Surgery

Minimally Invasive Surgery – We are able to perform surgery using the most advanced laparoscopic techniques. These techniques reduce pain, discomfort and recovery time.

Laparoscopy – A minimally invasive surgical technique used to diagnose and treat a range of abdominal or pelvic problems.

Hysterectomy – We perform this surgery using three different methods (vaginal/laparoscopic/abdominal) depending on the needs of the patient.

Advanced Laparoscopy – Allows us to provide rapid recovery from extensive surgery by avoiding large incisions on the abdomen. These techniques require a greater amount of skill with the laparascope than would be typically encountered in our medical profession.

Pelvic Floor Reconstruction – When the muscles on the pelvic floor become damaged or weak – often as a result of childbirth – they are unable to support the weight of some or all of the pelvic and abdominal organs. If this occurs, one or more of the organs may drop below their normal positions, causing symptoms including discomfort, pain, pressure and urinary incontinence. Depending on the requirements of the patient we offer both non-surgical and reconstructive surgery for this troublesome condition.

Hysteroscopy/Ablation – This minimally invasive surgical technique uses the hysteroscope (a small lighted telescopic instrument) to perform a variety of therapeutic procedures such as the removal of fibroids, polyps and ablation of the uterine lining. We perform this procedure in our Sylva office or in the operating room depending on the patient and her specific needs.

Tubal Sterilization – Depending on the needs of the patient we are able to perform this permanent sterilization procedure using a variety of techniques including minimally invasive (laparoscopic) surgery. A non-incision method called ESSURE or hysteroscopic tubal sterilization can be performed in our Sylva office.

Endometriosis Excision – Excision (peeling off) the endometriosis using minimally invasive techniques is the most modern technique available and appears to offer the most effective way of dealing with this painful condition.

Lysis of Adhesions – Adhesions are abnormal tissue attachments between internal organs, which can develop due to previous surgeries or diseases. Because they prevent the normal movement of the organs, adhesions can affect the functioning of the organs, causing chronic abdominal pain. Because diagnosis of adhesions can be difficult using standard gynecologic examination, CT scans or ultrasound we use a long, thin telescope called a laparoscope, inserted into the abdomen through a single small incision, to view the abdominal cavity and determine if adhesions are present.

Condyloma Excision – Condyloma are genital warts, sometimes resembling cauliflower, that occur on or near the genitals and are caused by human papillomavirus. These can be treated nonsurgically or through removal (excision) by a scalpel or laser.

LEEP – Cervical LEEP is a procedure used to treat cervical dysplasia, a precancerous change in the skin on the cervix. Many patients with abnormal PAP smears have an underlying dysplasia. LEEP involves numbing of the cervix and then using a special wire loop to remove the abnormal area. The procedure itself is usually painless, although some mild cramping may occur afterward. The whole procedure typically takes about five minutes to perform and can be performed in the operating room or in our office.

Vulvar and Vaginal Repairs – Any abnormality of the vulva or vagina that can be surgically repaired could be performed by our board certified surgeons.

D&C – This surgical procedure is used to remove the lining (endometrium) and contents of the uterus. The D&C is most often used to diagnose and treat abnormal uterine bleeding. It is also used to treat incomplete spontaneous miscarriage. We normally perform this procedure in the operating room.

Cesarean Section – When necessary we are capable of performing a surgical delivery of a baby through an incision (a cut) in the mother’s abdomen and the uterus called a Cesarean Section (C-section). According to the National Center for Health Statistics, more than one in four babies are delivered by this method.