When your cervix begins to dilate and contractions are regular, you will be admitted to the hospital. Frequent pelvic exams follow to determine how much the cervix is dilated. When the cervix completely opens, Dr. Hill will give you the OK to push. Your pushing and contractions help your baby move through the birth canal and into the world. Dr. Hill or your partner then cuts the umbilical cord and then you deliver the placenta to conclude the baby delivery process.

If you are pregnant and live in Youngstown, Ohio area, contact Dr. Hill today through his free and confidential contact form.

The removal or destruction of the endometrium (lining of the uterus).

Endometrial Ablation does not require hospitalization and most women return to normal activities in a day or two. Ablation is an alternative to hysterectomy for many women with heavy uterine bleeding who wish to avoid major surgery. After a successful endometrial ablation, most women will have little or no menstrual bleeding. Patient selection and physician experience is essential to a good outcome.

Endometrial ablation has traditionally been done using a hysteroscope. Most women are able to go home within an hour after the procedure. There may be mild cramping, which can usually be relieved by ibuprofen. Occasionally stronger medicine may be needed. It is normal to be tired for a few days. Intercourse and very strenuous activity is usually restricted for 2 weeks. It is normal to have an increased discharge for 2 to 4 weeks afterward, as the lining is shedding. The OBGYN doctor normally does the first check-up 4 weeks afterward.

A hysterectomy is the removal of the uterus (womb). If the entire uterus, including the cervix (the opening to the womb) is removed, the procedure is referred to as a total hysterectomy. If the cervix is left in place, it is referred to as a supracervical hysterectomy. And, when an OBGYN Doctor removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina, this is called a radical hysterectomy. In most cases, a radical hysterectomy is only done when cancer is present.

A hysterectomy may be recommended to a woman for many reasons including: symptomatic, fibroids, adenomyosis, abnormal bleeding, endometriosis, pre cancers or cancer.

Many times, a woman's uterus can be removed through minimally invasive surgical techniques, such as vaginally or with the standard laparoscope. However, women who have other conditions that make the hysterectomy more complex may benefit from the assistance of the robot at the time of minimally invasive surgery.

Research shows that patients who present for hysterectomy after endometrial ablation have a high rate of endometriosis, adenomyosis, and leiomyomata, with endometriosis being the most common finding.

If you are in Youngstown, Ohio and would like to consult with an OBGYN Doctor regarding a hysterectomy, contact Dr. Hill through his free and confidential contact form.

Myomas, also commonly referred to as fibroids, are benign tumors that arise from the muscular wall of the uterus (womb). They are very common in women and when large, may lead to pelvic pain, heavy vaginal bleeding, or infertility. A myomectomy removes these benign tumors, while leaving the uterus intact. The procedure is generally done for women who desire to have their fibroids removed and retain their uterus, largely for childbearing reasons.

Robotic surgery has advanced the management of these tumors so that larger myomas, which were once only removed through large abdominal incisions, can be safely and efficiently removed through minimally invasive surgical techniques.

Endometriosis is a condition in which endometrial tissue – the tissue lining the inside of the uterus (womb) – is found in other locations of the body. This misplaced endometrial tissue can lead to extensive scarring in the pelvis, the most common location for endometriosis. This scarring can lead to infertility and severe pelvic pain. Some women can be managed with medical maneuvers such as birth control pills and other types of hormonal interventions. However, some women may be recommended to undergo surgical removal of the endometriosis implants, with our without removal of the ovaries and uterus.

This surgery can be quite complex as endometriosis can involve the colon, rectum, bladder and ureters. In the past, many of these operations required a large abdominal incision. A laparoscopic procedure performed with the heightened visualization and instrumentation that robotic assistance can provide, can greatly aid in this type of advanced laparoscopic procedure, making it more feasible to be performed with minimally invasive techniques.

Surgery for early stage cancer of the cervix (the opening of the womb) entails the removal of the uterus and the cervix with its tumor and surrounding tissues, referred to as a radical hysterectomy. In this operation lymph nodes in the pelvis are also removed. For some women who desire to preserve fertility, only the cervix with its tumor and surrounding tissues will be removed, a radical trachelectomy, leaving the uterus in place for future child bearing. These procedures are greatly aided with the development of robotic surgery, so that well-selected candidates may undergo their surgery with a minimally invasive approach.

For well-selected candidates with ovarian cancer, minimally invasive surgical techniques can be employed. While the majority of women with ovarian cancer will still be recommended to undergo a standard approach with an incision, some may be offered a minimally invasive approach. These women typically have smaller tumors amenable to this type of surgery, or may have isolated areas of disease recurrence. Standard staging of ovarian cancer, which once required a large abdominal incision, can now be performed through the small minimally invasive incisions. The heightened visualization and instrumentation of the robot can greatly aid this complex surgery.

Surgery for cancer of the uterus (womb) typically involves the removal of the uterus, cervix, fallopian tubes and ovaries. The surgery may also entail removal of lymph nodes in the pelvis and in the upper abdomen, also referred to as a staging procedure. Although many times this procedure can be accomplished through the standard laparoscope, robotic assistance can help the surgeon perform this procedure.

Vaginal Birth After C-Section (VBAC). A woman may choose to have a baby delivered vaginally after a previous delivery by C-section. Benefits of a VBAC include fewer complications and shorter recovery time than with a repeat C-section, as well as holding and breastfeeding your baby sooner than with a repeat C-section. The success rate is 75%, while 25% end up repeating a C-section. Consult with your Obstetrician to see if you are a good candidate.