Hospital Procedures

Laparoscopy | da Vinci Robotic Hysterectomy | da Vinci Robotic Myomectomy | Monarc
Major Hysteroscopic Surgery | Pelvic Prolapse Surgery | Abdominal Surgery | Vaginal Hysterectomy

Laparoscopy

Laparoscopy is a procedure used to evaluate pelvic pain, remove ovarian cysts, and to diagnose or treat endometriosis. During the procedure, your doctor relies on a laparoscope, a thin metal device which helps the doctor to see inside the abdominal cavity. Your doctor will make a small incision in or near the navel, and insert the laparoscope through the incision.

Using attached optics, the doctor can see an enhanced image through the end of the thin metal rod, which also illuminates the area inside the abdomen. Various instruments can be attached to the laparoscope. General or local anesthesia is used to make you comfortable.

Laparoscopy is very effective and minimally invasive. Recovery time is significantly low.

da Vinci Robotic Hysterectomy

A hysterectomy, which is the removal of the uterus, is performed to treat many problems, including fibroids, as well as uterine and cervical cancer. Some patients are ideal candidates for a da Vinci robotic hysterectomy. Compared to traditional open abdominal surgery, this method is minimally invasive and results in less pain and downtime. Click here to learn more about a da Vinci robotic hysterectomy.

da Vinci Robotic Myomectomy

Fibroids are noncancerous growths that often develop in the uterus during childbearing years. Many women have fibroids at some point during their lives, but don’t realize they have them because they typically don’t cause any symptoms. In most cases, fibroids don’t require treatment, but if symptoms, which include heavy or prolonged periods and pelvic pain, become unbearable, your doctor may recommend a da Vinci robotic myomectomy. This minimally invasive method enables doctors to remove fibroids through small incisions, resulting in less pain and scarring, and a faster recovery. Click here to learn more about a da Vinci robotic myomectomy.

Monarc Bladder Repair

Due to pregnancy, childbirth and other factors, women are more likely to experience stress incontinence. Stress incontinence occurs because the muscles that close off the bladder are weakened and don’t function properly. Patients may experience mild leaking during activities that add pressure to the bladder, like lifting heavy objects, coughing, sneezing, laughing or exercising.

The Monarc™ Subfascial Hammock is an effective, minimally invasive way to treat stress incontinence. During the procedure, which typically lasts less than 20 minutes, the doctor places a narrow strip of mesh to support the urethra to prevent stress incontinence. Most people see improvement immediately after the surgery. General, local or regional anesthesia may be used for comfort. Your doctor can discuss the risks and benefits of Monarc prior to treatment. 

Major Hysteroscopic Surgery

A hysteroscope is a thin, lighted and flexible tube often used to diagnose problems in the cervix and uterus and also to perform surgical procedures. Our doctors commonly use a hysteroscope to remove fibroid tumors, polyps and uterine septums.

In preparation for your surgery, do not eat or drink anything after midnight. You may be given local, regional or general anesthesia. Please make arrangements to have someone drive you home after the procedure. The surgery is relatively quick. You cervix may be dilated before the hysteroscope is inserted. To help the doctor see the inside of your uterus better, liquid or gas will be released into the hysteroscope. Special instruments will be inserted through the scope to perform the procedure.

After the procedure you may have mild to moderate cramping and spotting. You may take a pain reliever for the discomfort. Sexual intercourse should be avoided for at least two weeks. Unless your physician advises otherwise, you should be able to eat normally and resume normal activity after the procedure.

Pelvic Prolapse Surgery

Women can experience pelvic organ prolapse when the muscles and ligaments that support the pelvic organs begin to weaken, causing the organs to descend below their normal positions. Types of pelvic organ prolapse include: cystocele (bladder prolapse), rectocele (rectal prolapse), uterine prolapse, vaginal prolapse, and enterocele (small intestine prolapse).

Surgical options to treat pelvic organ prolapse vary depending on the type of prolapse you are experiencing. If you have uterine prolapse, and have decided not to have any more children, your doctor may recommend a hysterectomy. To treat a bladder prolapse, our doctors push the bladder back in place and secure the connective tissue located between the bladder and vagina to keep the bladder from prolapsing again. Excess tissue is also removed.

To correct a rectal prolapse, ours doctors secure the connective tissue between the vagina and rectum to keep the rectum in place. To treat small intestine prolapse, the doctor moves your small intestine back in place, secures the connective tissue, and may also add a small amount of synthetic mesh for added support. Vaginal prolapse is corrected by attaching the vagina to the tailbone. A small amount of synthetic mesh may be used for support. Our doctors can use a laparoscopic or robot-assisted method to perform some of these procedures.

Abdominal Surgery

Our doctors can treat many conditions using the da Vinci robotic surgery approach. However, complex hysterectomies and myomectomies must be performed using traditional abdominal surgery. In these cases, abdominal surgery gives the doctor a clearer view, which allows more precision. For this surgery, an incision is typically made in the lower abdomen, an inch above the pubic bone. This is known as a bikini incision.

Traditional abdominal surgery can be painful. Compared to a minimally invasive procedure recovery is often longer (6 weeks). There will be a scar from the incision.

If you must have abdominal surgery, you can be confident you doctor will take the best approach to ensure your safety and well-being.

Vaginal Hysterectomy

Vaginal hysterectomy is the removal of the uterus through the vagina. This procedure is performed to treat many conditions, including uterine fibroids, endometriosis, and cervical cancer. A vaginal hysterectomy is typically performed under general anesthesia. During the procedure, your doctor will make an incision inside your vagina, and use thin long surgical tools to detach your uterus from the fallopian tubes, ovaries and connective tissue.

Sometimes a vaginal hysterectomy can be performed laparoscopically or with robotic assistance. For these methods, your doctor would need to make small incisions in the abdomen.

Compared to an abdominal hysterectomy, a vaginal hysterectomy requires a shorter recovery time and is less painful. Although you may feel good, you shouldn’t lift anything heavier than 20 pounds or engage in vaginal intercourse until at least six weeks after your procedure.