6 Common Surgical Procedures Done by Your Gynecologist

Whenever a doctor mentions “surgery,” it’s a completely natural reaction for patients to feel a little intimidated or even scared. The thought of surgery can be a daunting one, but many surgical procedures are extremely routine and common. Highly qualified surgeons will be able to perform the procedure with little to no difficulty and ensure that the patient’s health and comfort is the primary concern. To alleviate any concerns you may have about gynecological surgery, here is a list and brief overview of what to expect of the most common surgical procedures your gynecologist may perform.

Gynecologic Laparoscopic Surgery

Gynecologic laparoscopic surgery is any minimally invasive procedure in which a laparoscope is used to see inside of the patient. This eliminates the need for a large incision that traditional surgery methods would involve. This procedure is used for both diagnosis and treatment, and may be recommended if you’re experiencing pelvic pain, infertility, or have pre existing pelvic infections. It can diagnose such conditions as pelvic adhesion, certain cancers, infertility, and many more. It’s the best option for those who do not want to be forced to rest for a recovery period, however you will not be able to drive home as you will be put under anesthesia.

Laparoscopic Hysterectomy

A laparoscopic hysterectomy is an extremely common procedure in which a laparoscope is used to remove the uterus or womb, and possibly the fallopian tubes or ovaries. If the fallopian tubes or ovaries are removed as well, it is considered a total hysterectomy. The procedure itself entails two to three hours under anesthesia during which the doctor will make two to three small incisions from which the uterus or womb will be removed. This method involves less blood loss, less chance of infection, and is considered safer than traditional surgery. The recovery time for this procedure is roughly one to two weeks and should be considered the last resort of treatment options for the female reproductive system. It’s effective in treating conditions such as uterine prolapse, persistent pain or bleeding, certain cancers, and more.

Laparoscopic Total Hysterectomy

A laparoscopic total hysterectomy is a surgical procedure in which the entire uterus and cervix are removed, and often times the fallopian tubes and ovaries as well. It is minimally invasive when compared to traditional surgery, but it is a permanent procedure and completely halts the menstrual cycle and a woman’s ability to become pregnant. There are much smaller incisions made to insert the laparoscope and remove the uterus, which creates a quicker recovery time and less chance of infection. This procedure, while a last resort, can save lives. It can treat several types of cancers, extreme pain, and other potentially life-threatening conditions.

Myomectomy

A myomectomy is used in the case where the doctor must surgically remove uterine fibroids, which are benign growths that can be found in the uterus during a woman’s peak child conceiving years. Women who plan on having children may undergo this procedure to ensure optimal uterine health and fertility. An instrument called a resectoscope will be used to enter through the vagina into the uterus to shave away the fibroids with a combination of saline solution and laser surgery. Alternatively, the doctor may perform the procedure laparoscopically instead. In cases where the fibroids are larger, which is rare, they will be removed through the abdomen. This entails a 48 hour hospital stay with a four to six week recovery period, which is crucial to ensure optimal uterine functionality.

Oophorectomy/Salpingectomy

An oophorectomy is a procedure in which one or both of the ovaries are removed as treatment or a preventative measure. It’s often performed with a hysterectomy or salpingectomy, which is the removal of the fallopian tubes. It can be used to treat ovarian cancer, cysts, ovarian torsion, and more. The procedure is typically done with traditional surgical methods, but can also be performed with a laparoscope, depending on the patient’s circumstances. It typically takes up to six weeks to make a full recovery, but that can be less if it is performed laparoscopically. Dr. Quartell can consult with you and determine the best course of action for your oophorectomy.

Ovarian Cystectomy in New Jersey

An ovarian cystectomy is an extremely common surgical procedure performed by gynecologists. Essentially, it is a procedure to remove a cyst or cysts from one or both ovaries. A cyst, which is a fluid-filled sac that can grow in or on the ovary, can cause problems or even be cancerous. Cysts must be removed if they become painful, start affecting the menstrual cycle, or grow larger than three inches. They can be removed via laparoscopic procedure, which will decrease recovery time significantly when compared to a traditional method.

Gynecological Surgery in Livingston, NJ

Dr. Anthony Quartell and Associates are among the top ranked and most respected gynecologists for surgical procedures in the state of New Jersey. With a convenient location in Livingston, Dr. Quartell is well versed in all of the procedures listed above, and especially gifted at laparoscopic procedures. If you have any discomfort, pain, or any questions, contact our office today to set up an appointment. Don’t settle for subpar surgery, come visit Dr. Quartell and Associates.

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Hysterectomy: Here’s What to Expect

What is a Hysterectomy?

