Vulvectomy

Vulvectomy refers to a gynecological procedure in which the vulva is partly or completely removed. The procedure is usually performed as a last resort in certain cases of cancer, vulvar dysplasia, vulvar intraepithelial neoplasia, or as part of female genital mutilation. A simple vulvectomy can be either complete (more than 80% of the vulvar area) or partial (less than 80% of vulvar area). It removes the skin and superficial subcutaneous tissues. a radical vulvectomy is the same with regard to complete or partial, however, includes removal of skin and deep subcutaneous tissue. An inguinofemoral lymphadenectomy may be performed along with a radical vulvectomy (whether partial or complete) on one or both sides if spread of a cancer is suspected.

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Tubal Ligation

Tubal ligation — also known as having your tubes tied or tubal sterilization — is a type of permanent birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from the ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the egg. The procedure doesn’t affect your menstrual cycle. Tubal ligation is surgical procedure to prevent pregnancy. It has commonly been called “getting your tubes tied.” It is also called a female sterilization. Tubal refers to the fallopian tubes. Each month, an egg is released from an ovary and travels through the fallopian tube to the uterus. During this surgery, both fallopian tubes are blocked or cut. It is usually done in the hospital or in an outpatient surgical clinic. In most cases, you will be able to go home on the day of surgery. You may have this surgery done under general anesthesia (being asleep), or local or spinal anesthesia (anesthesia that leaves you awake, but unable to feel pain). After the procedure, you will still have your periods and have sex normally. In fact, women may feel more at ease because they do not have to worry about unwanted pregnancy.

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Trachelectomy

A trachelectomy, sometimes called a cervicectomy, is a surgical procedure used to treat early-stage cervical cancer. The definition of a radical trachelectomy – the most common form of this procedure – is the removal of the cervix and part of the vagina. The ovaries and the uterus are left in place, with the uterus connected to the vagina by an artificial band.  The doctor may also remove the lymph nodes near the cervix. A simple trachelectomy, which is less often performed, removes only the cervix. A trachelectomy is one of several common surgical procedures used to treat cervical cancer. The method selected depends on multiple factors, including a woman’s age, desire to maintain fertility and the cancer’s stage of development.

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Oophorectomy

An oophorectomy is a surgical procedure to remove one or both of your ovaries. Your ovaries are almond-shaped organs that sit on each side of the uterus in your pelvis. Your ovaries contain eggs and produce hormones that control your menstrual cycle. When an oophorectomy involves removing both ovaries, it’s called bilateral oophorectomy. When the surgery involves removing only one ovary, it’s called unilateral oophorectomy. An oophorectomy may be performed for: A tubo-ovarian abscess – a pus-filled pocket involving a fallopian tube and an ovary, Ovarian cancer, Endometriosis, Noncancerous (benign) ovarian tumors or cysts, Reducing the risk of ovarian cancer or breast cancer in those at increased risk, Ovarian torsion – the twisting of an ovary. The surgery may just remove the ovaries, or it may be a part of a hysterectomy, which is the removal of the uterus and possibly some surrounding structures. There are different reasons for an oophorectomy, including: treating abnormal tissue growth from endometriosis, lowering the risk of ectopic pregnancy, treating pelvic inflammatory disease (PID), removing ovarian cysts, abscesses, or cancerous cells in the ovaries, removing the source of estrogen, which may stimulate some cancer, such as breast cancer.

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Myomectomy

A myomectomy is an operation to remove fibroids while preserving the uterus. For women who have fibroid symptoms and want to have children in the future, myomectomy is the best treatment option. Myomectomy is very effective, but fibroids can re-grow. The younger you are and the more fibroids you have at the time of myomectomy, the more likely you are to develop fibroids again in the future. Women nearing menopause are the least likely to have recurring problems from fibroids after a myomectomy. A myomectomy can be performed several different ways. Depending on the size, number and location of your fibroids, you may be eligible for an abdominal myomectomy, a laparoscopic myomectomy or a hysteroscopic myomectomy. hese common noncancerous growths appear in the uterus, usually during childbearing years, but they can occur at any age. The surgeon’s goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes your entire uterus, a myomectomy removes only the fibroids and leaves your uterus intact.  Women who undergo myomectomy report improvement in fibroid symptoms, including heavy menstrual bleeding and pelvic pressure.

