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GYNECOLOGICAL SURGERY Hysteroscopies and Alternatives to Hysterectomies A hysteroscope (thin, telescope like instrument) is inserted into the vagina and cervix to diagnose or treat a uterine problem. May be done in a doctor's office or operating room with local, regional, or general anesthesia. Uterine Endometrial Ablation with Resection An alternative to hysterectomy, endometrial is a procedure in which the lining of the uterus is destroyed in order to treat some cases. The newest way to diagnose gynecologic bleeding problems is with the Olympus flexible hysterofibrescope. This device, available at the Women's Health Practice and the Midwest Surgical Center has an insertion tube diameter of only 3.1 mm, allowing insertion without cervical dilation or anesthesia - and it is ideal for office hysteroscopy. For women who need additional local or iv sedation this is available as well. The NovaSure procedure is a quick, safe, simple, one-time endometrial ablation treatment which gently removes the lining of the uterus to control heavy bleeding. An advance in women's health, the ablation is completed in about 90 seconds of energy delivery and only needs to be performed once to lighten or stop your periods. Endometrial ablations have been offered at Women's Health Practice since the 1980's as Drs. Trupin and Campbell who brought the procedure to the area trained with pioneers of the technology. At Women's Health Practice office setting and the MidWest Surgical Center several technologies for ablation are offered for women who desire surgical control of their heavy menstrual bleeding. NovaSure is a minor procedure, most of our patients are done with just local and/or some sedation, allowing for both safety, and comfort and both the with a quick recovery time so you can go on with your life sooner. Laparoscopic Supracervical Hysterectomy (LSH) This is a technique of a completely laparoscopic hysterectomy, that Women's Health Practice has now brought to Champaign-Urbana. This surgery is the the least invasive, least traumatic, and the quickest way to remove the uterus. LSH should also be associated with an even lower risk of injury to the ureter or bladder (rare with hysterectomy) and without adverse effects to either vaginal support or sexual function. It may be performed with or without bilateral salpinoophorectomy (ovarian and tubal removal). The procedure has progressed rapidly with the new technology design of the newer generation of bipolar cautery instruments making heat even safer to use, and The GYNECARE Tissue Morcellator quickly and effectively extracts large volumes of tissue, which allows a surgeons to employ a minimally invasive approach that can help reduce operating time. Pelvic Floor Reconstruction With New Mesh Technologies The use of new mesh technologies offers a new level of success in repairs of the bladder in cases of stress incontinence, in repairs of the anterior vaginal wall, in cases of cystocele, and for repairs of the posterior vaginal wall, as in the cases of rectoceles. Symptoms of pelvic floor problems would include:
Other more complex cases can be handled by these technologies as well, and even uterine prolapse can be repaired in some cases without a hysterectomy. Some of the meshes used at Women's Health Practice and the Midwest Surgical Center are the Gynecare Prolift, Uretex® an the Avaulta™ BioSynthetic Mesh. Accurate diagnosis is an important concern for the health care providers of Women's Health Practice, which is why we often recommend Uodynamic Testing prior to surgery. Surgical alternatives are available, and there are a variety of new designes of pessaries and some newer medications that may help patients as well. The only completely effective sterilization procedure with no failures in any of the clinical trials. There is no cutting into the body, and most patients at Women's Health Practice and Midwest Surgical Center can have the procedure under local anesthesia either with or without sedation. You can have general anesthesia as well. The Essure procedure is different than the traditional method of a surgical laparoscopic ligation that can be done in our center as well. With Essure there is no cutting into the body. Instead, an Essure trained doctor inserts spring-like coils, called micro-inserts, through the body’s natural pathways. Additional Gynecological Surgery Services
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