Gynecology Out-Patient Surgical Procedures (Typically performed in Hospital)

 

Larparscopic Surgery

Vaginal Hysterectomy

Abdominal Hysterectomy

Myomectomy

Tubal Ligation

Dilation and Curettage (D&C)

Endometrial Ablation

 

 

Larparscopic Surgery

A minimally invasive surgery of modern surgical technique in which operations are performed through small incisions in the abdomen.  This procedure is used to diagnosis and treatment many gynecology issues, including Endometriosis, Ovarian cyst, Chronic Pelvic Pain, Adenomyosis, Pelvic Adhesions, Infertility.  Laparoscopic surgery minimizes recovery time and requires no pain medication after surgery.

Vaginal Hysterectomy

Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina.

During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. The uterus is then removed through the vagina.

Vaginal hysterectomy involves a shorter time in the hospital, lower cost and faster recovery than an abdominal hysterectomy, which requires an incision in your lower abdomen. However, if your uterus is enlarged, vaginal hysterectomy may not be possible and your doctor will talk to you about other surgical options, such as an abdominal hysterectomy.

Hysterectomy often includes removal of the cervix as well as the uterus. When the surgeon also removes one or both ovaries and fallopian tubes, it's called a total hysterectomy with salpingo-oophorectomy . All these organs are part of your reproductive system and are located in your pelvis.

Abdominal Hysterectomy

An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen.

A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix.

Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called a total hysterectomy with salpingo-oophorectomy

Myomectomy

Myomectomy is a surgical procedure to remove uterine fibroids — also called leiomyomas. These common noncancerous growths appear in the uterus, usually during childbearing years, but they can occur at any age.

The surgeon's goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes your entire uterus, a myomectomy removes only the fibroids and leaves your uterus intact.

Women who undergo myomectomy report improvement in fibroid symptoms, including heavy menstrual bleeding and pelvic pressure.

Tubal ligation

A tubal ligation reversal is a procedure to restore fertility after a woman has had a tubal ligation — a procedure that cuts or blocks the fallopian tubes to prevent pregnancy. During a tubal ligation reversal, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes. This may allow eggs to again move through the tubes and sperm to travel up the fallopian tubes to join an egg.

Sterilization procedures that cause the least amount of damage to the fallopian tubes are the most likely to allow successful tubal ligation reversal. Examples include sterilization with tubal clips or rings.

Procedures that cause scarring to seal off the fallopian tubes, such as the Essure or Adiana systems, generally aren't reversible. In cases where tubal ligation reversal isn't recommended, in vitro fertilization (IVF) may be an option. IVF involves retrieving eggs from the ovary, fertilizing them in a lab and implanting them in the uterus.

Dilation and Curettage (D&C)

Dilation and curettage (D&C) is a procedure to scrape and collect endometrium, the tissue inside the uterus. Dilation is the widening of the cervix which allows instruments to pass into the uterus, while curettage is the scraping of the uterine walls. A dilation and curettage is performed under general or local anesthesia. A speculum is inserted into the vagina to hold it open. Medication to numb the opening to the uterus may be applied at this time. A curette is then inserted to gently scrape the tissue.

Endometrial Ablation

Endometrial Ablation is a procedure that destroys the uterine lining, or endometrium. This procedure is used to treat abnormal uterine bleeding. Endometrial ablation can be done by: Laser, Thermal Ablation, Electriciy, or freezing. The endometrium heals by scarring, which usually reduces or prevents uterine bleeding. Endometrial ablation may be done in an outpatient facility or your doctor's office. The procedure can take up to about 45 minutes. The procedure may be done using a local or general anesthesia is sometimes used.

 

 

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