Surgical Procedures

General Information

All surgical procedures arranged through Trilakes Ob/Gyn, are performed by Dr. Kirollos. Dr. Kirollos has been performing Gynecologic and Urogynecologic surgeries for over 20 years and is certified in Gynecologic surgery by both the Royal College of Obstetricians and Gynecologists (London) and the Royal College of Surgeons ( Edinburgh). Dr. Kirollos continuously attempts to bring the latest in minimally invasive surgical techniques to the North Country. He was the first to introduce the Novasure Endometrial ablation, TVT for urinary incontinence and LSH (Laparoscopic supracervical hysterectomy) to the Adirondack Medical Center.

Gynecological Surgery | Birth Control Doctor | Vaginal Reconstruction | Hysterectomy | Saranac Lake NY | Potsdam NYAll surgeries are performed at the Adirondack Medical Center of Saranac Lake (AMC). Our staff Anesthesiologists are highly experienced and extremely safe. AMC Operating Department is well staffed with experienced highly trained staff and is well equipped with the latest instruments and electronic surgical devices.

The following list represents some of the commonly performed surgeries and is not intended to be an exhaustive list of all the surgical procedures that can be performed.

Her Option

Gynecological Surgery | Birth Control Doctor | Vaginal Reconstruction | Hysterectomy | Saranac Lake NY | Potsdam NYTriLakes OB/GYN is pleased to offer in office treatment for heavy menstrual periods. The Her Option procedure is painless and takes about 20 minutes. A small device is inserted into the uterus under local anesthetic . The lining of the uterus (endometrium) is frozen resulting in lighter or no periods. There is no recovery after the procedure. You may go back to your normal life the next morning. Pregnancy is contraindicated after this procedure.

Incontinence Procedures

TVT (Tension-free vaginal tape) and TVT Obturator approach (TVTO): these are the modern treatments for urinary stress incontinence. A suburethral sling, a piece of synthetic tape is strapped underneath the urethra to provide support. Both TVT and TVTO are safe, highly effective, no incisions and best of all that they do not require recovery. Most patients can go back to their work within 4 to 7 days.

Prolapse Procedures

Gynecological Surgery | Birth Control Doctor | Vaginal Reconstruction | Hysterectomy | Saranac Lake NY | Potsdam NYSurgery to correct prolapse (bulging or sagging of pelvic floor organs) is intended to provide support to the weakened tissues, correcting the prolapse and preventing recurrence. There are many different surgeries that may be performed, depending on the type and extent of prolapse as well as the patient's general health and preferences. In general, procedures involve strengthening the connective tissues that have weakened or attaching the prolapsed organ to a nearby structure. Modern prolapse surgeries involve the insertion of supporting synthetic materials (Mesh) that allows for a stronger support and reduce the risk of recurrence.

Laparoscopic Procedures

Gynecological Surgery | Birth Control Doctor | Vaginal Reconstruction | Hysterectomy | Saranac Lake NY | Potsdam NYGynecologic surgeons were pioneers in developing laparoscopic surgery – a minimally invasive technique that uses a small telescope called a laparoscope inserted through the umbilicus to allow surgeons to see inside patients and perform procedures without making large incisions. Laparoscopic techniques are used to diagnose various conditions such as pelvic pain, infertility, ovarian tumors and ectopic pregnancies. In addition laparoscopic hysterectomy has gained popularity among women because of the speedy recovery and lack of large scar.

Vaginal Reconstruction

Vaginal reconstructive surgery aims at restoring vaginal anatomy and correcting prolapse without sacrificing vaginal function or compromising sexual function. Traditional surgical techniques often resulted in a narrow and short vagina that is not optimal for sexual function. New surgical techniques and the uses of a varies of Mesh types allowed for strong repair without shortening or narrowing the vagina and thus maintaining optimal sexual function.


Hysterectomy is the removal of the uterus, with or without removal of the cervix and with or without removal of the fallopian tubes and ovaries. There are many types of hysterectomy and many options depending on your condition and symptoms. Undergoing a hysterectomy is a serious decision and is discussed as a last resort. The advantages and disadvantages of the various types of hysterectomy and whether or not to remove the cervix or the ovaries are discussed prior to surgery.

TLH (Total Laparoscopic Hysterectomy)

Is another popular option among women needing a hysterectomy. The uterus as well as the cervix are removed laparoscopiclly without incisions. There is not need to use a morcellator machine therefore there is no risk of spreading the tissues inside the abdomen. This procedure requires an overnight stay in the hospital and 2weeks of recovery time.

TVH (Vaginal Hysterectomy)

The uterus and cervix are removed through the vagina. The stay in the hospital is usually overnight. Recovery time is about 4 weeks.

LAVH ( Laparoscopic Assisted Vaginal Hysterectomy)

The top part of the uterus with or without the ovaries are cut through the laparoscope and the remainder of the uterus and cervix are cut through the vagina. The uterus and cervix are then removed through the vagina. Stay in the hospital is overnight and recovery is about 4 weeks.

TAH (Total Abdominal Hysterectomy)

The uterus with or without the ovaries are removed through an abdominal incision similar to that of a cesarean section. Stay in the hospital is 3 to 4 nights and recovery time is 6 to 8 weeks.

Surgical Procedures

I have discussed and agreed to proceed with surgery as suggested. What can I expect next?

You will receive a letter in the mail containing all your surgery information and associated appointments. There will be an appointment scheduled in our office approximately one week before the surgery with Mary Rooks CNM for a comprehensive medical update and exam. There will also be an appointment scheduled in the hospital for Pre-Admission Testing (PAT ). You will need to go to Out-Patient registration prior to the appointment. Please bring the letter from our office as the doctors order for the Pre-Admission Testing appointment.

I had an appointment with PAT and I do not remember what they told me about taking my medications the day of surgery can you tell me?

Any questions regarding specific directions given to you through the PAT department are referred to them. Please feel free to call their direct line at 897-2231. You may have received their phone mail, please leave a short message including your name and phone number. They will call you back as soon as possible.

How do I know what time my surgery is scheduled for?

The final OR schedule does not come out until the day before your scheduled surgery. You will be required to phone the hospital at 897-2409 between the hours of 1pm & 5 pm to inquire regarding arrival information.

How late can I eat before my surgery?

Ideally we prefer that you do not eat or drink after midnight the night before your scheduled surgery. If this is not possible because of specific medical concerns, you can eat a light meal up to 7 hours before you are instructed to arrive at the hospital. If your surgery is scheduled in the afternoon you may have clear fluids, in other words liquids that you can see through like water, apple juice, plain tea or coffee, no added milk or cream, up to 3 hours before you are to arrive at the hospital. We prefer that you avoid carbonated beverages like sodas as these may distend the bowel.

How many visitors may I have in the ASU department?

Hospital policy states there are only allowed to have two family members in attendance within the department. All others will be directed to go to the main waiting area at the hospital. There are no children allowed in ASU as visitors.