Occasionally, maintaining your health may mean undergoing a surgical procedure. Oftentimes surgery can feel overwhelming or scary, especially when it comes to your gynecologic well-being. Dr. Mandelman and her staff are committed to your safety when it comes to the surgical procedures offered at our practice. From traditional surgery, to laparoscopic procedures, we will work to ensure your comfort before surgery and during your recovery. Please contact our office if you have any questions concerning an upcoming surgical procedure, to schedule a consultation, or to learn more about the procedures currently offered at Westlake Women’s Health Specialists.

Surgeries offered through our practice are:

LEEP/Cone Biopsy

LEEP/Cone Biopsies are used to remove suspicious tissues from the cervix. They are often performed after other procedures have uncovered abnormal test results. It is called a “cone biopsy” because a cone-shaped sample is removed from the cervix.

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Hysterectomies are performed to remove a woman’s uterus. The uterus may need to be removed for a variety of reasons, including cancer, endometriosis, uterine prolapse, uterine fibroids, or for other health issues. Most women will need to stay in the hospital for a few days to recover, and it can take up to six weeks to fully recover. If the ovaries are also removed during the hysterectomy, women may enter menopause as a result. Dr. Mandelman will discuss your treatment options to determine the best treatment for you.

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Diagnostic Surgery

Dr. Mandelman can use laparoscopic equipment to diagnosis conditions including uterine fibroids, tumors, endometriosis, and more. Since laparoscopic procedures are less invasive than traditional surgical techniques, the recovery time is shorter and there are fewer side effects and scars.

Lysis of Adhesions

Adhesions are scars that form internally because of past procedures or because of conditions like endometriosis. Adhesions can be removed using laparoscopic surgery. During the procedure, a gas is injected into the abdomen so that there is more space for the laparoscope to be maneuvered and tiny surgical tools are used to remove the adhesion. Patients are asleep during the procedure, but in most cases can return home on the same day.

Ablation of Endometriosis

Laparoscopic techniques may be used to examine the pelvic region for endometriosis or to remove endometrial implants or scar tissue. Ablation of endometriosis takes place while patients are under anesthesia. During the procedure, the abdomen is inflated with gas and a small incision is made to fit the laparoscope underneath the skin. If any abnormal endometrial tissues are seen, they may be ablated or excised. Laparoscopic ablation of endometriosis is typically an outpatient procedure, although it may take patients a week or more to fully recover.

Ovarian Cystectomy

Non-cancerous ovarian cysts can be removed laparoscopically with an ovarian cystectomy. The procedure is performed under general anesthesia, but most people can resume their normal activities within a day or two. However, ovarian cystectomies cannot prevent cysts from coming back. The only way to prevent recurrence is to completely remove the ovaries, which is not advisable for patients who want to have children.

Removal of Ovaries

Ovary removal surgery, or oophorectomy, may be performed for several reasons including ovarian cancer and recurring ovarian cysts. Ovary removal may also be combined with a hysterectomy. Removing the ovaries can cause menopause to begin early in younger women. We offer laparoscopic techniques which allow for quicker recovery time and fewer side effects than surgical procedures.

Bilateral Tubal Ligation

Bilateral Tubal Ligation or BTL, is performed to block the fallopian tubes and permanently prevent pregnancy. This procedure usually can be performed during cesarean section or soon after a vaginal delivery (while still in hospital), or laparoscopically. Bilateral tubal ligation takes place while patients are under general anesthesia, but it is often an outpatient surgical procedure and most of the recovery takes place at home. It can take two weeks to fully recover from the procedure.

Another option is bilateral salpingectomy (to remove both fallopian tubes). You may discuss with Dr. Mandelman the risks and benefits of the various options, and what is right for you.

Prolapsed Bladder Repair with Assistance

After having a child, your pelvic organs may drop down from their normal positions, causing symptoms like urinary incontinence, pain during intercourse, or pelvic pain. Laparoscopic techniques can be utilized to repair bladder prolapse. It can take several days to fully recover from the procedure, and a catheter may be needed for the first few days after surgery. Laparoscopic or vaginal techniques can be utilized to repair bladder prolapse. Dr. Mandelman often works closely with a urogynecologist.

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