Dilation and Curettage
A dilation and curettage (D&C) is an outpatient procedure designed to immediately stop severe, sometimes life-threatening bleeding, or to diagnose the cause of bleeding with a sample of tissue from the lining of your uterus (endometrium). This procedure helps diagnose uterine cancer, uterine polyps and endometrial hyperplasia — a precancerous condition in which the uterine lining becomes too thick.
Hysteroscopic Myomectomy and Polypectomy
Hysteroscopy is an outpatient minimally invasive procedure designed to remove uterine fibroids or polyps located in the uterine cavity that may be the cause of abnormal bleeding. The ultimate goal of the procedure is complete cessation of abnormal bleeding and inspection of the tissue removed to rule out the presence of cancer. This procedure is an outpatient procedure. Hysteroscopy is accomplished by inserting a long tubular camera scope called a hysteroscope through the cervix into the uterus, then inserting various instruments to remove polyps or fibroids.
Dr. Rebeles utilizes the Myosure Tissue Removal System, a hysteroscopic outpatient procedure that can eliminate fibroids or polyps without having to cut or remove any part of your uterus.
Laparoscopic (and Robotic-assisted) Myomectomy:
This procedure is a minimally invasive surgery which removes intramural and subserosal fibroids from the uterus via small abdominal incisions. They require a highly skilled surgeon specializing in minimally invasive surgery. The advantages of a laparoscopic procedure are many. Patients usually go home the same day, the recovery time is faster and less painful, and the cosmetic outcome is better. Dr. Rebeles operates through a few small abdominal incisions using either the assistance of the da Vinci robot or via traditional laparoscopy.
(Please also see: Robotic-Assisted Myomectomy under Robotic Surgery )
Laparoscopic (and Robotic-assisted) Hysterectomy
A hysterectomy refers to the removal of a woman’s uterus (womb) and possibly the cervix. Hysterectomy is one of the most common surgeries in the United States, with approximately 600,000 performed annually. Dr. Rebeles operates through a few small abdominal incisions using either the assistance of the da Vinci robot or via traditional laparoscopy.
Total (or complete) hysterectomy involves the removal of the entire uterus, but not necessarily the ovaries
Partial, subtotal and supracervical hysterectomy are all terms to describe removal of the part of the uterus above the cervix, which is the part of the uterus responsible for growing and shedding the endometrial (uterine) lining.
(Please also see: Robotic-Assisted Hysterectomy under Robotic Surgery )
The uterus is removed entirely through the vagina. During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. The uterus is then removed through the vagina.
Dr. Rebeles will discuss with you which type of surgery is best for you and the pros and cons of each.