Outpatient minimally invasive surgeries include the use of laparoscopic and hysteroscopic technology to convert old style incisional procedures to procedures done as an outpatient. They include laparoscopic ovarian cystectomies, oophorectomies (removal of ovaries), lysis of adhesions (scar tissue), infertility surgery, and endometriosis ablation. Some hysterectomies are now done through the laparoscope as well. Hysteroscopic technology now allows for the removal of most endometrial polyps, as well as some uterine fibroids, without the need for incisions or prolonged time off from work.

Office procedures can now be done that take the place of many operations that used to require hospitalization and general anesthesia. Some of these include:

Urinary Incontinence Procedures

Urinary incontinence procedures are now being done by Dr. El Mallah with the aid of modern, minimally invasive slings. These slings are placed through very small incisions in the vagina, and can lead to long standing improvement or cure in urinary incontinence without the need for lengthy operations and time off from work.


Endometrial Ablation

An office procedure which utilizes a radio frequency emitting mesh balloon to destroy the lining of the uterus. This tightly controlled procedure is done under local anesthesia with mild sedation, and can dramatically improve or eliminate excessive menstrual bleeding. This often avoids the need for hysterectomy, and virtually has no down time.



This diagnostic procedure utilizes a fiber optic television camera that is inserted gently through the cervix, allowing our doctors to visualize the inside of the uterus. This aids in the diagnosis of bleeding, tumors, fibroids, and infertility, and, needs only local anesthesia.



This is a very rapid cervical conization which removes precancerous tissue from the cervix. This used to be performed in the hospital under general anesthesia, but can now be safely and comfortably performed in the office with only local anesthesia.


Completion of Miscarriages

Early pregnancy losses can now be treated with safe and comfortable vacuum evacuation under local anesthesia in the office. This eliminates the need to be admitted to the hospital, and eliminates much of the recovery time. This proves also to be much less emotionally difficult for women who have just lost a pregnancy. This is performed in a setting where the patient is comfortable and with nurses and doctors that she knows and trusts.


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