Women’s Health

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Pelvic Surgery

A person may have surgery on the pelvis to treat conditions in the reproductive organs. For example, a woman may have surgery that involves her uterus, ovaries, fallopian tubes, or cervix. She may even have surgery that involves the non-visible part of the vagina. A doctor may perform pelvic surgery to correct a range of problems or abnormalities with any of these organs, treat infertility, or even treat cancer.

Laparoscopic Hysterectomy

Laparoscopy is a surgery that uses a thin, lighted tube put through a cut (incision) in the belly to look at the abdominal organs camera or the female pelvic organs camera. Laparoscopy is used to find problems such as cysts, adhesions, fibroids camera, and infections. Tissue samples can be taken for biopsy through the tube (laparoscope).

In many cases, laparoscopy can be done instead of laparotomy surgery which uses a larger incision in the belly. Laparoscopy can be less stressful and may have fewer problems and lower costs than laparotomy for minor surgeries. It can often be done without needing to stay overnight in the hospital. Click here for a more detailed look at Hysterectomy Types.

Laparoscopic Supracervical Hysterectomy (LSH)

In a Total Laparoscopic Hysterectomy, the uterus and cervix are removed through a small incision. The hospital stay is slightly longer: 1-3 days, and the recovery time ranges from 3-4 weeks. Cervical preservation is less likely to result in menses (menstruation) as the endocervix is usually cauterized.

Total Laparoscopic Hysterectomy (TLH)

This is the most common type of hysterectomy. During a total abdominal hysterectomy, the doctor removes the uterus, including the cervix. Cancer of the ovary(s) and uterus, endometriosis, and large uterine fibroids are treated with total abdominal hysterectomy. Total abdominal hysterectomy may also be done in some unusual cases of very severe pelvic pain, after a very thorough evaluation to identify the cause of the pain, and only after several attempts at non-surgical treatments. The hospital stay is slightly longer: 1-3 days, and the recovery time ranges from 3-4 weeks.

Trans Obturator Taping

Transobturator tape is similar to an operation called tension-free vaginal tape. But the way the tape is put in and fitted is different in TOT. This may make TOT safer because there is less chance that your bowel or blood vessels will be injured.

During both operations using vaginal tape, a surgeon makes a small cut in your vagina through to your urethra. He or she then places the tape under the middle part of your urethra. Your body makes scar tissue that grows into the tape and keeps it in place. This gives extra support for your urethra, making it less likely that you’ll leak urine.

Novasure Endometrial Ablation

Endometrial ablation is a medical procedure that is used to remove or destroy the endometrial lining of a uterus. This technique is most often employed for people who suffer from excessive or prolonged bleeding during their menstrual cycle but cannot or do not wish to undergo a hysterectomy.