Procedure Name

Diagnostic Laparoscopy, Laser Laparoscopy, operative laparoscopy

Procedure Description

evaluation and treatment through a small incision in the umbilicus and 1 to 3 five mm smaller ports.... includes a full range of procedures including removal of cysts, fibroids, endometriosis, and adhesions

90% Recovery Time 2 to 7 days

Features

Outpatient, fast recovery, minimally invasive incisions....Treatment can be quite extensive, involving one or more accessory ports in the suprapubic region and removal of,.ovary,.appendix,etc

Procedure Name

D&C/Hysteroscopy

Procedure Description

Endoscopic evaluation of the endometrial cavity and D&C. Used for evaluation of bleeding problems and/or suspected endometrial lesions.

90% Recovery Time 2 days

Features

Hysteroscopy has added a new component where removal of fibroids and polyps, treatment of tubal..blockage and other measures can be done in a minimally invasive approach without abdominal access.

Procedure Name

Endometrial Ablation

Procedure Description

Cryo or cautery or excisional destruction of the endometrium to reduce or eliminate menstrual bleeding. Done in conjunction with D&C/hysteroscopy.

90% Recovery Time- 3 days

Features

30 minute outpatient procedure used in selected patients. Doesn’t help in pain situations or where significant fibroids or adenomyosis is evident. 25% failure rate.

Procedure Name

Laparoscopic Myomectomy

Procedure Description

Using laparoscopic approach, fibroids are dissected and removed through laparoscopic incisions

90% Recovery Time- 5-7 days

Features

New tools allow large tumors to be removed through a minimally invasive approach.

Procedure Name

LASH (Laparoscopic Supracervical Hysterectomy)

Procedure Description

Similar to laparoscopic myomectomy but the entire uterus (except for the cervix) is removed. This can be done with or without removal of the ovaries.

90% Recovery Time 7-14 days

Features

This is an emerging alternative popularized by patient concerns about potential post hysterectomy sexual and pelvic support issues. Does not treat current or future cervical disease

Procedure Name

LAVH (Laparoscopic Assisted Hysterectomy) or LVH (Laparoscopic Vaginal Hysterectomy)

Procedure Description

A common procedure in today’s GYN world where a vaginal hysterectomy is assisted with laparoscopic technique or 90% completed laparoscopically. Can involve removing ovaries as well.

90% Recovery Time- 2-3 weeks

Features

Helps avoid abdominal surgery in many patients.

Procedure Name

TVH (Total Vaginal Hysterectomy)

Procedure Description

The hysterectomy with or without removal of ovaries is done through a vaginal incision and a vaginal approach.

90% Recovery Time- 3-4 weeks

Features

No abdominal entry is done. Commonly done with pelvic support problems. Patients must meet criteria for uterine mobility. Ovaries can be difficult to remove from this approach. Works well with other pelvic support.techniques or procedures.

Procedure Name

TAH (Total Abdominal Hysterectomy)

Procedure Description

Traditional abdominal hysterectomy, through a larger incision, with or without removal of ovaries.

90% Recovery Time- 4 -6 weeks

Features

Traditional open techniques for major gynecologic procedures with or without removal of ovaries. Still sometimes required for neoplastic or special situations.

We have also seen the emerging of some new techniques using minimally invasive tools for bladder support, pelvic support, and other types of GYN problems. Laparoscopic suturing and great tools such as lasers and tissue morcellators have opened the door to aggressive management of problems through minimally invasive approach.

New Procedures and Variations

1) Urogynecology evaluation and treatment - assessment of female bladder dysfunction, incontinence and pelvic prolapse. Problem specific examination, digital bladder functional testing, flowmetry, cystometrics, pressure differentials (urodynamics) and biofeedback
2) SurX urethral suspension - radiosurgical “tightening” of bladder neck for incontinence done through small vaginal incisions or laparoscopy
3) Laparoscopic retropubic suspension - bladder neck is suspended with small “tacks” for incontinence
4) Papsure cervical cancer screening - violet light magnification to detect precancerous cells during examination…done in conjunction with Pap smear
5) NFA nipple fluid aspirate - breast cancer screening test done by gentle suctioning of fluid droplets and microscopic examination
6) Electronic pelvic toning - biofeedback and electronic pelvic muscle stimulation performed as a non-surgical approach to pelvic support and uterine prolapse problems
7) Laser vaporexcision - our own highly successful method of complete removal of endometriosis and scar tissue using high-powered CO2 laser techniques developed over 20 years of Gyn laser surgery experience.

We offer our patients complete gynecologic annual exams which typically include a general health assessment and exam, plus careful cancer screening, breast exam, pelvic exam, Pap as indicated and colorectal screening. We encourage patients to have general medical care with a primary care physician direct general medical issues and referrals back to the primary.

Dr. Swor is always happy to discuss any gynecologic issue with patients and providers and is available by beeper 24 hours a day. Patient consultation, accredited Gyn ultrasound and urogynecology workup is done in our office at 1617 South Tuttle Ave in Sarasota. Most surgery at Cape and Doctors Same Day Surgery Centers.