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Surgical Procedures

Dilation and Curettage (D&C): This procedure involves opening the cervix (dilation) and then scraping along the internal surface of the uterus (curettage). This can be performed for the evaluation or treatment of abnormal bleeding or for the surgical management of a miscarriage.

Endometrial Ablation: Destruction of the endometrial lining of the uterus, used mainly to treat abnormal bleeding.

Hysteroscopy:
A procedure used to diagnose abnormal bleeding or bleeding after menopause or infertility or to remove fibroids or polyps. A small scope is passed through the cervical opening and then the uterine cavity is filled with gas or fluid so the internal surface of the uterus (endometrial cavity) can be seen. This can be used to identify fibroids or polyps in the uterus and to direct their removal if needed. Hysteroscopy can be done with a D&C.

Hysterectomy: Removal of the uterus. A total hysterectomy also includes removal of the cervix. A subtotal hysterectomy leaves the cervix intact.

Laparoscopy: A small scope is passed into the abdominal cavity and the cavity is then filled with gas so the inside of the abdominal cavity can be seen. This allows the outside surface of the uterus, fallopian tubes, and ovaries to be visualized. Laparoscopy can be used to remove ovarian masses, perform tubal ligation, and evaluate pelvic pain. Some larger surgeries such as hysterectomies can also be performed partially or totally with laparoscopy.

LEEP: A thin wire loop with an electrical current that cuts like a scalpel to remove a piece of the cervix due to abnormal cells.

Oophorectomy: Removal of the Ovary

Salpingectomy: Removal of the fallopian tube. This can be done with laparoscopy or with an abdominal incision (open).

Total abdominal hysterectomy bilateral salpingo-oophorectomy (TAH BSO): Removal of the uterus, cervix, tubes, and ovaries through an abdominal incision.

Total vaginal hysterectomy (TVH): Removal of the uterus and cervix through a vaginal incision.

Pelvic Reconstruction: To resupport vaginal and bladder tissue.

Urinary Incontinence Procedures:  Our physicians perform several different types of surgeries to correct urine leakage. The decision to have surgery and to determine what type of surgery must be based on an accurate diagnosis and consideration of all treatment possibilities.

Vulvar Biopsy: A small sample (usually less than 5 millimeters) taken from the external genitalia for evaluation of abnormal color, inflammation, or concern of cancer.
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