Ambulatory Center Surgery Procedures

Ambulatory Surgery Center

ASC Procedures

Most outpatient surgical procedures can be performed at our surgery center. Some of the more common types of surgery include the following procedures:

Diagnostic Laparoscopy

A diagnostic laparoscopy is a surgical procedure in which a thin, lighted tube (called a laparoscope) is inserted through an incision in the abdominal wall to examine the pelvic organs. To diagnose certain conditions, your doctor needs to look directly into your abdomen at your reproductive organs. Diagnostic laparoscopy is often used to diagnose causes of abdominal pain, including ectopic pregnancy, endometriosis, cysts, adhesions, fibroids and infection, as well as causes of infertility.

Laser Laparoscopy

In addition to using a laparoscope to look into the abdomen to diagnose a problem (diagnostic laparoscopy), your doctor can also use the procedure for treatment. Laser laparoscopy is a common surgical procedure used to treat a variety of conditions causing pelvic pain; a medical laser is attached to the laparoscope to assist with surgical treatments.

Laparoscopic Supracervical Hysterectomy (LSH)

For patients whose problems indicate a need for hysterectomy, an LSH is one option for performing the surgery. Laparoscopic supracervical hysterectomy is a surgical procedure that involves removal of the uterus through the laparoscope while leaving the cervix intact. Instead have having a large abdominal incision and several days of rest; this procedure leaves the patient with four half inch incisions and the ability to be up and active the day after surgery.

Hysteroscopy (with or without endometrial ablation)

A hysteroscopy is a procedure that allows your physician to look inside your uterus to help diagnose or treat a uterine problem. A thin, telescope-like instrument (called a hysteroscope) is inserted into the uterus through the vagina and cervix. A hysteroscopy is usually performed just after menstruation to obtain the clearest view of the uterine cavity. Endometrial ablation is a procedure used to control abnormal bleeding by destroying (ablating) the uterine lining.

D&C

Dilation and curettage (D&C) is a surgical procedure used to locate and treat abnormal bleeding. A D&C is performed by passing a small instrument (called a curette) through the vagina into the uterus and scraping the lining of the uterus (endometrium).

Tubal Ligation

A tubal ligation, or female sterilization, is a surgical procedure that involves tying, cutting or blocking the fallopian tubes so eggs cannot travel down the tubes to be fertilized or to implant in the uterus.The surgery center currently uses the blocking technique.

Laser Ablation of Condyloma

Laser ablation of condyloma (genital warts) involves the removal of the growths or bumps, which can appear on the vagina, vulva (external parts of the genitals), cervix (the opening between the vagina and womb), rectum or groin. Genital warts are spread by a sexually transmitted virus.

Uterine Suspension

Uterine suspension is a procedure to reposition a tipped uterus from its backward-facing position to a forward-facing position. Not all women with a tipped uterus experience symptoms as a result of this condition. However, for some women who experience problems from a tipped uterus, such as painful intercourse or painful periods, uterine suspension can provide relief.

Hydrothermal Ablation (HTA)

Hydrothermal ablation is a potential alternative for treating women with excessive uterine bleeding. The HTA system is a hysteroscopic thermal ablation device that utilizes circulation of heated saline in the uterine cavity causing ablation of the interior lining of the uterus. To learn more about hydrothermal ablation and the HTA System, click here www.bostonscientific.com/patient_ed.

Biopsy

A biopsy is the removal and examination of tissues, cells or fluids in order to diagnose diseases. Your gynecologist may perform a biopsy on the following areas: vulva, vagina, perineum, ovary, cervix or endometrium.