Surgery Services

Surgery Services

The Endometriosis Center at Binghamton Gynecology and Fertility offers you the most advanced options available in our region. Working closely with Lourdes Hospital we have some of the most advanced equipment and technology available at our disposal to provide our patients a wide variety of surgical options.

Dr. Kondrup is the only certified advanced laparoscopic surgeon in our area. This means patients will receive many options and alternatives utilizing minimally invasive surgical techniques. Minimally invasive surgery can mean the difference between a same-day surgery (with small incisions) and a five-day hospital stay (with large incisions).

Same-Day or Next-Day Surgical Services

Laparoscopic hysterectomy (belly button)
Treatment of large fibroids
Treatment of endometriosis
Treatment of adhesions
Treatment for incontinence
Early treatment for cancer of the uterus and cervix

Post Operative Care
What to expect following a laparoscopic procedure

Pain
Shoulder pain and bloating is quite common and is due to residual gas in the abdomen. This will be re-absorbed as you gradually increase your activity and should last only a few days. Information about medication for pain and gas relief will be reviewed with you.

Fatigue
Initially you may feel more tired at home than you did in the hospital, this is normal.

Bleeding
Some vaginal spotting is acceptable for about one to two weeks after surgery.
Note: Your first period after laparoscopy will most likely be heavier than usual (unless you do not have a uterus) and you may experience more cramps. This is normal.

After Care - Caring for the incision
The incision should be kept dry for a few days to promote good healing. If there is a bruise around the incision, it will soon fade. If the incision(s) appear infected (redness, puss) or if the tenderness lasts longer than a few days, your health care provider should check the incision to make sure there is no infection. Further instructions on caring for the incision(s) will be given to you by your health care provider. Once the incision is healed only a slight scar will remain.

Activity
Everyone responds to anesthesia and pain differently. Exercise and normal activities can be increased gradually as tolerated.

Intercourse
You may resume intercourse, as soon as you are feeling well enough. However, if you have had a partial hysterectomy (cervix not removed) then you must wait 2 weeks to resume intercourse.

Diet
Those patients who required the bowel prep should be sure that they increase their diet slowly after surgery. If constipation is a problem, drink plenty of fluids (12 glasses per day) and eat bran, vegetables and fruit (especially prunes and prune juice). Use the necessary stool softeners and laxatives, but only for a short time.

Call Binghamton Gynecology and Fertility Immediately If:

You have a fever 100.5¡ Fahrenheit or higher
Increasing abdominal pain or persistent vomiting
Drainage and/or redness from incisions
Unusual, foul smelling and/or heavy vaginal discharge
Persistent, foul smelling diarrhea
Heavy vaginal bleeding
Any other unusual problems

Risks of a laparoscopic procedure:
Laparoscopy is a very safe form of surgery; as a matter of fact it is safer than open incision type of surgery. Complications are extremely rare and every attempt is made to keep this risk as low as possible.

Dr. James Dana Kondrup has extensive experience with thousands of laparoscopic procedures.

Below are the complications that can occur and we are legally obligated to present them to you. If you have ant concerns or questions about the below possible complications, please feel free to contact us (internal link to contact page) so we can address any of your concerns and alleviate any fears. We will also discuss the possible complications and details of the procedure at your pre-operation appointment.

It is important to review and understand that risks are involved with this and/or other procedures.

Anesthesia complications (including death from anesthesia).
Infection and its consequences.
Bleeding and its consequences.
Injury to other abdominal or pelvic organs.
Injury caused by the laser.
Rupture of ovarian cyst and its possible consequences.
Formation or reformation of cut adhesions.
Recurrence of endometriosis.
Possible interruption of pregnancy (disregard if no uterus).
The rare possibility of herniation (weakening) of the abdominal wall from the incision site.
Possible nerve injury to neck, arms, legs from surgical positioning and surgery.
Possible risk of blood clots in veins.
Other unknown risks associated with the surgery or anesthesia.
Ectopic pregnancy.
Less than 1% of women who have undergone the procedure will become pregnant. This only applies to tubal sterilization procedures.



