Woman to woman gynecologic care for all ages


As a woman, you want to know that you are getting the best gynecologic care and treatment possible with today’s technology, including minimally invasive laparoscopy and robotic surgery. At A Women’s Center, you’ll discover the latest gynecologic procedures, including:

Outpatient Laparoscopic Hysterectomy

Dr. Graven and Dr. Kilkenny have worked extensively with a surgery center in order to develop their own outpatient laparoscopic hysterectomy. We remove the uterus through a few tiny incisions in the abdomen below the navel. We sometimes remove the ovaries and fallopian tubes at the same time using “salpingo-oophorectomy.” Most of our patients are home in less than six hours and only need one to two weeks off after this procedure. We have performed hundreds of these procedures in the past 10 years. Our attention to detail in pain management makes this a very easy procedure on most patients. Because of our extensive skill, we can remove a very large uterus without large incisions. This makes for a fast recovery.

Robotic Laparoscopic Surgery

Drs. Graven and Kilkenny no longer do open abdominal surgery as it is unnecessary. Robot-assisted surgery is now coming into wider use for these conditions because it allows for excellent visualization of the blood vessels, ureters and surrounding tissue as well as improved ability to suture the vagina after removal of the uterus and cervix. Robotic surgery hysterectomy also appears to be associated with decreased blood loss during surgery. Dr. Graven and Dr. Kilkenny are two of the first gynecologist surgeons trained on the robot in the South Bay area and are able to do almost all of their extensive procedures through the laparoscopy procedure.

A laparoscopy procedure is an operation performed in the abdomen or pelvis through small incisions (usually 0.5–1.5 cm) with the aid of a camera. It can either be used to inspect and diagnose a condition or to perform surgery. Dr. Graven and Dr. Kilkenny have extensive expertise in this area and have been performing laparoscopic surgery for more than 20 years.

Loop Electrosurgical Excision Procedure

The loop electrosurgical excision procedure (LEEP) is currently one of the most commonly used approaches to treat high-grade cervical dysplasia (CIN II/III, HGSIL) discovered on colposcopic examination. The procedure has many advantages, including low cost, high success rate and ease of use. The colscopy procedure can be done in an office setting and usually only requires a local anesthetic, though sometimes general anesthesia is used.

Colposcopy

The colposcopy procedure is a medical diagnostic exam that gives us an illuminated, magnified view of the cervix and the tissues of the vagina and vulva. Many premalignant lesions and malignant lesions in these areas have discernible characteristics, which can be detected through this examination. It is done using a colposcope, which provides an enlarged view of the areas, allowing the colposcopist to visually distinguish normal- from abnormal-appearing tissue and take directed biopsies for further examination. The main goal of the colposcopy procedure is to prevent cervical cancer by detecting precancerous lesions early and treating them.

Sonohysteroscopy

This procedure is used to evaluate the lining of the uterus and the uterine cavity. It measures the thickness of the uterine lining (endometrium) and reveals the texture of its surface and abnormalities such as polyps or uterine fibroids. A small catheter is inserted through the cervix into the uterus and an ultrasound wand is placed in the vagina. A sterile solution is slowly injected through the catheter into the uterine cavity and the area is imaged with ultrasound.