When you have a gynecological issue and more conservative treatments have failed, you may choose surgery to provide relief. However, surgical procedures involve a certain amount of risk, and recovery times can be quite long. Dr. Thiendella Diagne, however, is a recognized leader in performing state-of-the-art gynecologic surgeries, such as robotic surgery and minimally-invasive microsurgery, that are associated with less pain, decreased surgical risk and shorter recovery times for patients.
Our advanced gynecologic surgeries include:
Gynecare Thermachoice endometrial ablation
Dilation and Currettage
Laser Ablations – Vulva, Vagina, and Cervix
Loop Electroexcisional Procedures
Advanced Robotic Laparoscopic hysterectomy
Laparoscopic assisted vaginal hysterectomy
Open abdominal hysterectomy ONLY IF NEEDED
Laparoscopic supracervical hysterectomy
Tubal Sterilization Techniques
Urinary Incontinence and Uterine Prolapse Procedures
Vaginal Births After Cesarean section
In the past, open surgical techniques were used to relieve symptoms of and treat gynecologic conditions such as uterine cancer, cervical cancer, endometriosis, uterine fibroids, uterine prolapse, and menstrual period problems. Traditional open surgeries used large incisions associated with an increased risk of infection, pain, and long recovery times. Laparoscopic and now Da Vinci Robotic Assisted Hysterectomy has revolutionized the surgery process for both patients and gynecologic surgeons. Laparoscopic Surgery makes it possible to perform formerly major surgeries, such as hysterectomy in a minimally invasive way. Dr. Diagne is proud to offer this state-of-the-art surgical option to his patients.
Laparoscopic Surgery allows surgeons to perform delicate surgeries, such as complex hysterectomies or myomectomies, in a least invasive manner– through tiny 1 to 2 cm. incisions. For patients, the sophisticated surgery means minimized pain, fast recovery times, and excellent outcomes.
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Myomectomy is a surgical procedure used to remove uterine fibroids, while preserving the uterus allowing a woman the option of having future children. The type of myomectomy that performed depends on such factors as the size, location, and number of uterine fibroids. Myomectomy can be performed in several ways, including with a laparotomy, laparoscopy, or hysteroscopy.
A laparotomy involves removing a uterine fibroid through an incision in the abdomen. During laparoscopy, Dr. Diagne inserts a viewing instrument and surgical instruments through very small incisions to remove the fibroid. Laparoscopic surgery is associated with less bleeding, decreased risk of infection, and a faster recovery time than open incision surgery.
In some cases, uterine fibroids extend through to the inside the uterine cavity and need to be treated with hysterocopic surgery. During hysteroscopy, a viewing device and surgical instruments are inserted through the vagina and cervix and through to the inside of the uterus. The fibroids are destroyed with a laser or electrical current. Fibroids that are located extremely deep in the uterine wall may not be able to be removed, but they can be treated to help manage symptoms.
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Other Operative Laparoscopy
A laparoscopy is a minimally-invasive surgical procedure that may be used to identify abnormalities and diagnose disease. During the procedure, Dr. Diagne inserts a thin lighted tube with a camera on the end (laparoscope) into the abdomen to view the pelvic organs. Only a small incision is required.
During laparoscopy, Dr. Diagne can also perform surgery to treat endometriosis, remove uterine fibroids, remove ovarian cysts, perform a hysterectomy, remove an ectopic pregnancy in the fallopian tube, perform permanent sterilization by blocking the fallopian tubes and treat uterine prolapse.
The recovery time for laparoscopic surgery is minimal. For minor procedures, you may be able to return to your normal activities within 1–2 days following surgery. For more complex procedures, it can take longer.
Visit our Patient Education library to learn more about laparoscopy.
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Hysteroscopy is a procedure that may be used to diagnose and treat uterine conditions. It is most commonly used to find the cause of abnormal uterine bleeding. During the procedure, Dr. Diagne inserts a thin lighted tube with a camera on the end (hysteroscope) through your vagina and cervix into your uterus.
With the hysteroscope, Dr. Diagne can view the inside of the uterus to find the cause of abnormal uterine bleeding, such as uterine fibroids or polyps. If he finds any fibroids or polyps, Dr. Diagne can remove them with an instrument inserted through the hysteroscope. He can also take a tissue sample for a biopsy, remove growths or perform endometrial ablation using the Gynecare Thermachoice® method.
Because there are no incisions involved in the procedure, you can usually return to your normal activities the next day.
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For an effective, non-hormonal treatment for heavy periods, ask Dr. Diagne about Gynecare Thermachoice®. Dr. Diagne can perform this minimally-invasive procedure in less than 10 minutes, and you can resume your normal activities the next day.
Thermachoice uses a method called endometrial ablation to remove the endometrium, the lining of the uterus. During the procedure, Dr. Diagne uses a catheter to insert a small soft, flexible balloon through the vagina and cervix into the uterus. The balloon is then filled with fluid, which is gently heated and circulated in the uterus for 8 minutes while the lining of the uterus is treated.
When the treatment is completed, all the fluid is withdrawn from the balloon, and the catheter is removed. The treated uterine lining will shed, like during a period, over the next 7-10 days.
Thermachoice involves no incisions, and Dr. Diagne performs the procedure under local anesthesia. Best of all, its effects are long-lasting. Five years after treatment, 95% of women reported having normal to no periods. And over 75% of women surveyed were free from significant menstrual pain and cramping.
If you have completed your family, ask Dr. Diagne if Gynecare Thermachoice® is an appropriate option for you. Visit our Patient Education Library to learn more about treatments for excessive menstrual bleeding.
To schedule an appointment, call (956) 800-4378 or request an appointment online. Our office is conveniently located in the center of Edinburg, Texas
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Common gynecologic conditions like fibroids, endometriosis, cancer or prolapse can cause chronic pain and heavy bleeding. Women who experience these symptoms and failed conservative treatment, then a hysterectomy – the surgical removal of the uterus may be indicated. If performed as open surgery, this procedure can be painful, require a lengthy recovery (often up to 6 weeks) and leave a significant scar from the incision.
When performed with laparoscopic or with the da Vinci robotic system, however, hysterectomy is minimally-invasive, requiring only a few tiny incisions (microsurgery) that will result in minimal scarring. Other potential benefits of the Laparoscopic/da Vinci hysterectomies over traditional surgical approaches include:
Significantly less pain
Less blood loss and need for transfusion
Less risk of infection
Shorter hospital stay
Quicker recovery and return to normal activities
Better outcomes and patient satisfaction, in many cases
Ask Dr. Diagne if you might be a candidate for Laparoscopic or da Vinci hysterectomies. Visit our Patient Education library to learn more about hysterectomy.