LAPAROSCOPIC HYSTERECTOMY
This procedure involves the removal of the uterus and fallopian tubes (not ovaries) via keyhole surgery. St George Private surgeons are experts in removal of even very large uteri, avoiding the need for a large abdominal incision
ABDOMINAL HYSTERECTOMY (Open)
For some patients this is an alternative method of performing a hysterectomy, the removal of the uterus and fallopian tubes. However this is done through an open incision.
ENDOMETRIOSIS SURGERY
Endometriosis involves adhesive disease of the ovaries, tubes, lining of the pelvis and may involve the bowel, bladder or nearby structures. It can cause:
- painful periods
- infertility
- pain with intercourse
- heavy menstrual periods, and
- pain passing a bowel motion
It should be completely excised via keyhole surgery to restore normal anatomy and this should be done by a high volume surgeon with expertise in endometriosis surgery. Merely applying diathermy to the surface of a deposit of endometriosis will not necessarily treat the disease and should be avoided.
PROLAPSE SURGERY
Vaginal prolapse can be addressed via a vaginal approach, a laparoscopic approach or a combination of both. Laparoscopic sacrocolopexies are performed for a more permanent cure of severe vaginal prolapse, all via a minimally invasive approach needing only 1-2 days in hospital and recovery 2-3 weeks.
INCONTINENCE SURGERY
“Stress” incontinence (loss of urine when jumping, sneezing, laughing, running etc) can severely limit one’s lifestyle and should not be tolerated as it can be relatively easily corrected. Surgical procedures such as the sub-urethral tape (TVT) or the Laparoscopic Colposuspension have a 90-95% success rate in cure of this problem.
FIBRIODS(MYOMECTOMY)
Fibroids are benign tumours of the uterus that can cause pressure, urinary frequency, pelvic pain, infertility and heavy menstrual bleeding. St George Private gynaecologists specialize in removal and management of these fibroids via keyhole surgery, avoiding the need for larger incisions and thus reducing recovery time.
ADNEXAL SURGERY
Tumours and cysts of the tubes and ovaries are particularly suited to laparoscopic (keyhole) surgery and can be readily managed in this fashion.
COLPOSCOPY
This is an investigative surgical technique to examine and possibly biopsy the cervix if abnormalities are found during testing.
HYSTEROSCOPY
A hysteroscopy is a procedure to look at the inside of the uterus (womb), using a small telescope (hysterscope).
LAPAROSCOPIC STERILISATION
This is a permanent method of female contraception involving the blocking of the fallopian tubes.
COMMON PROCEDURES
- Nondescent vaginal hysterectomies
- Total abdominal hysterectomies
- Myomectomies for fibroid uterus ( highest no removed is 32)
- Tuboplasty
- Tubal recanalisations
- Sling surgeries
- Ovarian pathologies - cystectomy, ovariectomy etc
- Strassmann's metroplasty for bicornuate uterus
- Fothergills - Manchester surgery for nulliparous descent
- Complete colpocleisis for vault prolapse
- Ward mayos surgery for vaginal prolapse
- Cystocele & rectocele repairs
- Thermal Endometrial balloon ablation for Abnormal uterine bleeding
- MIRENA insertions for Abnormal uterine bleeding
- Cryocauterization & LLETZ of cervix for cervical erosions etc
- Cervical Conization for cervical dysplasias