbirth, aging or a combination of both. Grouped together these problems are referred to as pelvic relaxation.

Many women suffer unnecessarily from conditions involving pelvic relaxation. Appropriate diagnosis and treatment will often restore patients to a life free of the aggravations and discomforts associated with pelvic relaxation.

Endometrial Ablation

A procedure called endometrial ablation destroys the endometrium — the lining of your uterus — with the goal of reducing your menstrual flow. In some women, menstrual flow may stop completely. No incisions are needed for endometrial ablation. Your doctor inserts slender tools through your cervix — the passageway between your vagina and your uterus.

The tools vary, depending on the method used to destroy the endometrium. Some types of endometrial ablation use extreme cold, while other varieties depend on heated fluids, microwave energy or high-energy radiofrequencies.

Some types of endometrial ablation can be done in our office, while others must be performed in an operating room. Factors such as the size and condition of your uterus will help determine which endometrial ablation method is most appropriate.

Operative Hysteroscopy Resection of Polyps and Submucosal Myomas

Hysteroscopy has revolutionized the field of Gynecology and the management of many gynecological conditions. It has now become a standard part of the gynecologic surgeons armamentarium. Cost, convenience, accuracy, and patient acceptability of these procedures are clearly superior to those of traditional surgeries.