GYNECOLOGIC PROCEDURES

 

The Physicians at Center for Women’s health are highly trained, board certified gynecologic surgeons who will provide the best options for your individual needs using the latest technological advances available. Depending on the procedure indicated for your specific need, it may be performed either in the office, in an outpatient surgical center, or at the hospital. We specialize in minimally invasive surgical procedures which will minimize your recovery time and help you quickly return to a healthy, active life style. Below, you will find some of the procedures that may be performed by our physicians.

In Office Procedures

In Office Procedures are generally minor procedures done in the office either without anesthesia or under local anesthesia. These typically include evaluation and treatment of abnormal pap smears.

  • Colposcopy: A procedure to closely inspect the cervix, vagina or vulva for signs of disease or as follow up for an abnormal pap smear.  
  • LEEP (Loop electrosurgical excision procedure): A procedure used to remove a portion of the cervix using a thin wire loop.  Usually used as treatment for pre-cancerous disorders of the cervix.  This procedure can be done either in the office under local anesthesia or at the outpatient surgery center utilizing an anesthesiologist. Your doctor will make recommendations on the best location for you. 
  • Cryotherapy: Freezing of the cervix to treat pre-cancerous disorders of the cervix. 

Outpatient Surgical Procedures

Outpatient surgical procedures are typically performed at the hospital or an outpatient surgery center. These are procedures that are usually completed and allow you to be discharged home on the same day following a short period of recovery.

  • Laparoscopy: Used for evaluation of the pelvis using a camera inserted through an incision in the abdomen.
    • Diagnostic laparoscopy is used to evaluate the pelvis for any abnormalities. If abnormalities are found they are usually treated at that time.
    • Tubal sterilization is an interruption of the fallopian tubes for permanent contraception
  • Operative laparoscopy: Used to repair or remove abnormalities of the pelvis including ovarian cysts, endometriosis, tubal abnormalities or uterine fibroids.
  • Hysteroscopy: Used to visualize the inside of the uterus usually in conjunction with D&C or endometrial ablation. 
  • D&C (dilatation and curettage): Completed by dilating or opening the cervix and sampling the lining of the uterus to diagnose intra-uterine abnormality or treatment of abnormal bleeding.
  • Endometrial ablationA procedure to destroy the endometrium (the lining of the uterus) with the goal of reducing the amount of bleeding during menses.

Hospital Surgical Procedures

Procedures that typically require a period of observation are completed at the hospital. These include those procedures for hysterectomy and removal of fibroids. At Center for Women’s Health, we are pleased to offer the latest advances for minimally invasive surgery for our patients. This allows less recovery time, less pain, and a quicker return to normal activities.

  • Da Vinci Robotic Hysterectomy involves removal of the uterus with or without tubes and ovaries using the laparoscope and Da Vinci robot.  In most cases, patients are discharged within 24 hours of the procedure.
  • Total Laparoscopic Hysterectomy involves removal of the uterus with or without tubes and ovaries using the laparoscope. In most cases, patients are discharged within 24 hours of the procedure.
  • Vaginal Hysterectomy involves removal of the uterus with or without tubes and ovaries through the vagina without incisions on the abdomen.
  • Abdominal Hysterectomy involves removal of the uterus with or without tubes and ovaries through incision on the lower abdomen.  Usually requires two to three nights in hospital. This method for hysterectomy is typically chosen for those patients who have an enlarged uterus which is not able to completed laparoscopically or if other pathology is present.
  • Pelvic relaxation repair is correction of relaxation of uterus and/or vaginal tissues usually done vaginally.  
  • Abdominal myomectomy involves removal of myomas or fibroids from the uterus through an incision in the abdomen. Myomectomy is typically reserved for those patients who plan children in the future.