What Surgeries are Available?

General Surgery:

Laparoscopic Appendectomy and Cholecystectomy
This laparoscopic (minimally invasive) surgical technique involves making several tiny cuts in the abdomen and inserting a miniature camera and surgical instruments. As many as three or four incisions are made. The surgeon then removes the appendix or gallbladder with the instruments, so there is usually no need to make a large incision in the abdomen. The camera projects a magnified image of the area onto a television monitor which helps guide the surgeons as they remove the appendix or gallbladder.

Diagnostic Laparoscopy
This is a surgical procedure surgeons use to view organs within the abdominal cavity. A laparoscope, a thin viewing tube similar to a telescope, is passed through a small incision in the abdomen. Using the laparoscope, the surgeon can look directly at the outside of the uterus, ovaries, fallopian tubes, and nearby organs.

Laparoscopic Ventral Hernia Repair
This is a technique to fix tears or openings in the abdominal wall using small incisions, laparoscopes, and a patch (mesh) to reinforce the abdominal wall.

Laparoscopic Assisted Colectomy
This surgery is done with the aid of a laparoscope to remove all or part of the colon through several incisions made in the wall of the abdomen.


OB/GYN Surgery:

Laparoscopic Oophorectomy
This procedure is performed through several small ports using a camera and small instruments to remove the ovaries.

Laparoscopic Hysterectomy
This procedure is performed through several small ports or one larger port at the umbilicus. The uterus is removed using a camera and several small instruments. This procedure can be done removing the entire uterus and cervix or a supracervical hysterectomy may be preferred, where the cervix is left in place.

Laparoscopic Bilateral Tubal Ligation
This is a surgical procedure to occlude the fallopian tubes, which prevents pregnancy. It is performed using a laparoscope, camera, and small instruments.

Laparoscopic Assisted Vaginal Hysterectomy
This procedure involves the use of a small, telescope-like device called a laparoscope. The laparoscope is inserted into the abdomen through a small cut. It brings light into the abdomen so that your surgeon can see inside. Small instruments are inserted to perform the procedure. Ligaments that support the uterus are cut with these instruments, and the uterus is removed vaginally.

Hysteroscopy
This procedure allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

Endometrial Ablation
Endometrial ablation is the removal or destruction of the endometrium (lining of the uterus). It does not require hospitalization, and most women return to normal activities in a day or two. Ablation is an alternative to hysterectomy for many women with heavy uterine bleeding who wish to avoid major surgery.

TVT Secure (Tension Free Vaginal Tape)
This procedure is designed to provide support for a sagging urethra so that when you cough or move vigorously or suddenly, the urethra can remain closed with no accidental release of urine. In TVT surgery, a mesh like tape is placed under your urethra like a sling or hammock to keep it in its normal position.

Trans Obturator Sling
A half-inch mesh is introduced under the urethra to support it. It takes about 15-20 minutes. By remaining subfascial, operating below the vital pelvic structures, the transobturator approach eliminates the risk of injury to bladder, bowel, or major vessels.


Ophthalmology:

Cataract Extractions with Phacoemulsification
The surgeon removes the clouded crystalline lens and replaces it with a permanent artificial intraocular lens implant called an IOL. A very small incision is made at the outmost edge of the cornea. A tiny instrument is inserted through the incision and the surgeon uses “phacoemulsification” to break up the cataract and suction it out of the eye. During the procedure, you will be aware of the surgeon, the staff and the operating room surroundings but you will not be able to see images or the surgery being performed.


Orthopedic:

Knee/Shoulder Arthroscopies with Repairs
This procedure is performed through small incisions in the skin to repair injuries to tissues such as ligaments, cartilage, or bone within the knee/shoulder area. The surgery is conducted with the aid of an arthroscope, which is a very small instrument guided by a lighted scope attached to a television monitor.

Ankle/Elbow Arthroscopy
This surgery uses the same technique as the shoulder and knee arthroscopy, but through a small incision in the ankle or elbow joint.


Urology:

Cystoscopy
This procedure performed is performed by an urologist and allows the surgeon to see inside of the lower urinary tract. A cystoscope is inserted into the bladder and a camera attached to the scope allows images to be viewed on a monitor. Additional instruments can be passed through the cystoscope to allow the urologist to perform procedures, such as stone removal, bladder biopsy, resection of a bladder or prostate tumor, and cauterization.

Ureteroscopy
This procedure is when the surgeon can pass a scope (called a ureteroscope) through the urethra and into the ureter to visualize it.

Removal Bladder and Ureteral Stones with Laser
A cystoscope is slowly inserted in the urethra to the bladder. A camera is attached to allow images to be viewed on a monitor. Additional instruments or a laser fiber can be passed through the cystoscope to allow the urologist to perform procedures, such as stone removal.

Transurethral Resection of Bladder Tumors (TURBT)
Transurethral resection generally takes place in the hospital with the patient usually under general anesthesia. The doctor inserts a cystoscope, a small, lit camera, in through the urethra and into the bladder. A small tool with a wire loop at the end is inserted through the cystoscope. A high-frequency electric current passes through the wire tool removing and burning cancer cells. This method is called fulguration.

Laser Ablation of the Prostate
This technique uses laser energy to remove obstructing prostate tissue. A small flexible fiber delivers laser energy to the prostate. Once the tissue has been vaporized, urine flow may be restored.

Prostate Biopsies
The transrectal biopsy is normally done using a spring-loaded needle that is guided by an ultrasound probe to the site. A small amount of tissue is removed from the site and sent for microscopic laboratory examination. A transrectal biopsy usually takes less than 30 minutes.










Minimally Invasive Surgery at Halifax Regional • 210 Smith Church Road • Roanoke Rapids, NC 27870 • (252) 535-8463
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