Surgical Services Provider

Our team of obstetrics and gynecology specialists provides patients with contemporary surgical services and supportive follow-up care. Our doctors are available for modern gynecology surgery, including hysteroscopy and laparoscopy, and adequate management of gynecological conditions.

Services we offer include:

Abdominal hysterectomy is a surgical procedure carried out to remove a woman’s uterus and sometimes the cervix, ovaries and fallopian tubes. It can be partial, complete, and total, depending on what organs the doctor had to remove. 

Women who are diagnosed with gynecological cancer, fibroids, chronic pelvic pain, uterine prolapse, and endometriosis are all candidates for an abdominal hysterectomy. Once a woman undergoes this surgical procedure, she loses her ability to become pregnant so it is best to consult a specialist on the matter to ensure the best possible solution. 

In cases of less complicated and serious problems, other types of treatment may be possible instead of abdominal hysterectomy. Your doctor will evaluate your condition and provide you with optimal medical care.

Female pelvic laparoscopy is a medical procedure that doctors employ to inspect a woman’s reproductive organs from the inside. Through a small incision in the abdomen, they insert a laparoscope that enables them to see the organs and detect any abnormalities.

Usually, diagnostic laparoscopy is recommended when other methods such as an X-ray or an ultrasound are not enough to determine the cause of a woman’s condition. This is a good and safe way of establishing gynecological issues and providing the patient with appropriate medical care. Consult our team of gynecologists for further information.

Dilation and Curettage is a medical procedure performed to remove the tissue from the inside of a woman’s uterus. It is performed if the woman has suffered a miscarriage or an abortion, or if she has severe uterine bleeding. The procedure involves the dilation of the cervix so that the doctor can insert a small surgical instrument to remove the uterine tissue. 

Your doctor can recommend undergoing a dilation and curettage if you have recurrent gynecology problems such as endometriosis, cancer, or abnormal uterine bleeding. The procedure is safe and usually doesn’t cause much trouble, but if you experience strange sensations and discomforts after it, immediately contact your doctor.

Endometrial ablation is a medical procedure done to remove the lining of the uterus with the help of a tool called hysteroscope. Women suffering from heavy uterine bleeding usually undergo this procedure to minimize the bleeding and other symptoms. 

The doctor can perform the procedure in a few ways, by using electricity, fluids, balloon therapy, microwaves, cryoablation, or high-energy radio waves. Depending on your condition, the proper approach will be used and you will be provided with appropriate follow-up medical care and treatment.

Hysteroscopy is a medical procedure used to examine the woman’s uterus and cervix with the aim of determining potential problems of abnormal uterine bleeding. Depending on the severity of the condition, the procedure can be performed without anesthesia, with local or general anesthesia. The recovery period is minimal with little or no side effects. 

Two types of hysteroscopy exist – diagnostic and operative – but your gynecologist will opt for the best solution in your particular case. Diagnostic hysteroscopy is carried out to detect problems that exist in a woman’s uterus while operative hysteroscopy is done to remove abnormal tissue and reduce uterine conditions such as fibroids, adhesions, and polyps. Consult someone from our team of experts and inform yourself of treatment options and possibilities.

In cases of uncontrolled and abnormal uterine bleeding, uterine prolapse and fibroids, severe pelvic pains and endometriosis, the gynecologist might recommend a minimally invasive laparoscopic hysterectomy to help treat some or all of these gynecological problems. 

Laparoscopic hysterectomy is the best way to treat intra-uterine issues because it gives the gynecologist a possibility to perform a closer inspection of the uterus and the surrounding organs. Before opting for this procedure, you should discuss your options with the doctor and ensure this the best solution for your medical condition.

LEEP (Loop Electrosurgical Excision Procedure) procedures are usually carried out under local anesthesia when the doctor finds abnormal cells on a woman’s cervix. This is done with the aim of preventing and reducing the risks of the appearance of cervical cancer. LEEP can be done in combination with ECC (Endocervical curettage) to maximize its effectiveness. 

 After running comprehensive tests like colposcopy, biopsy, and a Pap smear, as well as getting familiar with your medical history and overall health, your doctor will be able to tell if LEEP with ECC is the safest option for you. 

Ovarian cysts can be discovered during a regular pelvic exam. They can be of different sizes, fluid-filled, solid, and mixed. To be able to determine the type of cyst you have and recommend proper treatment, the doctor will suggest running a few tests such as a pregnancy test, ultrasound, and laparoscopy. 

Before opting for the final stage which is the removal of the cyst, you should try monitoring your condition for changes and use medications that the doctor recommended. Some cysts disappear on their own, whereas others have to be dealt with proper medication or surgery.

