GYN Services

Hysterectomy

A hysterectomy is the surgical removal of the uterus and can sometimes include the ovaries and fallopian tubes. This is a common procedure for women in the United States and is performed over 600,000 times each year. A hysterectomy stops the menstrual cycle and prevents pregnancy. It is a permanent procedure that cannot be reversed.

A hysterectomy can be performed through different methods, depending on the initial reason and the personal health and preferences of the patient. Many hysterectomies can be performed laparoscopically, which requires small incisions. Laparoscopy can often be used for a vaginal hysterectomy, which generally has fewer complications and smaller scars. An open abdominal hysterectomy uses larger incisions.


Laparoscopic Vaginal Hysterectomy

A laparoscopic-assisted vaginal hysterectomy (LAVH) is less invasive than a traditional open vaginal or abdominal hysterectomy. While an incision is made deep inside the vagina to actually remove the uterus, a very small incision is also made in the navel to insert a laparoscope, a thin probe with a light and camera that allows the doctor to see the organs of the abdomen and pelvis while performing the procedure.

The use of a laparoscope in a vaginal hysterectomy shortens the length of the hospital stay and post-operation recovery time. A LAVH cannot be used for all patients.


Laparoscopic Supracervical Hysterectomy

A laparoscopic supracervical hysterectomy (LSH) makes tiny incisions in the abdomen where the doctor inserts a laparoscope, a thin lighted telescope, and other surgical instruments to carefully separate and then remove the uterus. Unlike other hysterectomies, LSH leaves the cervix intact. This can help reduce the risk of later complications such as pelvic floor prolapse and urinary incontinence.

This procedure is performed on an outpatient basis, and patients can usually resume their normal activities within a week. A laparoscopic supracervical hysterectomy is not for everyone, so check with your doctor to see if it is right for you.


Robotic Total Laparoscopic Hysterectomy

A laparoscopic hysterectomy is less invasive than a traditional open vaginal or abdominal hysterectomy. While an incision is made deep inside the vagina to actually remove the uterus, a very small incision is also made in the navel to insert a laparoscope, a thin probe with a light and camera that allows the doctor to see the organs of the abdomen and pelvis while performing the procedure.

The use of a laparoscope in a vaginal hysterectomy shortens the length of the hospital stay and post-operation recovery time, although the actual operating time may be longer. A laparoscopic hysterectomy cannot be used for all patients. Talk to your doctor today to see if this procedure is right for you.

Please visit davincisurgery.com for more information.


Hysteroscopy

A hysteroscopy is a procedure, using a tool called a hysteroscope to examine the lining of the uterus and identify, diagnose or treat abnormalities.

Reasons for a Hysteroscopy

A hysteroscopy may be performed to determine the cause of:

  • Abnormal bleeding
  • Bleeding after menopause
  • Infertility

It may also be used to diagnose and remove fibroids or polyps and find and reposition an intrauterine device.

Hysteroscopy Procedure

A local or general anesthesia may be used to relax the patient and relieve any potential discomfort. The hysteroscope which has a light and camera, is inserted into the vagina and moved through the cervix to the uterus. The hysteroscope projects an image onto a display screen for the doctor to review. If polyps are present, the doctor may use a surgical device to cut and remove them. The doctor may also take a small sample of tissue to examine more closely under a microscope. Patients may experience some cramping or vaginal discharge following the procedure.

While a simple and safe procedure, a hysteroscopy is not recommended for everyone. A hysteroscopy should only be performed if recommended specifically by a doctor.

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