Surgical Procedures

Laparoscopy & Minimally Invasive Surgery

A laparoscopy is a minimally invasive surgical procedure used to diagnose and treat problems of the genital and pelvic areas. During this procedure, an endoscope (tube) with a camera on the end is inserted through a tiny incision that allows your doctor to closely examine the organs of the area. Surgical instruments can be inserted through additional incisions to treat any identified problems.

Technological advances have brought computers and laparoscopic instruments to the forefront of surgical approaches. This provides patients with a minimally invasive technique that can be utilized in a wide range of procedures.

The physicians at One to One FemaleCare perform laporascopy when indicated:

  • Perform a biopsy
  • Examine and possibly remove any growths
  • Diagnose and treat endometriosis, ectopic pregnancy or pelvic inflammatory disease
  • Perform endometrial ablation to treat heavy menstrual periods
  • Remove fibroids
  • Check for metastasis of cancer
  • Perform a tubal ligation
  • Remove organs such as the uterus, one or both ovaries or fallopian tubes
  • Determine the cause of pelvic pain
  • Determine the cause of infertility

The laparoscopy is performed under general anesthesia and generally takes 30 to 90 minutes, depending on what is done during the procedure. Laparoscopic surgery significantly shortens a patient's recovery time resulting in fewer complications as compared to traditional open surgery. Patients can go home shortly after the procedure and return to work and other normal activities the next day. Strenuous activity should be avoided for about a week. Laparoscopy is considered a safe procedure with little risk of complications.


A hysterectomy is the surgical removal of the uterus or womb, which can sometimes include the ovaries and fallopian tubes as well.

Some of the reasons for a hysterectomy include:

  • Uterine fibroids
  • Endometriosis
  • Uterine prolapse
  • Pelvic adhesions
  • Persistent pain or Excessive bleeding
  • Cancer

There are three basic types of hysterectomies depending on how much of the organ system has to be removed: Total hysterectomy, Partial Hysterectomy or a Radical hysterectomy. Our providers at One to One FemaleCare, will review which procedure is right for you.

Hysterectomies can be performed through several different methods today: open abdominal procedures versus laporoscopic vaginal procedures. When choosing how to perform the procedure, the physicians at One to One FemaleCare, take in to consideration the underlying condition, the patient’s general health and when possible the patient’s preference.

While a hysterectomy is generally considered safe, there are certain risks involved as with any other surgical procedure. Our providers will review the procedure, all the options and determine which procedure will give you the greatest benefits.

Fibroid Management & Myomectomy

A fibroid, also known as a myoma, is the most common abnormal growth inside a women’s pelvis. It appears in 20-30% of women over the age of 30. The vast majority of fibroids are not cancerous.

Fibroids vary in size and location. Some women have no symptoms and they probably have no reason to treat them. Other women have symptoms from fibroids such as:

  • Change in menstrual cycle, heavy bleeding, longer or more frequent cycles
  • Pain or pressure in abdomen
  • Pain during intercourse
  • Difficulty or frequent urination or constipation
  • Miscarriages or infertility

For women with fibroid symptoms, the providers at One to One female Care will assess their condition with an ultrasound or a hysterosalpingography, (HSG) or even a diagnostic hysteroscopy. In some cases surgical removal of the fibroid is necessary and this procedure is called a myomectomy.

A myomectomy can be done a few different ways, depending on the location and size of the fibroids. Some terminology you might hear from our physicians may include: laparotomy or abdominal myomectomy, hysteroscopic myomectomy, which uses a resectoscope and finally a, laparoscopic myomectomy. Our physicians are well trained to perform all these procedures and a consultation will insure which one is right for your individual health care needs.


Tubal ligation is a surgical procedure that involves blocking, tying or cutting a woman's fallopian tubes to prevent eggs from traveling into the tubes and being fertilized. It is a permanent form of birth control so you must be sure that you do not want to have more children in the future. Tubal ligation is not 100% effective; pregnancy can occur if the tubes grow back together or create a new passage. This is a rare occurrence and the procedure is effective for most women.

Tubal ligation is performed either laparoscopically, with tiny incisions in the abdomen, or through a laparotomy or mini-laparotomy, which is open surgery with a larger incision. A full recovery usually takes about a week, and complications with this procedure are rare.

While a tubal ligation is reversible, it does not have a high reversal success rate. It is important to discuss the different birth control options with your partner before undergoing a permanent procedure. Talk to you doctor today if you are considering this procedure.

Dilation & Curettage (D&C)

Dilation and curettage (D&C) is a procedure to scrape and collect endometrium, the tissue inside the uterus. Dilation is the widening of the cervix which allows instruments to pass into the uterus, while curettage is the scraping of the uterine walls.

A dilation and curettage procedure is performed for several reasons. They are as follows:

  • Diagnose uterine cancer or other conditions
  • Remove tissue after a miscarriage
  • Treat heavy bleeding
  • Perform a therapeutic or elective abortion
  • Investigate infertility

The physicians at One to One FemaleCare also perform this procedure so as to collect endometrium or uterine tissue for evaluation.

A dilation and curettage is performed under general or local anesthesia. A speculum is inserted into the vagina to hold it open. Medication to numb the opening to the uterus may be applied at this time. A curette is then inserted to gently scrape the tissue.

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