Surgical Treatments


OhioHealth Gynecologic Cancer Surgeons, formerly Riverside Gynecologic Oncology, performs the following surgeries:

Hysterectomy:

Hysterectomy is the most common, non-obstetrical procedure performed in the United States and is a surgical procedure whereby the uterus is removed. The ovaries may also be removed, as deemed necessary by your physician, at the time of your procedure. Hysterectomy is generally performed under a general anesthetic as an inpatient in the hospital. Your hospital stay will vary, depending on the surgical technique and, generally your stay will be from 2-4 days. Your recovery period will also vary depending on the surgical technique decided upon by you and your physician. In general, most women return to their normal activities in 4-6 weeks.


Laparoscopic assisted hysterectomy:

Laparoscopic hysterectomy is a minimally invasive surgery that does not require an abdominal incision. Laparoscopy is a surgery that uses a thin, lighted tube put through a cut (incision) in the belly to look at the abdominal organs, or the female pelvic organs. Laparoscopic surgery is used in gallbladder and appendectomy surgeries and has been adapted to surgery in cardiology, urology and other fields.

The procedure is usually performed under a general anesthetic and in the hospital setting. Your hospital stay may be as short as 23 hours, depending on the severity of your condition. Most women report a recovery period of only 2-4 weeks following a laparoscopic hysterectomy. All questions and concerns regarding this procedure should be discussed with your physician. Only certain conditions and women who have not had a previous caesarean section qualify for this technique.


Radical hysterectomy:

Radical hysterectomy involves more extensive surgery than a total abdominal hysterectomy and includes the removal of tissues surrounding the uterus and upper vagina, and may include removal of the ovaries. Radical hysterectomy is most commonly performed for early cervix cancers. This procedure is performed under general anesthesia as an in-patient in the hospital. Generally, your hospital stay will be 4-6 days and your recovery will vary depending on the extent of tissue removed. Most women are able to return to their normal activities in 6-8 weeks.

Hysteroscopy:

Hysteroscopy is a diagnostic and surgical procedure during which your physician can examine the inside of the uterus by using a lighted viewing instrument called a hysteroscope.

Hysteroscopy is performed to diagnose and treat abnormal vaginal bleeding. Abnormal tissue may be removed during this procedure as well. Hysteroscopy is generally performed under general anesthesia as an outpatient in the hospital. Talk with your physician about your recovery period and when you may expect to return to normal activities.

D&C:

Dilation and curettage (D&C) is a procedure generally used to diagnosis and treat heavy bleeding. D&C is also a method to get tissue for sampling and is most often used in post-menopausal women who experience vaginal bleeding. This procedure is generally performed under a general anesthesia as an outpatient in the hospital. The recovery period following D&C is short and most women return to normal activities within a few days.

Laser treatment (vaginal, vulva, cervical): Laser treatment is used to destroy abnormal tissue. There are many types of lasers used in the treatment of vaporizing, destruction of abnormal tissue. The procedure may be performed in your physician’s office or as an outpatient in the hospital. The procedure is generally performed with a numbing medication injected into the cervix. Your recovery period is usually only 2-3 days and most women return to normal activities within 2 to 3 days.

Oophorectomy:

Oophorectomy is the surgical removal of the ovaries and is often performed to treat pelvic disease, such as ovarian cancer or severe endometriosis. When indicated, the ovaries may be removed in an effort to reduce the possibility of development of future disease, such as ovarian cancer. There are multiple techniques available for this procedure and you should address your questions and concerns with your physician.

Generally, oophorectomy is performed under a general anesthesia in the hospital setting. You may need to plan for a hospital stay if you are having your ovaries removed along with another major procedure. Your recovery period will depend on the extent of and the technique used in your surgery; however, most women return to their normal activities in 4-6 weeks.


Vulvectomy:

This procedure involves removal of the vulva tissues for the treatment of cancer. This procedure can range from simple excision of the vulva with skin graft to radical vulvectomy and pelvic exenteration, depending on the stage and type of cancer that is being treated.This procedure can be performed as an outpatient in the hospital, or you may need to plan for a 2-3 day hospital stay based on the extent of tissue removed. You should address all questions and concerns regarding your recovery period with your physician.


Lymph node dissections and staging:

Lymph node biopsy is performed to remove lymph tissue for microscopic examination for signs of infection or disease, such as cancer. Lymph node biopsy may also be performed to see if a known cancer has spread to the lymph nodes. There are several techniques for the collection of the lymph tissue and the technique used is generally based on the severity of your symptoms. All questions and concerns regarding this procedure and expected recovery period should be addressed with your physician.

Sentinel lymph node identification and excision

Radical debulking surgery for ovarian carcinoma

Robotic surgery:

Our physicians use the da Vinci Surgical System® robot to perform the following minimally invasive surgical procedures: