Gynecologic Procedures

Tube Procedures

Tuboplasty

Tuboplasty | Salpingectomy | Oophorectomy | Ovarian Cystectomy | Laparoscopy | Encino CA | Los Angeles CATuboplasty is the procedure for opening blocked tubes which could be due to Endometriosis and adhesions, infection or following previous sterilization procedure for restoring fertility. It is often necessary to remove a blockage in one of the tubes that may occur either near where the tube meets the uterus or toward the end of the tube. A blocked fallopian tube can prevent a woman from becoming pregnant. If the fallopian tube itself has been damaged, it may be possible during a tuboplasty to remove the injured section and suture the healthy areas back together. Tuboplasty may be done laparoscopically in many cases to provide patients with a minimally invasive option. These procedures can also be performed as out-patient in our facility.

Salpingectomy

Salpingectomy is for removal of diseased or abnormal fallopian tubes. This procedure is most commonly performed in cases of ectopic pregnancy, in which the fertilized egg implants in the fallopian tube rather than in the uterus. Ectopic pregnancy can be dangerous and cause severe pain and bleeding. If the fallopian tube has been damaged or ruptured, it may be necessary to perform a salpingectomy. The procedure is typically performed under general anesthesia and it may be done laparoscopically using tiny instruments or traditionally. A salpingectomy does not affect either the uterus or the ovaries, but it does decrease your chances of becoming pregnant in the future.

Ovary Procedures

Oophorectomy

An oophorectomy is a surgical procedure used to remove one or both of the ovaries as a treatment for pelvic diseases such as ovarian cancer or severe endometriosis. This procedure is often performed with a hysterectomy, which removes the uterus; or with a salpingectomy, which removes the fallopian tubes. An oophorectomy can also be performed as a preventive procedure, as a prophylactic oophorectomy.

Women typically undergo this procedure as treatment for:

  • Ovarian cancer
  • Endometriosis
  • Ovarian cysts or tumors
  • Ovarian torsion (twisting of an ovary)
  • Reducing the risk of ovarian and breast cancer

Some women have abnormal genes, known as BRCA1 and BRCA2 that give them an increased risk for developing ovarian cancer before the age of 70, many developing the disease around age 45.

This procedure may be performed through a traditional open incision or through laparoscopy with multiple small incisions, depending on each patient's individual condition. Most patients can fully return to regular activities within six weeks, sooner after laparoscopic surgery.

Ovarian Cystectomy

An ovarian cyst is a fluid-filled sac found on the ovary. An ovarian cystectomy (Aspiration of Ovarian Cysts), is for removal or drainage of hemorrhagic or large ovarian cysts.

An ovarian cystectomy may be recommended if:

  • Cysts are present in both ovaries
  • A cyst is larger than three inches
  • You have already been through menopause
  • A cyst is not a simple functional cyst

Surgery can be used to both diagnose and treat ovarian cysts during the procedure. Smaller cysts can often be examined and removed through a laparoscopy, a minimally invasive procedure that uses a lighted tube and tiny instruments to remove the cyst. The cyst may be removed, or a biopsy sample can be taken. Larger cysts may require a more traditional approach, called a laparotomy. This procedure requires an incision and the removal of the cyst or the ovary and fallopian tube.

Laparoscopic Procedures

Tuboplasty | Salpingectomy | Oophorectomy | Ovarian Cystectomy | Laparoscopy | Encino CA | Los Angeles CALaparoscopy is a minimally invasive surgical procedure used to diagnose and treat problems of the genital and pelvic areas. During this procedure, an endoscope (tube) with a camera on the end is inserted through a tiny incision to allow your doctor to closely examine the organs of the area. Surgical instruments can be inserted through additional incisions to treat any identified problems.

Technological advances have brought computers and laparoscopic instruments to the forefront of surgical approaches. This provides patients with a minimally invasive technique that can be utilized in a wide range of procedures.

At Rejuvenation SurgiCenter, we perform the following laproscopic surgeries:

  • Lysis of adhesions
  • Cystectomies
  • Cauterization of Endometriosis
  • Myomectomy
  • Tubal Ligation

Laparoscopy is performed under general anesthesia and generally takes 30 to 90 minutes, depending on what is done during the procedure. Laparoscopic surgery significantly shortens a patient's recovery time and results in fewer complications compared to traditional open surgery. Patients can usually go home shortly after the procedure and return to work and other normal activities the next day. Strenuous activity should be avoided for about a week. Laparoscopy is considered a safe procedure with little risk of complications.

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