Services

Surgical Services

Gynecologic surgery is often used as a last resort when other noninvasive treatments are not effective in relieving symptoms. Surgery may be used to treat cancer, endometriosis, fibroids, uterine prolapse, excessive bleeding and more, and often offers patients the most effective relief from their troubling conditions.

Traditional gynecologic surgery uses open procedures that require large incisions and general anesthesia. Large incisions are needed in order to access the uterus and surrounding organs. Unfortunately, this technique is very invasive and painful for patients. It also required a long recovery time and would take weeks before women could return to work and other normal activities. Fortunately, there are less invasive techniques now available.

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Minimally Invasive

Our surgical procedures utilize the latest state-of-the-art technology to provide fast, effective treatment with minimal downtime and side effects. We are proud to offer robotic or laparoscopic techniques for a majority of our procedures.

Robotic (da Vinci®) uses a state-of-the art surgical system designed to help your doctor perform the most precise and least invasive hysterectomy available today. For most woman, da Vinci Hysterectomy offers numerous potential benefits over traditional surgical approaches, including: significantly less pain, less blood loss and need for transfusion, less risk of infection, shorter hospital stay, quicker recovery, smaller incisions for minimal scarring and better outcomes and patient satisfaction.

Laparoscopy involves the use of an endoscope, a thin, flexible tube with a camera and light on the end that lets your doctor see real-time images of your inner organs on a video monitor as he/she looks for any potential problems or performs your surgery. The endoscope is inserted through a tiny incision, and surgical instruments may be inserted through additional incisions as well.

While robotic or laparoscopy offers many benefits, it is not for all patients. Some complex procedures may require open surgery to open surgery to allow the surgeon more direct control of the procedure. Talk with your doctor to find out if robotic or laparoscopy is right for you.

Expertise and Experience

Each member of our team is specially trained and experienced to perform a wide range of surgical procedures. We stay informed of the latest techniques and equipment available and are proud to offer these advantages to our patients. When you choose to have your surgery performed by a member of our team, you will be guaranteed personalized, dedicated care from a skilled and knowledgeable surgeon. We will gladly address any concerns you may have about your procedure and will be available before, during and after your surgery.

We also ask patients to make follow-up appointments after surgery to ensure the effectiveness of the procedure and to let our doctors examine you for any complications or problems. We will help you through a quick and simple recovery.

We perform many surgical procedures to treat a wide range of gynecologic conditions. Some of the surgical services we provide include:

Please call us today to find out more about these procedures and schedule a consultation with one of our experienced doctors. We look forward to working with you to help you achieve the best results possible.

Surgical Sterilization (Tubal Ligation & Essure)

Tubal ligation and Essure are both methods of permanent birth control for women who already have children and do not want any more, or for those who know they never want to have children. Tubal ligation involves blocking, tying or cutting a woman's fallopian tubes to stop eggs from traveling into the tubes and being fertilized. It is not considered 100% effective, as pregnancy can occur if the tubes grow back together, but these cases are rare. Most women experience complete protection against pregnancy from tubal ligation.

Although this procedure can be reversed, reversal may not be successful, so women should weigh the benefits of this procedure before undergoing surgery. Tubal ligation reversal involves reattaching the fallopian tubes.

Essure is a minimally invasive procedure which involves the implantation of a tiny, flexible insert into the fallopian tubes, and is over 99.95% effective in preventing pregnancy.

Implanting the Essure device does not involve any cutting into the body, instead the device is inserted through the natural passages of the vagina, cervix and uterus before being placed in the fallopian tubes. Within the next three months, your body will work together with the device to create a natural barrier within the tubes that prevents sperm from reaching the egg and therefore eliminating the risk of pregnancy. Essure inserts are removable, but require surgery to do so. Please talk to your doctor if you are considering the tubal ligation or Essure procedure for permanent birth control.

Colposcopy

A colposcopy is a diagnostic procedure used to examine the vulva for abnormalities that may indicate cancer or HPV. This procedure is performed with a colposcope, a microscope that can help identify malignant lesions on the vulva. It is often performed after abnormal results from a Pap smear are found.