Surgery Services The Endometriosis Center at Binghamton Gynecology and Fertility offers you the most advanced options available in our region. Working closely with Lourdes Hospital we have some of the most advanced equipment and technology available at our disposal to provide our patients a wide variety of surgical options. Dr. Kondrup is the only certified advanced laparoscopic surgeon in our area. This means patients will receive many options and alternatives utilizing minimally invasive surgical techniques. Minimally invasive surgery can mean the difference between a same-day surgery (with small incisions) and a five-day hospital stay (with large incisions). Same-Day or Next-Day Surgical Services Laparoscopic hysterectomy (belly button) Treatment of large fibroids Treatment of endometriosis Treatment of adhesions Treatment for incontinence Early treatment for cancer of the uterus and cervix Post Operative Care What to expect following a laparoscopic procedure Pain Shoulder pain and bloating is quite common and is due to residual gas in the abdomen. This will be re-absorbed as you gradually increase your activity and should last only a few days. Information about medication for pain and gas relief will be reviewed with you. Fatigue Initially you may feel more tired at home than you did in the hospital, this is normal. Bleeding Some vaginal spotting is acceptable for about one to two weeks after surgery. Note: Your first period after laparoscopy will most likely be heavier than usual (unless you do not have a uterus) and you may experience more cramps. This is normal. After Care - Caring for the incision The incision should be kept dry for a few days to promote good healing. If there is a bruise around the incision, it will soon fade. If the incision(s) appear infected (redness, puss) or if the tenderness lasts longer than a few days, your health care provider should check the incision to make sure there is no infection. Further instructions on caring for the incision(s) will be given to you by your health care provider. Once the incision is healed only a slight scar will remain. Activity Everyone responds to anesthesia and pain differently. Exercise and normal activities can be increased gradually as tolerated. Intercourse You may resume intercourse, as soon as you are feeling well enough. However, if you have had a partial hysterectomy (cervix not removed) then you must wait 2 weeks to resume intercourse. Diet Those patients who required the bowel prep should be sure that they increase their diet slowly after surgery. If constipation is a problem, drink plenty of fluids (12 glasses per day) and eat bran, vegetables and fruit (especially prunes and prune juice). Use the necessary stool softeners and laxatives, but only for a short time. Call Binghamton Gynecology and Fertility Immediately If: You have a fever 100.5¡ Fahrenheit or higher Increasing abdominal pain or persistent vomiting Drainage and/or redness from incisions Unusual, foul smelling and/or heavy vaginal discharge Persistent, foul smelling diarrhea Heavy vaginal bleeding Any other unusual problems Risks of a laparoscopic procedure: Laparoscopy is a very safe form of surgery; as a matter of fact it is safer than open incision type of surgery. Complications are extremely rare and every attempt is made to keep this risk as low as possible. Dr. James Dana Kondrup has extensive experience with thousands of laparoscopic procedures. Below are the complications that can occur and we are legally obligated to present them to you. If you have ant concerns or questions about the below possible complications, please feel free to contact us (internal link to contact page) so we can address any of your concerns and alleviate any fears. We will also discuss the possible complications and details of the procedure at your pre-operation appointment. It is important to review and understand that risks are involved with this and/or other procedures. Anesthesia complications (including death from anesthesia). Infection and its consequences. Bleeding and its consequences. Injury to other abdominal or pelvic organs. Injury caused by the laser. Rupture of ovarian cyst and its possible consequences. Formation or reformation of cut adhesions. Recurrence of endometriosis. Possible interruption of pregnancy (disregard if no uterus). The rare possibility of herniation (weakening) of the abdominal wall from the incision site. Possible nerve injury to neck, arms, legs from surgical positioning and surgery. Possible risk of blood clots in veins. Other unknown risks associated with the surgery or anesthesia. Ectopic pregnancy. Less than 1% of women who have undergone the procedure will become pregnant. This only applies to tubal sterilization procedures.