GYNECOLOGICAL SURGERY

In the hands of specialists

Gynecological problems can cause you to feel pain, fear or embarrassment. In the Broad Medical Center gynecologic specialists offer compassionate care and the latest in treatment options. We strive to find the least invasive approach that suits your stage of life and health needs.

When gynecologic surgery is necessary, you want medical professionals who will treat you with sensitivity and help you select the most appropriate and effective medical approach for your health needs. Through the Broad Medical network, you gain access to the latest in minimally invasive gynecologic surgical methods.

Many women who’ve had the NovaSure procedure say they are now able to spend more time at work and daily activities, missing out on fewer social and athletic outings because of excessive bleeding. They also report improved energy levels, better moods, and a boost in self-confidence. And many also had a significant reduction in painful periods and PMS symptoms like irritability.

Endometrial Ablation

This procedure is a minimally invasive alternative to a hysterectomy for women who experience abnormally heavy periods which burns the uterine lining. NovaSure is a simple, safe, 90-second procedure that gently removes the lining of the uterus – the part that causes the bleeding. The procedure can reduce or stop bleeding altogether. It’s a less invasive alternative to hysterectomy. The benefits of the NovaSure procedure include:

• It can be performed in your doctor’s office or an outpatient setting, with no general anesthesia, and usually for the cost of a copay
• It can be performed at any time during your cycle, even if you’re bleeding.
• There are no incisions
• The procedure is quick – average treatment time is just 90 seconds.
• Most women experience mild or no pain during or after the procedure.
• Most women feel back to themselves within a day or so.
• 91% of women returned to normal, light, or no periods at all (in fact, 41% reported that their periods stopped completely).

Endometrial Ablation - how it works

Step 1

Your doctor opens your cervix (the opening to your uterus) slightly, inserts a slender wand and extends a triangular-shaped netted device into your uterus.

Step 2

The netting expands, fitting to the size and shape of your uterus.

Step 3

Precisely measured radiofrequency energy is delivered through the netting for about 90 seconds.

Step 4

The netted device is pulled back into the wand, and both are removed from your uterus.

Vagnial rejuvenation

With the trauma of childbirth and aging the vagina can become lax which can lead to pelvic organ prolapse as well as impact sexual health and well being During a vaginal rejuvenation procedure, the vagina is “tightened up” and restored anatomically for either reconstructive or cosmetic purposes.

Vulvar Revision or Labiaplasty

This is a simplified surgical procedure that revises deformities or scarring of the labia, hymen or vagina, which can be caused by childbirth or trauma of the genital area.

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Hysteroscopy

What is hysteroscopy?

Hysteroscopy is a procedure used to diagnose or treat problems of the uterus. A hysteroscope, which is a thin lighted telescope-like device, inserted through your vagina into your uterus can be used to detect and treat the underlying cause.

Why is hysteroscopy done?

Abnormal bleeding is the most common reason to have a hysteroscopic procedure.
If a woman’s menstrual periods are heavier or longer than usual or if she bleeds between menstrual periods this may be caused by a noncancerous growth in the uterus, such as fibroids or polyps or cancerous process
Remove scar tissue that may be caused by previous infection or surgery
Locate and remove an intrauterine device (IUD) or Essure contraceptive device

LAPRASCOPY

What is female pelvic laparoscopy?

Diagnostic laparoscopy is a surgical procedure that uses a laparoscope, a thin telescope, passed through a small incision on the abdominal wall to look directly at the woman’s reproductive organs including the uterus, ovaries, fallopian tubes, and nearby organs.

Diagnostic Laparoscopy can be used to:

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

What type of female pelvic surgeries can be done using laparoscopy?

Tubal sterilization
• Ovarian cyst removal
• Fallopian tube and ovarian removal
• Myomectomy or fibroid excision
• Treatment of ectopic pregnancy
• Treatment of ovarian torsion
• Treatment of endometriosis
• Hysterectomy

In a laparoscopic hysterectomy, the uterus is detached from inside the body and removed through small incisions in the abdomen or removed through the vagina.

What are the benefits of laparoscopy?