The colposcopy procedure is similar to a Pap smear in that a speculum is inserted into the vagina and the cervix is cleaned. The colposcope then allows your doctor to view a magnified image of the vulva and identify any abnormal cells. If abnormalities are found, a biopsy may be taken as well. This procedure is very safe as has few mild complications such as light bleeding or discharge.

LEEP

Loop electrosurgical excision procedure (LEEP) is a minimally invasive procedure used to treat abnormal cells found on the surface of the cervix. Removal of these cells can help reduce any potential risks of cervical cancer.

This procedure is performed by attaching wire loops to an electrosurgical generator in order to cut away the affected tissue, causing the cells to heat and burst. The removed tissue is then examined for any signs of cancer and to ensure that all abnormal cells were fully removed. The LEEP procedure is performed under local anesthetic and takes 20-30 minutes. Some patients may experience mild pain or discomfort, but other side effects are rare.

Endometrial Ablation

Endometrial ablation is a minimally invasive treatment option for women suffering from heavy bleeding and who have completed childbearing. The doctor gently removes the lining of the uterus using heat, extreme cold, electricity, or a laser beam.  He or she may use a lighted viewing instrument called a hysteroscope to see inside the uterus before and/or after the procedure.

Some forms of endometrial ablation can only be performed at certain times during the menstrual cycle and most require a pre-treatment drug to help thin the lining of the uterus. Recovery is minimal and most patients are back to normal activities the following day. Some common postoperative events include cramping/pelvic pain, nausea/vomiting, vaginal discharge and vaginal bleeding/spotting. Periods are usually a lot lighter or may stop altogether after endometrial ablation.

The NovaSure procedure is a type of endometrial ablation that can be performed at any time during the menstrual cycle and doesn’t require any pretreatment drug. The procedure takes about 5 minutes and can be performed in the hospital or doctor’s office. Learn more on the NovaSure website.

Myomectomy and Polypectomy

A myomectomy is a procedure that removes intrauterine fibroids (a polypectomy removes polyps). There are different ways your doctor can perform a myomectomy, depending on the location of your fibroids. One method, called laparoscopic myomectomy, involves making a small incision by the belly button and cutting into the uterus to remove any fibroids. The recovery time is typically two to seven days.  Risks from this procedure include injury to the bladder, bowel, ureter, and blood vessels.

Some types of polyps and fibroids can be removed through a procedure called a hysteroscopic myomectomy.  The doctor inserts an instrument (hysteroscope) through the vagina to visualize the inside of the uterus in order to identify the fibroid or polyp. A tool called a MyoSure is inserted through the hysteroscope to remove the tissue. This treatment may reduce heavy bleeding caused by fibroids or polyps, while retaining a fully functioning uterus. Recovery time is general one to two days and risks are minimal. Learn more on the MyoSure website.

Hysterectomy

A hysterectomy is the surgical removal of the uterus and is one of the most commonly performed procedures for women in the US. This procedure is often used as a last resort when other treatments have failed, and can be effective in treating uterine fibroids, endometriosis, uterine prolapse, abnormal bleeding, cancer and more. One in three women in the US has had a hysterectomy by the age of 60.

There are several different techniques used for a hysterectomy, depending upon which organs will be removed and the reason for the surgery.

Abdominal hysterectomies are most common and usually remove only the upper part of the uterus, leaving the cervix intact. The fallopian tubes and ovaries may or may not be removed as well.

Vaginal hysterectomies usually remove the entire uterus and the cervix through the vagina. This procedure typically involves fewer complications, a shorter recovery time and no visible scar. Complete hysterectomies involve the removal of the fallopian tubes and ovaries as well.

Laparoscopic hysterectomies may be performed vaginally or through tiny incisions in the abdomen, and involves the use of an endoscope, which lets the doctor see the target anatomy on a video monitor while performing the surgery.

A robotic (da Vinci®) hysterectomy is one of the most effective, least invasive treatment options for a range of uterine conditions. da Vinci Hysterectomy is performed using the da Vinci™ Surgical System, which enables surgeons to perform with unmatched precision and control - using only a few small incisions.