WHY CHOOSE PREMIER OB/GYN
All of Premier OB/GYN, LLC physicians are experienced surgeons specializing in gynecology and obstetrics. They are specially trained in minimally invasive and advanced laparoscopy techniques and routinely perform complex surgeries.
Our Surgeons Offer:
- Alternatives to Traditional Hysterectomy
- Minimally Invasive Surgery
- Advanced Laparoscopic Techniques
- Treatment of Pelvic Prolapse
- Obstetric Cesarean Section
- Certified in DaVinci Robotics
- Certified in InterStim® Therapy
Patients who are scheduled for surgery meet with Premier OB/GYN’s knowledgeable Patient Liaison. She will answer any additional questions you may have, check on insurance benefits, and provide you with the appropriate educational materials.
“Nothing but positive things to say about this place and the staff. They are friendly, professional and stay on top of everything. I see Dr. Sudbury and would highly recommend him!” –Lindsay C.
WHAT ARE THE SURGICAL ALTERNATIVES TO A TRADITIONAL HYSTERECTOMY?
Every year over 650,000 American women have a traditional hysterectomy, a surgery that removes the uterus through a relatively large incision in the abdomen. Traditional hysterectomies have been found to be inappropriate or unnecessary in up to 16 percent of those cases.
At Premier OB/GYN, our experienced surgeons can perform various surgical alternatives to abdominal hysterectomies.
- Various approaches to myomectomy — Removal of fibroids while leaving the uterus intact, allowing for future childbearing
- Endometrial ablation — Removal of the uterine lining
- Uterine artery embolization — Blocking the flow of blood to a fibroid by insertion of a small catheter into the groin
- Laparoscopy or robot-assisted laparoscopy — Minimally invasive procedure that involves inserting a small device with a camera into the abdomen through a small incision to perform a hysterectomy or myomectomy
- Partial hysterectomy — These leave the cervix and/or ovaries
HOW IS MINIMALLY INVASIVE SURGERY PERFORMED?
Minimally invasive gynecologic surgery refers to surgical techniques performed with a digital camera connected to a telescope that is inserted either into your abdomen (laparoscopy) or through your cervix into the uterine cavity (hysteroscopy). Our Premier OB/GYN surgeons use a lighted camera, as well as a variety of small instruments created especially for these procedures, to perform these surgeries. The camera provides the visuals without the need for large incisions. The images are projected on high definition digital video monitors located throughout the operating room. Robotic surgery is a form of minimally invasive surgery.
WHAT ARE THE ADVANTAGES OF USING MINIMALLY INVASIVE GYNECOLOGIC SURGERY METHODS?
- Reduced pain during recovery
- Lower risk of infection
- Decreased blood loss and fewer blood transfusions
- Minimal scarring
- Shorter hospital stays or ability to be outpatient procedures
- Faster return to normal activities and work
WHAT IS PELVIC PROLAPSE SURGERY?
There are many kinds of surgery that can be used for pelvic organ prolapse. The method will be dictated by which organs are prolapsed.
- Vaginal vault prolapse surgery — Repair of the vaginal wall
- Cystocele surgery — Repair of the bladder
- Urethrocele surgery — Repair of the urethra
- Rectocele surgery — Repair of the rectum
- Enterocele surgery — Repair of the small bowel
- Vaginal obliteration — Surgery to close the vagina.
- Hysterectomy — Removal of the uterus
During surgery for bladder, urethra, rectum, and small bowel prolapse, an incision is made in the wall of the vagina. Your Premier OB/GYN surgeon then pulls together the loose or torn tissue in the area of the prolapsed organ and strengthens the wall of the vagina to prevent a recurrence.
In vaginal vault prolapse, the top of the vagina is attached to the wall of the lower belly, to the spine in the lower back, or to the ligaments of the pelvis.
During a vaginal obliteration, your surgeon removes most of the vaginal lining and then sews the vagina shut. If the uterus is still in place, a small opening is left to allow fluid to drain from the uterus.
HOW LONG IS RECOVERY AFTER THESE PELVIC PROLAPSE PROCEDURES?
These are not easy recoveries. It will be about 6 weeks before you can return to normal activities. For the first 3 months after your surgery, you’ll need to avoid any heavy lifting or long periods of standing. You’ll need to take it easy, as straining can cause your prolapse to return.
WHAT IS DA VINCI ROBOTIC SURGERY?
In 2000, the da Vinci was the first robotic surgical platform commercially available in the U.S. to be cleared by the FDA for use in general laparoscopic surgery. Since that debut, roughly 800,000 patients around the world have had a da Vinci procedure.
