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On-Site Surgical Center Procedures

Among the many services we provide to our patients at Newton-Wellesley Obstetrics & Gynecology are several surgical procedures. These are all performed on site at our Outpatient Surgical Center.

The benefits of having these procedures performed at our Surgical Center are many. There is no requirement for IV fluids or IV medication.

You will receive the highest quality medical care available, by our staff of medical professionals in a patient-oriented setting. We have been performing these procedures for many years.

You will receive continuous medical and personal care and attention while you are at our medical suite. Your health and well being are top priorities for our entire staff.

Your procedure can be scheduled and performed quickly, with no extended waiting time and without the voluminous paperwork typically required at a hospital.

Having your procedure done at our Surgical Center is often a more convenient and more private experience, as opposed to going to a hospital.

We have extensive experience with pain management and have developed a protocol with oral medication that minimizes discomfort. You will remain comfortable throughout the few minutes required for your procedure.

Hysteroscopy

A hysteroscopy is a procedure used to diagnose or treat problems of the uterus. During this procedure, your doctor inserts a thin, telescope-like instrument (hysteroscope) into the vagina in order to examine your cervix and your uterus. A light is shone through this instrument, allowing your doctor to see your uterus during the procedure.

Your doctor may recommend a hysteroscopy to diagnose abnormal bleeding. It may also be performed to treat other uterine conditions, such as fibroids and polyps, septums, and uterine adhesions. Should your doctor discover fibroids or polyps during the procedure, an instrument passed through the hysteroscope can be used to remove them. Alternatively, tissue samples can be taken for biopsy.

Sometimes a hysteroscopy is performed for other situations, such as diagnosing the cause of repeated miscarriages, performing sterilization, or locating an intrauterine device (IUD).

You may receive local anesthesia prior to your hysteroscopy. It is a short procedure, and typically patients can return home shortly after itís done.

Endometrial Ablation

Women who suffer from an abnormally heavy and prolonged menstrual period (a condition known as menorrhagia) may have these symptoms eliminated by endometrial ablation.

This is a minimally invasive procedure that cauterizes a thin layer of a womanís uterus?lining, which stops the menstrual flow in many women. For other women, it reduces the menstrual flow to normal or even lighter levels.

No incisions are required for this procedure. Typically, instruments are inserted through the cervix into the uterus. The endometrium (inner mucous membrane of the uterus) is cauterized through heated fluids.

This procedure is a less-invasive alternative to a hysterectomy and typically takes only a few minutes. The uterus is not removed, and the ovaries are not affected. Recovery is swift, with minimal discomfort.

Essure?

The Essure procedure is a type of permanent sterilization for women. It involves the insertion of two micro inserts into the fallopian tubes, during which there is minimal cramping. These micro inserts cause permanent blockage of the fallopian tubes and therefore prevents sperm from reaching the egg.

This procedure is done for one of several reasons. It is permanent and extremely effective. There is no incision required, and there is no effect on your menstrual cycle. As with all of our Surgical Center procedures, it is private and convenient.

The Essure procedure takes about 15 minutes or less. Women who have this procedure may experience some mild abdominal pain or bleeding. They will follow up with their physician after a few months to have an X-ray to confirm that the Essure inserts are in correct placement and that the fallopian tubes are blocked. During these months immediately following the procedure and before your follow-up, you must use another form of contraception. This procedure is irreversible.

Dilation and Curettage (D&C)

A dilation and curettage, also known as a D&C, is a surgical procedure commonly used to treat abnormal or excessive uterine bleeding. It involves the dilation (expansion) of your cervix and tissue removal from inside of the uterus (curettage).

It is also used to detect cancer or as part of infertility investigation (an inability to become pregnant). In some cases, a D&C is performed following a miscarriage.

The D&C procedure involves the dilation of your cervix by the insertion of a series of thin rods. This process will gradually enlarge the opening of your cervix painlessly. Next, a curette, which is a spoon-shaped instrument, is inserted through the cervix into your uterus to scrape away the tissue. This tissue is then sent to our laboratory for examination.

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You will be able to return home shortly after this procedure, though you will need someone to take you home. Typically, you can return to all normal activity within 24 hours of this procedure.

Our Physicians

Eugene Aron, M.D. Medical Director

The medical staff at Newton-Wellesley Obstetrics & Gynecology is highly experienced, exceptionally professional, and always focused on delivering the best medical care to patients. Our doctors are all Board Certified in Obstetrics and Gynecology.

Further Information

We welcome your inquiries about any of our in-office procedures, and we are more than happy to speak with you about them in detail. For more complete information on these surgical procedures, please visit our web site at www.newtonwellesleyobgyn.com.

To discuss our in-office procedures, you may speak directly to your physician or call Lisa Alden, our Surgery Coordinator, at (617) 332.2345 or e-mail her at LAlden@partners.org. Lisa can discuss questions you might have about surgery details, pre-testing, and verifying insurance benefits.


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