Gynecology Surgery

 

Anterior and Posterior Repair
These are procedures to correct vaginal prolapse. Normally, the vagina is held in place by ligaments (tough bands of tissue) and muscles. Vaginal prolapse occurs when these tissues fail. An incision is made on the anterior (top) or posterior (bottom). The muscular tissue underneath the vaginal skin are put together to better support the bladder or the rectum. Your doctor will talk with you regarding the need to have both repaired or you may only need one repaired. IP BH GBH

Conization
Conization, also known as a cone biopsy, is an extensive form of a cervical biopsy. It is called a cone biopsy because a cone-shaped wedge of tissue is removed from the cervix and examined under a microscope. A cone biopsy removes abnormal tissue that is high in the cervical canal. A sample of tissue can be removed for a cone biopsy using:

• A surgical knife (scalpel)
• A carbon dioxide (CO2) laser
• Loop electrosurgical excision procedure (LEEP)

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Diagnostic laparoscopy
Diagnostic laparoscopy is a surgical procedure doctors use to view a woman's reproductive organs. A laparoscope, a thin viewing tube similar to a telescope, is passed through a small incision in the abdomen. Using the laparoscope, the doctor can look directly at the outside of the uterus, ovaries, fallopian tubes, and nearby organs. Your doctor might use laparoscopy to:

• Find the cause of pain in the pelvic and abdominal regions
• Examine a tissue mass
• Confirm endometriosis or pelvic inflammatory disease
• Look for blockage of the fallopian tubes or for other causes of infertility

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Dilation and curettage (D&C)
D&C is a surgical procedure in which the cervix is opened (dilated) and a thin instrument is inserted into the uterus.  This instrument is used to remove tissue from inside of the uterus (curettage).  It is used to diagnose and treat many conditions of the uterus and also may be performed after a miscarriage. OP BH GBH

Endometrial ablation
Endometrial ablation is a procedure that destroys (ablates) the uterine lining, or endometrium. This procedure is used to treat dysfunctional or abnormal uterine bleeding. Sometimes a lighted viewing instrument (hysteroscope) is used to see inside the uterus. Endometrial ablation can be done by:

• Laser beam (laser thermal ablation)
• Heat (thermal ablation) Most Common
• Electricity, using a resectoscope with a loop or rolling ball electrode
• Freezing
• Microwave

The endometrium heals by scarring, which usually reduces or prevents uterine bleeding.
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Hysterectomy
Hysterectomy is the surgical removal of the uterus. A hysterectomy may be recommended to treat many uterine conditions, such as:

• Endometriosis
• Heavy menstrual bleeding
• Fibroid tumors
• Pelvic prolapse
• Cancer

In the U.S., doctors perform approximately 600,000 hysterectomies a year, making it the second most common surgery for women. IP OP  BH GBH

Hysteroscopy
Hysteroscopy is used to diagnose and treat problems of the uterus. A hysterscope is a thin, lighted telescope-like device.  It is inserted through the vagina into the uterus.  The hysterscope transmits the picture of your uterus onto a screen.  It is most commonly used to find the cause for abnormal bleeding.  It can also be used in removing adhesions and perform sterilization. OP BH GBH

Laparoscopic hysterectomy
The uterus is removed minimally invasively using instruments inserted through a few small incisions in the abdomen. One of the instruments is an endoscope – a narrow tube with a tiny camera – which allows the surgeon to see the target anatomy on a 2D monitor. When only the uterus is removed, the procedure is called LSH – laparoscopic supracervical hysterectomy. When the uterus and cervix are removed, this is known as TLH – total laparoscopic hysterectomy. OP IP BH GBH

Midurethral Sling
This procedure is used to treat stress urinary incontinence, or involuntary leakage of urine.  Two small incisions are made in the lower part of the abdomen (belly), near the pubic hairline. Another small incision is made in the front wall of the vagina. Working through the incisions, the surgeon places the tape like a hammock under the urethra. The two ends of the tape emerge through the abdominal incisions. When the tension is adjusted, the ends of the tape are cut and remain below the skin in the tissue of the abdominal wall. The healing process of the incisions holds the ends of the tape in place. IP BH GBH

Myomectomy
Myomectomy is a surgical procedure to remove uterine fibroids — noncancerous growths that often appear in your uterus during your childbearing years. The surgeon's goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike hysterectomy, which removes your entire uterus, myomectomy surgery removes only the fibroids and leaves your uterus intact. This procedure can be performed with a traditional open incision, laparoscopically or robotically* depending on the patient and surgeon. OP  IP BH GBH *Robotic surgeries are only performed at Baptist Hospital.

Open hysterectomy
The uterus is removed through a large abdominal incision. When both the uterus and cervix are removed, this is known as a TAH – total abdominal hysterectomy. Recovery is typically of four to six weeks. IP BH GBH

Robotic hysterectomy
This approach to hysterectomy uses a state-of-the-art surgical system designed to help your surgeon perform a more precise, minimally invasive procedure. The robotic-assisted* approach allows your surgeon’s hand movements to be scaled, filtered and translated into precise movements of micro-instruments, and provides the surgeon a 3-D image of the operative locations.  The procedure uses three to five button-sized incisions resulting in a shorter hospital stay, less pain, less blood loss and less scarring.  This is the most commonly performed hysterectomy at Baptist Hospital. OP IP BH *Robotic surgeries are only performed at Baptist Hospital.

Sacrocolpopexy
Sacrocolpopexy is a procedure to correct prolapse of the vaginal vault (top of the vagina) in women who have had a previous hysterectomy. The procedure is performed either through an abdominal incision or ‘keyholes’ (using a laparoscope or with a surgical robot), under general anesthesia. The vagina is first freed from the bladder at the front and the rectum at the back. A graft made of permanent synthetic mesh is used to cover the front and the back surfaces of the vagina. The mesh is then attached to the sacrum (tail bone). The mesh is then covered by a layer of tissue called the peritoneum that lines the abdominal cavity; this prevents the bowel from getting stuck to the mesh. Sacrocolpopexy can be performed at the same time as surgery for incontinence or vaginal repair for bladder or bowel prolapse. IP BH GBH

Single site robotic hysterectomy
This revolutionary robotic surgical approach to hysterectomy utilizes a small incision at the naval in which a round port is placed in which the surgeon inserts three small robotic arms to remove the uterus. The single-site approach results in the least amount of scaring in laparoscopic approach to hysterectomy.  The robotic-assisted* approach to hysterectomy allows your surgeon's hand movements to be scaled, filtered and translated into precise movements of micro-instruments, and provides the surgeon a 3-D image of the operative locations. OP  IP BH *Robotic surgeries are only performed at Baptist Hospital.

Tubal ligation
A tubal ligation — also known as having your tubes tied or tubal sterilization — is a type of permanent birth control. During a tubal ligation, the fallopian tubes are cut or blocked to permanently prevent pregnancy. OP BH GBH

Vaginal hysterectomy
The uterus is removed through the vagina. There are no abdominal incisions but the surgeon makes a small cut in the vagina to remove the uterus. When the uterus and cervix are removed through an incision deep inside the vagina, it is known as a TVH – total vaginal hysterectomy, and is often used to treat pelvic prolapse (falling). OP IP BH GBH