Robotic-assisted surgery allows surgeons to perform surgical procedures with more precision, flexibility, and effectiveness. This is a minimally invasive type of surgical operation performed with the help of tiny incisions. It makes use of a robotic camera arm and a mechanical set of arms with instruments attached to them. A general surgeon can control the arms while seated at a computer near the operating table. This enables him or her to look at a high-definition, enlarged, 3D image of the surgical operating table. 

This approach to surgery is great because the benefits include fewer risks and complications, faster recovery, less blood loss, as well as smaller, almost unnoticeable scarring. For a more detailed explanation about robotic-assisted surgery, contact us today and find out more.

Supracervical hysterectomy (SH) is a type of operation which removes the uterus specifically while leaving the cervix and fallopian tubes intact. 

For the needs of the procedure, an incision has to be made on the stomach. The size of the uterus and the required abdominal exposure determines how long the incision will be. The procedure lasts from 45 to 90 minutes. 

The patient can choose between spinal or general anesthesia. Recovery time is not long and the patient can resume their everyday activities after 4 to 6 weeks.

Tubal ligation is one of the most common surgical sterilization options for women. It involves cutting out, blocking or tying the fallopian tubes for permanently preventing pregnancy in women. It can be done at any time for women who don’t want to have any more children, but once it is done it is hard and not recommended to reverse it. There is no need for other contraceptive methods after tubal ligation, but the protection of sexually transmitted diseases is a must. 

You should undergo a serious examination before deciding to opt for this method. Your doctor should provide you with all the risks that come along with tubal ligation and make sure you are fully aware of the whole process. 

Vaginal rejuvenation is a procedure for women who wish to preserve their vagina after it has gone through changes, for instance, menopause or birth. The area of intervention focuses on the pelvic floor, vaginal canal, and vaginal wall.

Vaginal rejuvenation is also known under terms such as designer vagina surgery, female genital rejuvenation, vulvovaginal plastic surgery, female genital cosmetic surgery, and female genital plastic surgery. 

Before opting for any of these procedures, it is important that the doctor examines the anatomy of the female organs. This will enable them to detect any problems and run further tests to ensure a safe and effective application of the vaginal rejuvenation procedure.

First, the surgeon separates the uterus from the connective tissue, blood vessels, ovaries, and oviduct. Then, the uterus comes out through the vagina. This procedure cannot be done with all patients. For instance, women with an enlarged uterus have to take the abdominal approach. Also, if both ovaries along with the oviduct are removed with the uterus, the procedure is then referred to as total vaginal hysterectomy. 

Vaginal Hysterectomy is usually done in cases of abnormal vaginal bleeding, endometriosis, malignant tumors in the genital region, prolapse, and fibroid tumors.

Vaginal labiaplasty is a vaginal rejuvenation procedure performed to reduce the length of labia minora. This is the most common procedure for these types of vaginal and gynecological problems since it can successfully relieve symptoms of twisting and tugging the labia. 

Women normally opt for this procedure to reduce the pain they experience during intercourse, itching, irritation, and overall self-confidence. 

Before a patient opts for vaginal labiaplasty, they should consult a gynecologist to get informed about possible risks and side effects, as well as the cost.

Our Services

Gynecology

Our physician is board-certified in Obstetrics and Gynecology and can provide you with a variety of gynecological services from screenings and assessments, to hormone replacement therapy.

Obstetric Care

Whether you need high risk prenatal care or postpartum care, we will be by your side to make sure you and your baby are healthy throughout your entire pregnancy.

Management-Treatment

With years of experience under our belt, we provide our patients with careful disease management and appropriate treatment options. Our patients include women of all ages, from adolescence to womanhood.

Contracepton

For people who don’t plan on having children in the near future, or at all, our team offers education and application of different contraceptive methods like birth control pills and injections…

Surgical Services

Often times surgery is a necessary form of treatment to reduce pain and improve results. our experts physicians are among the top in their field and have a record of successful outcomes for our patients.

In Office Services Provided

To support you on your health journey, the department of obstetrics and gynecology offers in-office services including ultrasounds, laboratory services, and the MonaLisa Touch® procedure.

Patient Feedback

Michelle A.

Super professional, hard to find doctors in south florida who take their time and genuinely care about their patient. 10/10  

Teresa L.

  Dr Achille and her entire staff from nurses to front office are amazing! She is incredibly compassionate and professional! I would recommend her to EVERYONE without hesitation!! If you are looking for an amazing OBGYN Dr. Achille is the best!!  

Annette S.

  Even though I had an evening appointment, I was seen right away. Dr Achille has a wonderful bedside manner.  

Request an Appointment

Have a question about our practice or want to schedule an appointment? Reach out and speak with a member of our team.

Fabienne Achille MD LLC