Gynecologic Surgery

Gynecologic Surgery Options

Whether you want a tubal ligation to prevent further pregnancy, need surgery to remove ovarian cysts or fibroids, or you’re searching for minimally invasive options for a hysterectomy, our highly-skilled gynecologic surgeons use the most advanced methods to help reduce scarring for faster healing. In fact, Scripps hysterectomy patients are twice as likely to have minimally invasive surgery rather than an open abdominal hysterectomy.

Hysterectomy options

A hysterectomy is the surgical removal of the uterus. A hysterectomy is a treatment option for multiple pelvic conditions including uterine fibroids, endometriosis, uterine tumors and other pelvic cancers. There are multiple types of hysterectomies that vary based on your unique condition.

Types of hysterectomies include:

  • Total laparoscopic hysterectomy (TLH)
  • A minimally invasive surgery technique where the uterus is removed through small incisions in the abdomen
  • Laparoscopic supracervical hysterectomy (LSH)
  • The top portion of the uterus is removed laparoscopically but the cervix is left in place
  • Abdominal hysterectomy
  • An incision is made in the lower part of the belly so the uterus can be removed
  • Minimally invasive robotically-assisted hysterectomy
  • The surgeon uses a surgical robot to assist in removing the uterus.

Surgery for ovarian cysts, fibroids and endometriosis

For cases of ovarian cysts, fibroids, endometriosis, non-cancerous tumors and other gynecologic needs that require surgery, you may not need to have a hysterectomy to correct the problem. Many women are able to have less invasive surgeries and, in some cases, are able to preserve fertility.

Additional surgical options include:

  • Myomectomy surgery to remove uterine fibroids without removing the uterus
  • Endometrial ablation to burn away endometrial cells that have implanted outside of the uterus using a heat source such as a laser
  • Endometriosis resection to surgically remove endometrial cells that have implanted outside of the uterus
  • Removal of ovarian cysts or a complete oopherctomy to remove the ovaries
  • Surgery to treat an ectopic pregnancy
  • Tumorectomy and robot-assisted tumorectomies to remove benign and cancerous tumors from the reproductive organs
  • Surgery and minimally invasive robotically-assisted surgery options to correct pelvic prolapse, a condition where one or more of the organs in the pelvis have shifted from their normal position

Tubal ligation and tubal ligation reversal

In addition, many Scripps ob-gyns perform tubal ligation (tube tying), a surgical procedure to close off the fallopian tubes to prevent pregnancy. Tubal ligation reversal can be performed to restore fertility. Tubal ligation is not available at all Scripps facilities.