- Cystocele and Rectocele Repair
- Laparoscopic Tubal Ligation
- Myosure www.myosure.com
- Robotic Surgical Approaches
- Minimally invasive techniques for surgical approaches
Cystocele and rectocele repair - is an operation that lifts and tightens the tissue around the bladder and rectum so these organs no longer push into the vagina.
When is it used?
Surgery is done to relieve bulging into the vagina that may be caused by a cystocele and rectocele. This problem may cause symptoms such as:
- leaking of urine or bowel movements (incontinence)
- constipation (infrequent bowel movements)
- urinary tract infection
- painful sexual intercourse
- vaginal infection and bleeding if the problem is severe
Hysteroscopy - is a procedure that allows a gynecologist to look inside your uterus. The hysteroscope is a long tube, about the size of a straw, which has a built-in viewing device. Hysteroscopy is useful for diagnosing and treating some problems that cause infertility, miscarriages, and abnormal menstrual bleeding. Sometimes other procedures, such as laparoscopy, are done at the same time as hysteroscopy.
Hysterectomy- A hysterectomy (his-tur-EK-tuh-mee) is a surgery to remove a woman's uterus or womb. The uterus is where a baby grows when a woman is pregnant. The whole uterus or just part of it may be removed. After a hysterectomy, you no longer have menstrual period there are different ways that your doctor can perform a hysterectomy. It will depend on your health history and the reason for your surgery.
- Abdominal hysterectomy. This is done through a 5- to 7-inch incision, or cut, in the lower part of your belly. The cut may go either up and down, or across your belly, just above your pubic hair.
- Vaginal hysterectomy. This is done through a cut in the vagina. The doctor will take your uterus out through this incision and close it with stitches.
- Laparoscopic (lap-uh-ro-SKOP-ik) hysterectomy. A laparoscope is an instrument with a thin, lighted tube and small camera that allows your doctor to see your pelvic organs. Your doctor will make three to four small cuts in your belly and insert the laparoscope and other instruments. He or she will cut your uterus into smaller pieces and remove them through the incisions.
- Laparoscopically assisted vaginal hysterectomy (LAVH). Your doctor will remove your uterus through the vagina. The laparoscope is used to guide the procedure.
- Robotic-assisted surgery. Your doctor uses a special machine (robot) to do the surgery through small cuts in your belly, much like a laparoscopic hysterectomy (see above). It is most often done when a patient has cancer or is very overweight and vaginal surgery is not safe.
Laparoscopy - is a surgery that uses a thin, lighted tube put through a cut (incision) in the belly to look at the abdominal organs or the female pelvic organs. Laparoscopy is used to find problems such as cysts, adhesions, fibroids, and infection. Tissue samples can be taken for biopsy through the tube (laparoscope).
Laparoscopy is done to:
- Check for and possibly take out abnormal growths (such as tumors) in the belly or pelvis.
- Check for and treat conditions such as endometriosis, ectopic pregnancy, or pelvic inflammatory disease (PID).
- Find conditions that can make it hard for a woman to become pregnant. These conditions include cysts, adhesions, fibroids, and infection. Laparoscopy may be done after initial infertility tests do not show the cause for the infertility.
- Do a biopsy
- Do a tubal ligation
- Find the cause of sudden or ongoing pelvic pain.
Laparoscopic Tubal ligation -A tubal ligation is considered a permanent method of birth control. The fallopian tubes are cut or blocked, which prevents pregnancy by blocking the egg's path to the sperm and uterus. Laparoscopy makes it possible to see and do the surgery through small incisions in the abdomen.
For a laparoscopic tubal ligation, the surgeon makes two small incisions-one in or just below the belly button (navel) and one at the upper edge of the pubic hair. The abdominal cavity, where the reproductive organs are, is inflated with air or a harmless gas so that the surgeon can see and avoid injuring abdominal organs or the inside of the abdomen.
The surgeon inserts a thin, lighted viewing tube (laparoscope) through the incision. The laparoscope has a lens that magnifies what the surgeon is viewing. The instrument that the surgeon uses to cut (ligate) the tubes may be inserted alongside the laparoscope or through the incision just above the pubic hair. The surgeon looks through the laparoscope while moving this instrument to get the tubes cut in the correct location
Myosure - procedure is a new and innovative treatment that enables incision-less, fast removal of submucosal fibroids and polyps as well as providing effective relief of abnormal uterine bleeding (AUB). MyoSure is an ideal treatment option for women of all ages seeking to preserve uterine form and function. The MyoSure® tissue removal system was designed, from the ground up, specifically for the removal of intrauterine pathology. It features a small cutter blade encased in an outer tube. The cutter blade is powered by an electro-mechanical drive system which enables simultaneous rotation and reciprocation of the cutter to remove both fibroids and polyps quickly and effectively. Because the cutter does not utilize RF energy, the pathological specimens, captured in a vacuum canister tissue trap, remain intact.
The unique cutter is also connected to a vacuum source which continuously aspirates resected tissue through a side-facing cutting window in the outer tube. The tissue removal device's side-facing cutting window dimensions limit the depth of tissue resection to minimize perforation risk. When the device is not cutting, the cutting window automatically closes to prevent a loss of uterine distension, thereby reducing the potential for uterine perforation and making rapid resection procedures possible. To learn more about this procedure go to www.myosure.com .
Robotic Surgical Approaches - When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding.
Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.
Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci® Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci System* can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.