Gynecology

Therapeutic

Adhesiolysis

This is also called lysis of adhesions. Cutting of adhesions (scar tissue).

Colporrhaphy

Surgical repair of the vaginal wall. Used to repair enteroceles (hernias).

Endometrial ablation

This procedure is used to treat abnormal bleeding in women who do not plan to become pregnant but may not need a hysterectomy. A hysteroscope is passed through the cervix into the uterus and one of a number of types of energy – electrical, laser or thermal – is used to destroy the endometrial layer of the uterus.

Hysterectomy

This procedure is removal of the uterus. It can be:

  • A partial hysterectomy—removal of the upper portion of the uterus, leaving the cervix)
  • A total hysterectomy—removal of the entire uterus and cervix.
  • A radical hysterectomy—removal of the uterus, the tissue on both sides of the cervix, and the upper part of the vagina.

The Fallopian tubes and ovaries may also be removed at the time of hysterectomy. When the ovaries are also removed, a hysterectomy can relieve the pain of endometriosis. A hysterectomy may be done through open abdominal surgery, laparoscopic surgery or hysteroscopic surgery.

Myomectomy

This procedure is done to remove uterine fibroids without hysterectomy for women who wish to become pregnant or do not want to lose their uterus. Myomectomies may be performed through conventional open abdominal surgery, with laparosopic techniques or hysteroscopically, depending on the location of the fibroids.

Oophorectomy

Oophorectomy is the surgical removal of one ovary, both ovaries or a part of an ovary. It is performed to treat ovarian cancer, pelvic inflammatory disease and endometriosis or remove cysts or abscess. It may also be done to remove the main source of estrogens that stimulate the growth of some breast cancers. If one ovary is removed, a woman may continue to menstruate and have children. If both ovaries are removed, menstruation stops and a woman loses the ability to bear children.

Trachelectomy

Surgical removal of the cervix (but not the rest of the uterus). A radical trachelectomy is when the cervix and surrounding tissue is removed, along with some pelvic lymph nodes.

Suspensions

  • Uterine
  • Vaginal Vault

Tubal Surgeries

  • Removal of Fallopian tubes
  • Tubal ligation
  • Correction of tubal pregnancy
  • Reanastomosis–Reconnection of the Fallopian tubes
  • Wire guide cannulation to open a blocked tube

Uterine fibroid embolization (UFE)

This procedure blocks the arteries carrying blood to the fibroids.

Vulvectomy

Simple or radical