All Search Results
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Laparoscopic Myomectomy
Depending on the size and location of your fibroids you may be a candidate for a laparoscopic myomectomy . Laparoscopic surgery is a type of minimally invasive surgery in which small incisions (cuts) between 0.5 to 1 cm are made on the abdominal wall through which an instrument called a laparoscope can be placed. The laparoscope allows the surgeon to visualize inside the abdomen and pelvis. The abdominal cavity is able to be visualized by distending it with an absorbable gas, typically, carbon dioxide. Small instruments can be placed through the small incisions allowing the surgeon to remove the fibroids and repair the uterus with suture without the need for a large surgical incision. Patients must receive general anesthesia during the procedure and typically stay overnight in the hospital for monitoring.
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Laparoscopic Hysterectomy
Laparoscopic surgery is a type of minimally invasive surgery in which small incisions between 0.5 to 1 cm are made on the abdominal wall through which an instrument called a laparoscope can be placed. The laparoscope allows the surgeon to visualize inside the abdomen and pelvis. The abdominal cavity is able to be visualized by filling it with an absorbable gas, typically, carbon dioxide. Small instruments can be placed through these incisions allowing the surgeon to remove the uterus and cervix without the need for a large abdominal incision. Patients must receive general anesthesia during the procedure and typically go home the same day or stay overnight in the hospital for monitoring.
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Laparoscopic Ovarian Cystectomy
An ovarian cyst is a fluid filled pocket within the skin of ovary which typically results from ovulation. Ovarian cysts often cause discomfort, pain or bloating. They typically resolve on their own after breaking but occasionally they persist and may grow large. Ovarian cysts are a usually the outcome of a normal process during the menstrual cycle when the ovary is getting prepared to ovulate. Ovarian cysts often break on their own and new cysts can form on either ovary on a monthly basis. If you have a cyst that is not going away, growing larger, bleeding, or causing pain, you may need to have it removed.
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Laparoscopic Oophorectomy
An Oophorectomy describes the gynecologic procedure performed to remove one or both (bilateral oophorectomy) ovaries. Most women confuse oophorectomy with hysterectomy (removal of uterus and cervix). Removal of the ovaries is a separate procedure. The ovaries are an important source of estrogen and testoterone for many years until after menopause. For individuals with suspicious ovarian masses, strong family history of ovarian cancer, endometriosis, or chronic pain, an oophorectomy may be indicated.
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Urodynamics
The urodynamics procedure assesses how the
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Vestibulectomy
Vestibulitis often is the cause for women who have chronic vaginal pain. It is an inflammatory condition affecting the glands and skin just around the opening of the vagina. Pain may be present all of the time, just with sitting, or during intercourse. Some women with vestibulitis often complain of a constant vaginal burning and discomfort. Many therapies have been found to be helpful in treating vestibuitis such as topical creams, anti-depressants, anti-anxiety medications, physical therapy, and anesthetics. However some patients have no relief and may consider Vestibulectomy. During a Vestibulectomy the skin surrounding the opening of the vagina and hymeneal tissue is removed. A skin flap is pulled down from the vagina to replace the excised tissue. The procedure is performed under anesthesia, however patients typically go home the same day.
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Vaginal Hysterectomy
This procedure is considered the least invasive surgical approach to perform a Total Hysterectomy. A Supracervical Hysterectomy cannot be performed vaginally. The uterus is removed entirely from the vagina. No abdominal incisions are required. Specific patients may be candidates for this type of hysterectomy depending on your prior birth history, surgical history, presence of fibroids and other factors which will be determined during your office visit and pelvic exam. Your ovaries may be removed vaginally as well if indicated and this procedures is ofen combined with other vaginal surgical procedures performed to repair prolapse and urinary incontinence.
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Robotic-Assisted Laparoscopic Hysterectomy
A Robotic-assisted Laparoscopic Hysterectomy is a type of minimally invasive hysterectomy utilizing robotic technology. The procedure is performed using a similar approach to that performed during a Laparoscopic Hysterectomy. Small incisions ranging in size from 1-1.5 cm are made on the abdominal wall. However, the da Vinci robot is utilized which allows the surgeon enhanced three-dimensional visualization and improved maneuverability for suturing the vagina closed once the uterus and cervix are removed. During the procedure, the surgeon sits at a console a few feet from the operation table looking through a monitor that provides a three dimensional view. From the console the surgeon directly controls the robot, which has arms for operating all instruments and also the ability to move, zoom and focus the robotic camera. Both hand controls and foot pedals are used to control all of the robotic instruments directly which can grasp, cut, burn, cauterize and suture inside the pelvis.
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Diagnostic Hysteroscopy
A hysteroscopy is a procedure performed to visualize inside the uterus. The procedure is typically performed to identify causes for abnormal uterine bleeding and irregular periods such as the growth of fibroid tumors or uterine polyps. We can perform this procedure in our office as well as in the operating room.
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Cystoscopy
Cystoscopy is an endoscopy of the urinary bladder via the urethra. A cystoscope is used to perform this procedure. The cystoscope allows the