Surgery for gynaecological procedures can be performed in one of three ways:

1. Vaginal Surgery

2. Abdominal surgery

3. Laparoscopic surgery

The route of surgery is dependent on a number of factors including the condition requiring surgery and the previous medical and surgical history. With advances in surgical equipment and technology, many procedures that were traditionally performed via the abdominal route can now be performed laparoscopically allowing patients to be treated as a day case and return to normal activity much more quickly.

For patients who do not have private medical insurance, a quotation for surgery at a fixed cost can be arranged.

Transcervical Resection of the Endometrium (TCRE)

TCRE is a surgical procedure used to remove the lining of the womb (the endometrium). This is performed for women who have heavy menstrual periods or frequent and prolonged periods due to benign (non-cancerous) causes. The procedure involves cutting away the endometrium with a wire loop under direct vision. As it is performed under direct vision, the risk of complications (perforation of the uterus and damage to other structures such as the bowel or bladder) are very small. Some patients may bleed after surgery requiring a ballon to be inflated in the cavity of the uterus for a few hours to put pressure on the blood vessels. Antibiotics are normally given at the time of surgery to reduce the risk of post operative infection.

The procedure is performed under general anaesthesia and patients are normally able to go home on the same day. Patients may experience some bleeding for up to 10 days followed by a light watery discharge for up to 4 weeks.

Mr Armatage has performed many hundreds of these procedures and trained many doctors to perform the procedure. There are several advantages of this procedure over many of the other ablative procedures available. Firstly, the procedure is performed under direct vision thereby reducing the risk of damage to other organs. Secondly, the tissue that is cut away can be sent examination to exclude the risk of an unexpected problem (all the alternative procedures burn / destroy the tissue so that there is no specimen for examination). In addition selected areas of the uterine cavity can be treated to remove fibroids or large polyps leaving the normal tissue intact for those wishing to preserve their fertility.

Over 95% of patients will be delighted with the outcome of surgery and 50% will have no further bleeding in the future.

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