A gynecologic hysterectomy is a surgical procedure that removes a woman’s uterus from her body. A patient may choose to receive a hysterectomy to relieve pain or assist in progressing toward a desired lifestyle preference. This operation is safe, highly effective, and eliminates the chances of pregnancy.

Types of Hysterectomy

There is no single approach to this surgery, but each tactic utilized by your surgeon is equally as effective as the next. A hysterectomy can be can be performed through either the vagina or by a laparoscopic incision into the abdomen. The following examples will highlight the procedural options available by most OB-GYN surgeons.

  • Total Hysterectomy: Both the entire uterus and cervix are removed during this procedure.
  • Subtotal / Partial or Supra-Cervical Hysterectomy: The cervix is left intact, but the upper section of the uterus is removed. This procedure can only be performed abdominally.
  • Radical Hysterectomy: This procedure removes the uterus and other surrounding structures (eg. Cervix, Ovaries & Fallopian Tubes).

How is a Hysterectomy Performed?

The patient will receive general anesthesia and a urinary catheter to drain the bladder before initial vertical or horizontal incisions are made. Patients should note that a hysterectomy is performed based on the individual’s physical body. The type of incision depends on the size of the uterus, preexisting scars, and possibly the need to further explore the upper abdomen for a successful surgery. Once all preceding steps are completed – and the surgical tools are cleansed and sterilized – surgery can commence. The surgeon will then pass surgical instruments through the vagina or abdominal incision to work on the designated area. The blood vessels and connective tissues are detached so the uterus can be easily removed. Depending on the type of hysterectomy, other surrounding organs and tissues may be removed as well during the surgery.

Why Receive a Hysterectomy?

Receiving a hysterectomy is contingent on a variety of health conditions and life choices. Below you will find easily treatable conditions and reasons for receiving a hysterectomy.

Treatable Conditions

The symptoms and conditions described here can cause a great deal of pain and discomfort. To correct these abnormalities, a hysterectomy may be the best approach before pain develops into severe cases and chronic recurs.

Benefits

Your successful hysterectomy procedure will provide you with a generous amount of post-surgical benefits. You’ll find immediate relief from the symptoms that were once causing you pain and menstrual periods will never occur again – due to removal of the organ in which it takes place. Your sex life can return to normal and some women report to even experience more pleasure post-hysterectomy. A hysterectomy will improve your overall quality of life and promote a rejuvenated sense of well-being.

Preparing for a Hysterectomy

When you experience any symptoms like the ones listed above, you should contact a physician right away. Scheduling an appointment will allow the doctor to examine your body and accurately diagnose your condition before symptoms increase in severity. You’ll then undergo initial screening tests to check for various cancers. The presence of cancer will change the surgeon’s approach to your hysterectomy and these tests may include a cervical cytology test, endometrial biopsy, and a pelvic ultrasound. After you’ve undergone precautionary screening – and chosen which procedural method will be performed – the doctor will give you specific instructions to prepare. You’ll be instructed to wash your body with prescribed soap and perform a preoperative cleansing of the vagina and rectum to prevent infection. If all directions are followed, surgery will be a great success.

Board-Certified OB-GYN in Livingston, New Jersey

A hysterectomy is a life-changing procedure that can improve your bodily health and quality of life. Dr. Anthony Quartell, M.D. is a board certified OB-GYN surgeon who specializes in laparoscopic hysterectomy surgery. If you think this procedure may be the solution to relieve your symptoms, please contact us or call 973-716-9600 to schedule an appointment. Dr. Quartell is dedicated to delivering you back to full health so you can enjoy a worry-free life!

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Your Complete Guide to a Laparoscopic Hysterectomy

Hysterectomies are one of the most common surgical procedures in the United States; in fact they are the second most common procedure among women. More than 600,000 hysterectomies are performed by OBGYN’s each year. A Laparoscopic Hysterectomy is a minimally invasive procedure used to remove the uterus or womb. A hysterectomy is a permanent and irreversible procedure, which will stop the menstrual cycle and prevent pregnancy. You may need a hysterectomy for various reasons. Also, the extent of a hysterectomy varies depending on the reason for the surgery. In most cases, the entire uterus is removed. Your doctor may also remove the ovaries and the fallopian tubes during the procedure if medically necessary.

What Are Hysterectomies?