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Endometrial or Uterine Biopsy

An endometrial biopsy is a procedure performed to obtain a small tissue sample from the lining of the uterus, called the endometrium. After the biopsy, the endometrial tissue is examined under a microscope to identify the presence of abnormal cells, or the effects of hormones on the endometrium. Other related procedures used to evaluate and treat endometrial problems include dilation and curettage (D & C), hysteroscopy, and endometrial ablation. Please see these procedures for additional information. Endometrial biopsy to take a small tissue sample from the lining of the uterus (endometrium) for study. The endometrial tissue is viewed under a microscope to look for abnormal cells. Biopsy results may show cell changes linked to hormone levels, or abnormal tissues, such as fibroids or polyps. These can lead to abnormal bleeding. Your provider can also use endometrial biopsy to check for uterine infections, such as endometritis. Your provider may also use an endometrial biopsy to check the effects of hormone therapy or to find abnormal cells or cancer. Endometrial cancer is the most common cancer of the female reproductive organs. Endometrial biopsy is no longer advised as a routine part of testing and treatment of infertility (not able to get pregnant).

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Endometrial Ablation

Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely. Endometrial ablation is a procedure to remove a thin layer of tissue (endometrium) that lines the uterus. It is done to stop or reduce heavy menstrual bleeding. But it is only done on women who do not plan to have any children in the future. No incisions are needed for endometrial ablation. Your doctor inserts slender tools through the passageway between your vagina and uterus. Endometrial ablation is a treatment for excessive menstrual blood loss. Your doctor might recommend endometrial ablation if you have: Unusually heavy periods, sometimes defined as soaking a pad or tampon every two hours or less, Bleeding that lasts longer than eight days, Anemia from excessive blood loss. To reduce menstrual bleeding, doctors generally start by prescribing medications or an intrauterine device (IUD). Endometrial ablation might be an option if these other treatments don’t help or if you’re not able to have other therapies.

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Dilation and Curettage (D&C)

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions – such as heavy bleeding – or to clear the uterine lining after a miscarriage or abortion. A dilation and curettage procedure, also called a D&C, is a surgical procedure in which the cervix (lower, narrow part of the uterus) is dilated (expanded) so that the uterine lining (endometrium) can be scraped with a curette (spoon-shaped instrument) to remove abnormal tissues. A suction D&C uses suction to remove uterine contents. This is sometimes called a dilation and evacuation (D&E). Dilation and curettage (D&C) is a brief surgical procedure in which the cervix is dilated and a special instrument is used to scrape the uterine lining.

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Colposcopy

A colposcopy is a type of cervical cancer test. It lets your doctor or nurse get a close-up look at your cervix — the opening to your uterus. It’s used to find abnormal cells in your cervix. Colposcopy is a way to get a close-up look at your cervix. It’s a quick and easy way to find cell changes in your cervix that may turn into cancer. Colposcopy is a procedure to closely examine your cervix, vagina and vulva for signs of disease. During colposcopy, your doctor uses a special instrument called a colposcope. Your doctor may recommend colposcopy if your Pap test result is abnormal. If your doctor finds an unusual area of cells during colposcopy, a sample of tissue can be collected for laboratory testing (biopsy). Many women experience anxiety before their colposcopy exams. Knowing what to expect during your colposcopy may help you feel more comfortable.

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Cervical Cone Biopsy

A cervical cone biopsy is surgery to remove tissue from the cervix. The cervix is the small round opening at the bottom of the uterus (womb). The cervix connects the uterus to the top of the vagina (birth canal). You may need a cervical biopsy if cells that are not normal are found during a Pap test. But, a cone biopsy may also be used to treat early cancer and other problems. Sometimes instead of surgery to remove your uterus, cone biopsy can be done so you can still have babies. Following are some of the reasons you may need this surgery. Cervical dysplasia, which is disease of the tissue of the cervix, Dysplasia involving the cervical canal, Abnormal Pap smear, which is not explained by office biopsies, Adenocarcinoma in situ. A biopsy that needs only a small amount of tissue may be done in the doctor’s office. Since your caregiver needs to remove a larger, cone-shaped biopsy specimen (conization), you will need to go to the hospital. The procedure will be done in day surgery, and you will go home the same day of the surgery.

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