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

HYSTERECTOMY

A hysterectomy is a surgical procedure to remove a woman’s uterus. The uterus, also known as the womb, is where a baby grows when a woman is pregnant. The uterine lining is the source of menstrual blood. You may need a hysterectomy for many reasons.

The surgery can be used to treat a number of chronic pain conditions as well as certain types of cancer and infections. The extent of a hysterectomy varies depending on the reason for the surgery. In most cases, the entire uterus is removed. The doctor may also remove the ovaries and the fallopian tubes during the procedure. The ovaries are the organs that produce estrogen and other hormones. The fallopian tubes are the structures that transport the egg from the ovary to the uterus. Once you’ve had a hysterectomy, you’ll stop having menstrual periods. You’ll also be unable to get pregnant.

Why Is a Hysterectomy Performed?

Your doctor may suggest a hysterectomy if you have any of the following:

chronic pelvic pain
uncontrollable vaginal bleeding
cancer of the uterus, cervix, or ovaries fibroids, which are benign tumors that grow in the uterus
pelvic inflammatory disease, which is a serious infection of the reproductive organs
uterine prolapse, which occurs when the uterus drops through the cervix and protrudes from the vagina endometriosis, which is a disorder in which the inner lining of the uterus grows outside of the uterine cavity, causing pain and bleeding
adenomyosis, which is a condition in which the inner lining of the uterus grows into the muscles of the uterus

According to the National Women’s Health Network, a hysterectomy is the second most common surgical procedure performed on women in the United States. It’s considered to be a safe, low-risk surgery. However, a hysterectomy may not be the best option for all women. It shouldn’t be performed on women who still want to have children unless no other alternatives are possible. Luckily, many conditions that can be treated with a hysterectomy may also be treated in other ways. For instance, hormone therapy can be used to treat endometriosis. Fibroids can be treated with other types of surgery that spare the uterus. In some circumstances, however, a hysterectomy is clearly the best choice. It’s usually the only option for treating uterine or cervical cancer. You and your doctor can discuss your options and determine the best choice for your specific condition.

Alternatives to a Hysterectomy

According to the National Women’s Health Network, a hysterectomy is the second most common surgical procedure performed on women in the United States.

It’s considered to be a safe, low-risk surgery. However, a hysterectomy may not be the best option for all women. It shouldn’t be performed on women who still want to have children unless no other alternatives are possible.

Luckily, many conditions that can be treated with a hysterectomy may also be treated in other ways. For instance, hormone therapy can be used to treat endometriosis.

Fibroids can be treated with other types of surgery that spare the uterus. In some circumstances, however, a hysterectomy is clearly the best choice. I

t’s usually the only option for treating uterine or cervical cancer. We can discuss your options and determine the best choice for your specific condition.

Vaginal HYSTERECTOMY

Surgery done through natural orifices. No scar seen anywhere. Rapid recovery and suitable for small uterus and those with lax ligaments. Dexterity and finesse

A total hysterectomy refers to the removal of the uterus and cervix (neck of the uterus) together while a subtotal hysterectomy removes only the uterus leaving the cervix behind. Occasionally, a hysterectomy may be combined with the removal of the fallopian tubes (salpingectomy) and the ovaries (oophorectomy).

Laparoscopy HYSTERECTOMY

Latest technology, extreme magnification, high resolution with great cosmesis. Rapid recovery, early feeding and short hospital stay. Cosmesis and Comfort

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Salpingectomy

Salpingectomy is the removal of one or both of a woman’s fallopian tubes, thetubes through which an egg travels from the ovary to the uterus.

Indications

Removal of one tube (unilateral salpingectomy) is usually performed if the tube has become infected (a condition known as salpingitis) or improves fertility outcomes
Treatment of Ectopic pregnancy, a condition in which a fertilized egg has implanted in the tube instead of inside the uterus.
A bilateral salpingectomy (removal of both the tubes) is usually done if the ovaries and uterus are also going to be removed depending on the age of the patient or pathology such as cysts or cancer risks
• Tubal ligation or sterilization by removing both fallopian tubes