Procedures & surgery
Mr Orabi offers a comprehensive range of procedures: many in clinic under local anaesthetic, and more complex operations at hospital. Click any procedure to read what it's for, how it's done, recovery and risks.
Procedures available at the private clinic, most under local anaesthetic or no anaesthetic, with you going home shortly afterwards.
A short procedure that lets Mr Orabi look directly inside the womb using a slim camera, with no cuts needed. It is used to investigate heavy or abnormal bleeding, postmenopausal bleeding, polyps and fibroids. Available in the clinic under local anaesthetic, or at the hospital under general anaesthetic for more involved cases. Most women return to normal activities the same or next day.
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Hormonal coils (Mirena, Kyleena, Jaydess) or copper coils fitted in clinic under local anaesthetic where needed, with ultrasound guidance for accurate, comfortable placement. A quick appointment with a fast return to your day.
A small sample of the womb lining is taken in the clinic to investigate heavy or abnormal bleeding or postmenopausal bleeding. Quick to perform and usually well tolerated, with results discussed at a follow-up appointment.
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A short test to check the health of your cervix, including HPV testing and a sample of cervical cells. Quick, well-tolerated, and one of the most effective ways to detect early changes before they cause problems.
A small tissue sample taken from the cervix, usually during a colposcopy, to clarify the cause of an abnormal smear or HPV result. Quick, well-tolerated, and the most reliable way to confirm what abnormal cells mean.
A small tissue sample from the vulva, taken under local anaesthetic in the clinic, to clarify the cause of skin changes, persistent itching or long-standing discomfort.
A detailed scan of the womb, ovaries and pelvic structures was performed and interpreted in the clinic by Mr Orabi. Available abdominally or transvaginally, often on the same visit as your consultation, so you can discuss the findings straight away.
Fitting, reviewing and replacing vaginal pessaries for pelvic organ prolapse. A safe, effective and non-surgical option that helps many women manage symptoms comfortably.
A targeted hormone profile and women's health blood work, organised in clinic with your results reviewed together at a follow-up appointment.
Day-case and inpatient procedures performed at Jersey General Hospital and partner hospitals, typically under general anaesthetic.
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Keyhole investigation of the pelvic and abdominal organs through a small camera, used to diagnose and often treat conditions such as endometriosis, pelvic pain and ovarian cysts. Through one to three small cuts, the abdomen is gently inflated so the camera and instruments can be passed, and biopsies or minor treatments carried out if needed. Most women are back to normal within a few days and avoid heavy activity for one to two weeks. Smaller scars and a quicker recovery than open surgery.
A close-up examination of the cervix using a magnifying instrument, with the option of treating abnormal cells in the same visit using a heated wire loop (LLETZ). A short procedure that removes the affected area for analysis and treatment. Light bleeding or cramping for a few days is common, and the cervix usually heals over a few weeks.
Surgical removal of fibroids while preserving the womb. A good option for women who would still like to have children, and for those who wish to keep their womb while relieving symptoms such as heavy bleeding or pelvic pressure. Recovery depends on the size and number of fibroids and the surgical approach, which Mr Orabi will discuss with you.
Keyhole removal of the womb and cervix and, where indicated, the fallopian tubes and ovaries (BSO). Compared with open surgery, the keyhole approach usually means smaller scars, less pain and a quicker return to normal life. Mr Orabi will explain whether the ovaries are being removed and what this means for you, including any effect on hormones.
Specialist keyhole surgery to remove endometriosis at its root is widely regarded as the most thorough surgical approach, with the aim of long-term pain relief and protecting fertility. Mr Orabi removes the lesions rather than simply treating the surface, with the aim of reducing pain and improving quality of life.
A short reconstructive operation to relieve discomfort at the entrance of the vagina caused by tight or scarred tissue, which can make intercourse or examinations painful.
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A short, gentle operation to empty the womb after an incomplete miscarriage or retained pregnancy tissue, or for certain other gynaecological reasons. Mr Orabi and his team provide this care sensitively and with support throughout.
Coil fitting or removal at the hospital under general anaesthetic. The right option where a previous attempt has been too painful, where the cervix is difficult to access, or where you would simply prefer to be asleep.
Hospital removal of endometrial polyps using hysteroscopy, often with the MyoSure tissue-removal system. A short, scar-free procedure to treat polyps that can cause heavy or abnormal bleeding, with a quick recovery.
Caesarean section is an operation where a baby is delivered through a cut in the tummy and womb. It's usually done just below the bikini line and takes about 40–50 minutes.
