Minimally Invasive Gynecology Surgery
- Advances in medical laparoscopic (pelviscopy) and robotic technologies, allow us to perform complex procedures, which required open surgery in the past, through tiny incisions coupled with minimal suturing.
- This results in a much quicker wound healing time, minimal pain and lower risk of infection. Most of these procedures are performed in less than an hour, & in an outpatient setting (the patient is discharged home that same day).
- We have performed thousands of minimally invasive procedures over the past 30 years, including tuboplasty (fimbrioplasty), tubal sterilization, lysis of pelvic adhesions, resection of endometriosis, supra-cervical hysterectomy, total laparoscopic hysterectomy, salpingo-oophrectomy (removal of tubes and ovaries), and myomectomy (removal of fibroids).
Congenital hymeneal opening variations can vary, depending on embryonic development. Partial embryonic canalization of the hymen can result in a cribriform, septate, or narrow hymeneal opening; whereas complete absence of canalization results in an imperforate hymen. Imperforate hymen is rare, and is usually diagnosed after menarche, when the patient develops severe pelvic pain secondary to menstrual retention. Imperforate and severely narrowed hymens require surgical incision or excision of the hymen (Hymeneoplasty).
Routine Gynecology Surgery
Routine gynecology surgery cases are performed in the operating room both in an outpatient or inpatient setting. Surgeries cover all aspects of gynecologic dysfunctions that cannot be addressed by the minimally invasive approach, and may include simple vulvectomy, Cold knife conization of the cervix, tubal reversal, total vaginal hysterectomy (TVH), anterior cystocele repair, posterior rectocele and enterocele repair, urethral suspension, total abdominal hysterectomy (TAH), salpingo-oophorectomy (removal of tubes and ovaries), myomectomy (removal off fibroids), exploratory laparotomy and associated procedures.
- Plastic reconstructive surgery of the perineum may include any of the following procedures: resection of inflamed vestibular glands, resection of perineal scar, reconstruction of chronic perineal tear, perineoplasty for narrow introitus, and advancement & grafting of vaginal mucosa.
- Surgery is usually reserved for severe vestibulodynia (vulvar vestibulitis syndrome) cases refractory to conservative therapy, patients with scarring of the perineum or chronic tear syndrome usually associated with a narrow perineum, a small introitus, and/or ridging of the vestibule.