In-Office Procedures

In-office procedures are generally minor procedures done in the office either without anesthesia or under local anesthesia. These typically include the evaluation and treatment of abnormal pap smears. 

• Colposcopy: A procedure to closely inspect the cervix, vagina or vulva for signs of disease or as follow-up for an abnormal pap smear.
• Loop Electrosurgical Excision Procedure (LEEP): A procedure used to remove a portion of the cervix using a thin wire loop. Usually used as a treatment for pre-cancerous disorders of the cervix. This procedure can be done either in the office under local anesthesia or at the outpatient surgery center utilizing an anesthesiologist. Dr. McAdams will make recommendations on the best location for you.
• Cryotherapy: Freezing of the cervix to treat pre-cancerous disorders of the cervix.

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Outpatient Surgical Procedures

Outpatient surgical procedures are typically performed at the hospital or an outpatient surgery center. These procedures usually allow you to be discharged home on the same day following a short period of recovery. 

• Laparoscopy: Used for evaluation of the pelvis using a camera inserted through an incision in the abdomen.
  1. Diagnostic laparoscopy is used to evaluate the pelvis for any abnormalities. If abnormalities are found, they are usually treated at that time. Tubal sterilization is an interruption or removal of the fallopian tubes for permanent contraception.
• Loop Electrosurgical Excision Procedure (LEEP): A procedure used to remove a portion of the cervix using a thin wire loop. Usually used as a treatment for precancerous disorders of the cervix. This procedure can be done either in the office under local anesthesia or at the outpatient surgery center utilizing an anesthesiologist. Dr. McAdams will make recommendations on the best location for you.
• Operative Laparoscopy: Used to repair or remove abnormalities of the pelvis including ovarian cysts, endometriosis, tubal abnormalities or uterine fibroids.
• Hysteroscopy: Used to visualize the inside of the uterus usually in conjunction with D&C or endometrial ablation.
• Dilatation and Curettage (D&C): Completed by dilating or opening the cervix and sampling the lining of the uterus to diagnose intra-uterine abnormality or treatment of abnormal bleeding.
• Endometrial Ablation: A procedure to remove the endometrium (the lining of the uterus) with the goal of reducing the amount of bleeding during menses.

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Hospital Surgical Procedures

Procedures that typically require a period of observation are completed at a hospital. These include hysterectomy procedures and removal of fibroids. Dr. McAdams is pleased to offer the latest advances for minimally invasive surgery for our patients. This allows less recovery time, less pain and a quicker return to normal activities.

• Da Vinci Robotic Hysterectomy: involves the removal of the uterus with or without tubes and ovaries using the laparoscope and Da Vinci robot. In most cases, patients are discharged within 24 hours of the procedure
• Total Laparoscopic Hysterectomy: involves the removal of the uterus with or without removal of ovaries using the laparoscope. In most cases, patients are discharged within 24 hours of the procedure.
• Vaginal Hysterectomy: involves the removal of the uterus with or without removal of ovaries through the vagina without incisions on the abdomen.
• Abdominal Hysterectomy: involves the removal of the uterus with or without removal of ovaries through an incision on the lower abdomen. It usually requires two to three nights in the hospital. This method for hysterectomy is typically chosen for those patients who have a markedly enlarged uterus or history of extensive endometriosis or pelvic adhesions.
• Pelvic Relaxation Repair: is the correction of relaxation of the uterus and/or vaginal tissues usually done vaginally.
• Abdominal Myomectomy: involves the removal of myomas or fibroids from the uterus through an incision in the abdomen. Myomectomy is typically reserved for those patients who plan pregnancy in the future.

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Da Vinci Surgery

Robotic Surgery

Dr. McAdams works diligently to remain current with the latest advances in gynecologic surgery. We have long offered minimally invasive surgery by means of laparoscopy, which provides less postoperative pain, a shorter hospital stay and a quicker recovery and return to normal activities. Our practice is also proud to have been one of the first in Oklahoma City utilizing the da Vinci surgical system, which now allows the extension of those benefits of minimally invasive surgery to more patients who previously were not candidates.

The da Vinci uses the latest in surgical and robotic technologies and is beneficial in performing complex surgery. With da Vinci, surgeons make just a few small incisions. The robotic system also features a magnified 3D high definition vision system and special wristed instruments that bend and rotate greater than the human wrist. As a result, this system enables Dr. McAdams to operate with enhanced vision, precision, dexterity, and control.

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