If you have pelvic pain, a common diagnostic procedure you may hear about is laparoscopy. Laparoscopy allows for the placement of a camera and surgical instruments into the abdomen through small (1/4 inch) access “ports.” A small fiberoptic camera is introduced through a port in the belly button, and one or two other ports are placed in the lower abdomen to allow for instruments.
Laparoscopy is used to both diagnose and treat your pelvic pain. We can see and treat endometriosis, scar tissue, ovarian cysts, and other causes of in one procedure.
Laparoscopy is done as an outpatient with general anesthesia. You’re back to work or school the next day with minimal discomfort.
If you suffer from abnormal bleeding, hysteroscopy is often used to both diagnose and treat this problem. Hysteroscopy involves placing a camera through the cervix (so there is no abdominal incision). We can see and treat many causes of abnormal bleeding such as polyps, fibroids, and overgrowths in the lining of the uterus.
Robotic Hysterectomy is simply laparoscopic hysterectomy performed with the assistance of a robot to manipulate instruments.
Perhaps you have pain or bleeding that has not responded to more conservative measures such as laparoscopy and hysteroscopy. You may be considering vaginal hysterectomy. The involves removing the uterus through the vagina for definitive treatment of pain and / or bleeding. Sometimes it is done with laparoscopic assistance if endometriosis or scar tissue is known or suspected.
Vaginal Hysterectomy is recommend by the American College of Obstetrician and Gynecologist (ACOG) as the preferred method of hysterectomy, over abdominal and robotic procedures. Most (in my experience over 90%) hysterectomies can be performed vaginally. There are fewer risks of complications (bleeding, infection, damage to nearby organs) compared to abdominal and laparoscopic hysterectomy. There are no abdominal incisions. There is minimal pain and minimal time off work, compared to abdominal hysterectomy.
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