A hysterectomy is typically considered a last line of defense, however it is highly effective in treating various reproductive conditions. Your doctor may suggest a hysterectomy if you have any of the following:

  • Chronic pelvic pain
  • Uncontrollable vaginal bleeding
  • Cancer of the uterus, cervix, or ovaries
  • Uterine fibroids that cause pain, bleeding, or other problems
  • Pelvic inflammatory disease: a serious infection of the reproductive organs.
  • Pelvic adhesions
  • Uterine prolapse: occurs when the uterus drops through the cervix and protrudes from the vagina.
  • Endometriosis: a disorder in which the inner lining of the uterus grows outside of the uterine cavity, causing pain and bleeding.
  • Adenomyosis: a condition in which the inner lining of the uterus grows into the muscles of the uterus.

The Process

During a laparoscopic hysterectomy, the patient will be under general anesthesia for about 1 to 3 hours. During this time, your doctor will make a tiny incision at the belly button to insert a tiny instrument called a laparoscope. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. This allows the doctor to see what they are doing and complete the procedure through three very small incisions. This is exceptionally minor compared to a traditional hysterectomy, which requires a three to six inch incision. The small incisions allow your doctor to have a better look at the anatomy and stay extremely precise. Once the surgeon can see your uterus, they’ll cut the uterus into small pieces and remove one piece at a time. Patients of a laparoscopic hysterectomy will experience less blood loss, less scarring, lower chance of infection, and less post-operational pain than the traditional procedure. Patients can also have this procedure on an outpatient basis, and are often fully recovered in only one to two weeks.

It is important for you to understand the reasons that your doctor has suggested a hysterectomy as treatment for your specific gynecological issue. A hysterectomy is a major decision that you should take after careful consultation with your doctor. Dr. Quartell is highly skilled and experienced in performing this type of procedure. He will ensure you are treated with the highest quality of care to guarantee a safe procedure and speedy recovery.

If you think you may need a laparoscopic hysterectomy, be sure to schedule an appointment with Dr. Quartell by calling 973-716-9600 to further discuss if this procedure is right for you.

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What does an abnormal Pap Smear result mean?

A pap (smear) test that comes back abnormal means that there were some cells on the cervix that do not appear to look normal.

This does not necessarily mean you have cervical cancer and in fact, the chances of that are usually small. Most often these cell changes disappear on their own , however; certain types of HPV are linked to cervical cancer therefore, it is important to be screened for it every year- usually done at the time of your routine women’s gynecological exam.

The abnormal cell changes may be caused by a type HPV (human papillomavirus) or they could be attributed to infections such as bacterial or yeast which can be treated.
Post Menopausal women may have an abnormal pap smear because of the changes that come with getting older.

Sexual behavior can affect your risk cell changes as well as smoking or an impaired immune system.

Anthony C. Quartell, MD & Associates serves Livingston, N.J., West Orange, N.J., Short Hills, N.J., Caldwell, N.J., Union, N.J., East Hanover, N.J. and surrounding areas.

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What is Urodynamics Testing and Why is it neccessary?

Your doctor may have suggested that you schedule an appointment for urodynamics testing and you wonder why you need this test and if it is really necessary.

Chances are you may have indicated that you have been experiencing any of the following problems:

• You have had issues with leakage or a loss of control over urine (urinary incontinence)
• You have had difficulty passing urine- perhaps too frequently or infrequently
• You have trouble emptying your entire bladder
• You have problems with night time urinating.

Any one of these issues could be causing you stress or embarrassment or inconvenience which affects the quality of your life. Consequently, your physician likely recommended that you undergo a study of the urinary bladder-urodynamics testing. This procedure involves a series of tests that measure the function and pressure in the bladder in addition to the flow of urine through the urethra- which is the roadway through which urine is passed out of the body.The testing will provide your doctor with answers regarding the amount of urine the bladder can hold, if there is any blockage, if the bladder is overactive and the strength of the bladder.

The test takes only about 20 minutes, is not painful and has a minimal risk of any complications (very rare). Anthony C. Quartell, MD & Associates performs the urodynamics testing in the office about once a month. The procedure is usually covered by insurance and will be checked into by our office staff so that you know any potential out of pocket costs before having the procedure done.

Anthony C. Quartell, MD & Associates serves the areas of Livingston, N.J., Florham Park, N.J., Millburn, N.J., West Orange, N.J., Summit, N.J., Verona, N.J., Caldwell, N.J., Whippany, N.J., East Hanover, N.J., and surrounding areas.

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  • Dr. Anthony C. Quartell has been recognized by New York Magazine and New Jersey Monthly numerous times in the category ‘Best Doctors’. In addition, he was rated and awarded ‘The Patients’ Choice Award’ by his patients!

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  • Dr. Anthony C. Quartell was rated and awarded ‘The Patients’ Choice Award’ by his patients!

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