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Laparoscopic Surgery

Laparoscopic Gynecologic Surgery

Dr. Ayim is well experienced to perform all gynecologic procedures such as hysterectomy, myomectomy, and adnexal surgeries with a camera through the naval and small incision in the lower abdomen known as laparoscopy. These laparoscopic procedures are performed on an outpatient basis (discharge home same day or overnight observation). The advantages of laparoscopic surgery are minimal to no scarring, minimal pain, quick recovery, and minimal downtime.


      Laparoscopy                                                      Pelvic Anatomy



Total Laparoscopic Hysterectomy (TLH)

This type of hysterectomy involves removing the uterus and cervix using a laparoscope (camera). Your ovaries are intact without altering your hormone which means menopause will happen naturally. Also, you don not have to worry about annual pap smear screening for cervical cancer unless the hysterectomy was performed for cancer indication. Patients are discharge home same day of surgery if done early or overnight observation. Women love the quick recovery and back to normal activity compared to the traditional hysterectomy.

Laparoscopic Supracervical Hysterectomy (LSH)

This procedure involves removal of the uterus without your cervix or ovaries. Women are required to have annual pap smear screening since cervix is still present and can cause cervical cancer.


 Laparoscopic Myomectomy

This procedure is done to remove fibroid(s) and your uterus is intact after surgery. A myomectomy preserves fertility for women who desire that option and cesarean birth is recommended should you conceive after this procedure.


 Laparoscopic Oophorectomy

This is the removal of ovary either unilateral or bilateral and affects your hormone production. Surgical menopause occurs when both ovaries are removed and you may need hormonal replacement therapy.


Laparoscopic Cystectomy

This procedure is done to remove an ovarian cyst or mass while preserving the ovary commonly performed in reproductive age women. It is relatively safe and quick procedure requiring minimal downtime.


Laparoscopic Salpingectomy

It is the removal of fallopian tube commonly perform as treatment for ectopic pregnancy.  Salpingostomy is a conservative alternative done to remove the ectopic pregnancy while preserving the fallopian tube as determined by doctor.


 Laparoscopic adnexal surgery

This terminology refers to any surgery performed on fallopian tube(s) or either ovaries.