The da Vinci® Surgical System allows our Premier OB/GYN surgeons to perform complex minimally invasive surgical procedures with robotic assistance. This ensures precision and accuracy. The da Vinci® Surgical System expands the surgeon’s capabilities, providing an alternative to open surgery. This robotic-assisted surgical system provides our surgeons with precision, dexterity, and control during surgery. It allows us to make 1-2 cm incisions instead of needing the typical longer incisions. More women now choose da Vinci surgery for minimally invasive hysterectomy than conventional laparoscopy or vaginal surgery.
IS SURGERY WITH THE DA VINCI SYSTEM SAFE?
By adding the robotic assistance, the da Vinci® Surgical System improves upon conventional laparoscopy. The system provides superior vision, enhanced dexterity, greater precision, and ergonomic comfort. It enables better execution of minimally invasive procedures.
AM I A GOOD CANDIDATE FOR DA VINCI ROBOTIC-ASSISTED SURGERY?
We’ll discuss with you whether your particular situation is right for the da Vinci® system. These are procedures we use the da Vinci® Surgical System to improve:
- Hysterectomy for benign conditions
- Hysterectomy for cancer
- Pelvic prolapse surgery
- Endometriosis resection
WHAT IS INTERSTIM THERAPY?
InterStim™ therapy is a reversible therapy used to treat urinary incontinence, frequency, and incomplete bladder emptying. In this therapy, a device is implanted and it sends mild electrical pulses to the sacral nerves. Located near the tailbone, the sacral nerves control the bladder and the muscles related to urinary function. If the brain and sacral nerves don’t communicate correctly, the nerves can’t tell the bladder to function properly. InterStim™ therapy can overcome these communication problems.
HOW EFFECTIVE IS INTERSTIM THERAPY?
InterStim™ therapy has been used for over 20 years. Studies of patients followed for one year after having the InterStim™ therapy system implanted found that seven out of every 10 patients experienced at least a 50 percent reduction in weekly accidents compared with accidents before they started with InterStim™ therapy.
ARE THERE ANY RISKS ASSOCIATED WITH INTERSTIM THERAPY?
Risks with these procedures are minimal, as the electric pulses are of a low level. Risks include:
- Transient electrical shocks
- Continued bladder problems
HOW SAFE IS THE OBSTETRIC CESAREAN SECTION?
Cesarean section is major surgery, and it does involve risks for the mother and the baby.
Risks to the baby include:
- Breathing problems — Babies born through C-section are more likely to develop transient tachypnea, a breathing problem marked by abnormally fast breathing during the first few days after birth.
Risks to the mother include:
- Infection — After a C-section, the risk of developing an infection in the lining of the uterus (endometritis) increases.
- Postpartum hemorrhage — Heavy bleeding can occur during and after a C-section.
Reaction to anesthesia
- Blood clot formation — This surgery can increase your risk for developing a blood clot inside a deep vein, deep vein thrombosis. If this clot travels to the lungs or blocks blood flow, the damage can be life-threatening.
- Wound infection — The incision can become infected.
- Increased risks during future pregnancies — After having a C-section, you face higher risks of potentially serious complications in a subsequent pregnancy than you would if you had a vaginal delivery.
WHO IS A GOOD CANDIDATE FOR AN OBSTETRIC C-SECTION?
A cesarean section may be safer for you or your baby than a vaginal delivery. These are situations where a C-section may be advised by your Premier OB/GYN obstetrician:
- Your labor isn’t progressing — Sometimes the cervix won’t open enough despite strong contractions for several hours.
- Your baby is in danger — If there are changes in the baby’s heartbeat.
- The baby is in an abnormal position — If the baby’s feet or buttocks enter the birth canal first or if the baby is positioned side or shoulder first.
- If you have multiple babies — One of the babies may be in an abnormal position.
- A problem with your placenta — If your placenta is covering the opening of your cervix.
- Prolapsed umbilical cord — If a loop of umbilical cord slips through your cervix ahead of your baby.
- You have a health concern — If you have a severe health concern, such as a heart condition. C-section is also recommended if you have an active genital herpes infection at the time of labor.
- Mechanical obstruction — If you have a large fibroid obstructing the birth canal or a severely displaced pelvic fracture.
- You’ve had a previous C-section — While a vaginal delivery may be attempted, a C-section may be recommended if you’ve had a prior C-section.
If you would like more information on a specific surgical procedure or gynecological problem, please check our Question and Answer tab where subjects are linked to the ACOG (American College of Obstetrics and Gynecology) website.