Obstetrics & Gynecology Surgery

HCFW offers a full range of surgical procedures performed by expert doctors in the field of Obstetrics and Gynecology. If your treatment plan includes surgery, we will discuss with you your options and what you can expect in terms of preparation, recovery and possible outcomes. Many times women come to us complaining of pelvic pain, but this broad problem can result in a number of different diagnoses.  Please consult with one of our women’s health care specialists to find out what your pelvic pain means.

Dilation and Curettage
The dilation and curettage procedure (D&C) is a commonly performed minor surgery used for both the diagnosis and management of abnormal bleeding and the treatment of miscarriages. During this procedure, a small instrument is used to dilate the cervical canal, allowing passage of instruments into the uterine cavity. Next, curettage, or scraping, of the uterine lining is performed using a small metal instrument and/or suction. This procedure is often combined with hysteroscopy in the management of abnormal bleeding.

Hysteroscopy
A hysteroscope is a small telescope, which is inserted into the uterine cavity so that the inside of the uterus can be visualized. It can be used for diagnostic purposes, as well as for the removal of growths, such as small fibroids or endometrial polyps, or foreign bodies, such as intrauterine devices. Hysteroscopy is also used as part of endometrial ablation and Essure.

Endometrial Ablation
Endometrial ablation is a minor surgical procedure in which the lining of the uterus (endometrium) is destroyed in order to alleviate abnormal uterine bleeding. We now offer this procedure in our office using the Hydro-Thermal Ablation (HTA) technique.

Sterilization
Tubal sterilization is one of the most common forms of birth control used in the U.S. We offer several forms of female sterilization, including traditional methods performed laparoscopically, in the postpartum period, or at the time of cesarean section and the new Essure procedure, which can be performed in our office.

Laparoscopy
Laparoscopic surgery refers to surgery performed using a small telescope inserted into the abdominal cavity. It can be used for diagnostic purposes, such as the evaluation of endometriosis and pelvic pain, as well as for treatment of endometriosis, ovarian cysts and tumors, ectopic pregnancy, sterilization, and some types of fibroid tumors. Advantages of laparoscopic surgery include smaller incisions, shorter hospital stays, and faster recovery.

Hysterectomy
Hysterectomy means removal of the uterus. It can be total, meaning removal of the uterus and cervix, or partial, in which the uterine body is removed but the cervix is not. Depending on the circumstances and patient preferences, the ovaries and fallopian tubes can be removed at the same time or left in place to provide continued hormone production. Hysterectomy is performed for a number of reasons: abnormal bleeding, pelvic pain, uterine prolapse, and cancer or pre-cancer. And it can be performed in several ways, including vaginally, laparoscopically, robotically, or through an abdominal incision. Your doctor will discuss with you which option is best for your situation.

Pelvic Floor Reconstruction and Incontinence
Many women experience decreased support of their uterus and vaginal walls, leading to prolapse of the uterus, bladder, and rectum, as well as some forms of incontinence. We offer surgical management of these problems, or for complex cases, referral to pelvic floor and incontinence sub-specialists.