Surgical Procedures

Hysteroscopy, D&C and Polypectomy and Hysteroscopic Resection of Fibroid

Hysteroscopy is a procedure where a high resolution telescope is inserted into the uterus under a general anaesthetic. Biopsies (D&C) and removal of lesions (polyps or fibroids) can then be safely undertaken. IUCDs can then be inserted under vision.

Diagnostic Laparoscopy (Keyhole Surgery)

This involves inserting a high resolution telescope under general anaesthetic through a small incision below the umbilicus.

The procedure allows:

• Removal of ovarian cysts and other masses
• Treatment of endometriosis
• Assessment of the cause of pelvic pain
• Assessment of the cause of infertility

Novasure Endometrial Ablation

This is a surgical procedure to burn away the lining of the uterus (endometrium). This procedure is used to treat heavy periods (menorrhagia). A Novasure device uses a wire mesh connected to a computer that allows the destruction of the endometrium. The wire mesh is then removed at the conclusion of the procedure.

Contraception

Procedures include:

• Insertion of IUCDs
• Laparoscopic application of clips to the fallopian tubes or removal of fallopian tubes

Marsupialisation of Bartholin’s Cyst/Abscess

Bartholin’s cysts or abscesses result in an often painful lump either side at the vaginal opening. This is managed by creating a permanent new drainage canal for this gland.

LLETZ and Cone Biopsy

LLETZ and cone biopsies are surgical procedures used to remove pre-cancerous lesions of the cervix that are designated as high grade.

Excision of Vulval and Vaginal Skin Lesions

Abnormal pre-cancerous large skin lesions of the vulva or vagina may need to be removed under general anaesthetic.