A laparoscopic procedure utilizes a thin, lighted camera to look inside the abdomen and pelvis through tiny abdominal incisions. This technique is used in the diagnosis and treatment of certain gynecologic conditions, such as pelvic pain, ovarian cysts and endometriosis. A laparoscope is also utilized to accomplish minimally-invasive gynecologic surgeries.
A hysteroscopy is performed by inserting a thin, lighted camera through the cervix and into the uterus to assess the uterine cavity. Hysteroscopy can be used to help identify the cause of abnormal uterine bleeding, to locate and assist in removal of polyps and fibroids, to locate an intrauterine device, and to evaluate the shape and contour of the uterine cavity.
This procedure can be performed in the comfort and convenience of our office utilizing local anesthesia or in the out-patient setting if necessary.
Dilatation and Curettage (D&C)
Dilatation and curettage (D&C) is a common procedure most often performed when irregular, heavy, and/or post-menopausal bleeding is present. It can also be indicated after an incomplete miscarriage or if abnormalities are seen on imaging within the uterine lining, such as endometrial polyps or small fibroids. This procedure involves dilating the cervix and using a curette to remove endometrial (uterine lining) tissue for examination by a pathologist.
This procedure can be performed in the office with local anesthesia or in the outpatient setting. Recovery is very quick and you should be back to regular activities in a day or two.
Acessa is a minimally invasive procedure utilizing Laparoscopic Radiofrequency Ablation (Lap-RFA) available for the treatment of fibroids. It works by delivering heat (radiofrequency) directly into a fibroid to destroy the proteins of the fibroid tissue. As a result, the consistency of the fibroid changes from hard to soft. Treating the fibroid versus removal of the fibroid helps avoid damaging the healthy surrounding tissue. Most women feel improvement in fibroid symptoms within the first 3 months after the Acessa procedure, but it can take up to 3-12 months for symptoms to improve.
da Vinci® Robotic Surgery
Avant Gynecology utilizes the most advanced technology available today to perform gynecologic surgery. Robot-assisted surgery with the da Vinci® Surgical System (link to http://www.davincisurgery.com/gynecology/) offers a less invasive approach to surgery with greater precision and fewer complications than traditional open surgery. Patients typically experience less pain and a quicker recovery. Procedures that can be performed using the da Vinci® Surgical System include hysterectomy, myomectomy and sacrocolpopexy (surgery for uterine or vaginal vault prolapse). Our providers will recommend and discuss the appropriate surgical procedures for your condition after a thorough consultation.
A hysterectomy involves removal of the uterus to treat certain gynecologic conditions, including uterine fibroids, abnormal uterine bleeding, endometriosis, pelvic organ prolapse and the presence of gynecologic cancer. A hysterectomy may or may not involve removal of the fallopian tubes and ovaries. There are many ways to perform a hysterectomy.
- An abdominal hysterectomy involves removal of the uterus through a 5-7 inch incision across the lower abdomen.
- A vaginal hysterectomy involves removal of the uterus through the vagina.
- A total laparoscopic hysterectomy allows the surgeon to view your pelvic organs with a laparoscope (thin, lighted camera) and remove the uterus and cervix through 3-4 tiny incisions on the abdomen.
- A laparoscopic supracervical hysterectomy removes the uterus through the abdomen, but leaves the cervix in place.
- A Robot-assisted hysterectomy utilizes the latest technology to perform a minimally-invasive hysterectomy for more complex surgical procedures. Our providers are trained in using the da Vinci® Surgical System to perform robot-assisted gynecologic surgeries.
A myomectomy involves removal of fibroid tumors that may be present in or around the uterus in order to preserve the uterus. This can be accomplished using several surgical techniques, such as via abdominal surgery or utilizing a laparoscope or hysteroscope. The type of myomectomy performed depends upon the type, size and location of the fibroids to be removed.
Prolapse repair surgery addresses problems associated with pelvic organ prolapse. An anterior repair is performed when a cystocele (bladder prolapse) is present. A posterior repair is performed when a rectocele (rectal prolapse) is present. Anterior and posterior repairs involve suturing of the vaginal wall tissues to reduce the prolapse, and a soft mesh support may or may not be inserted at that time to give additional support to the vaginal walls.
Sub-Urethral Sling (TVT)
A minimally-invasive sling procedure is an effective treatment for stress urinary incontinence related to a weakened pelvic floor. This is an outpatient procedure where the surgeon places a thin piece of soft, flexible mesh under the urethra. The mesh acts like a supportive sling, allowing the urethra to stay closed when appropriate to prevent involuntary loss of urine.