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Minimally Invasive Surgery

Minimally invasive surgery is a surgery minimizing surgical incisions to reduce trauma to the body. Providing one of the most comprehensive minimally invasive surgical programs in the area, Tri-County is proud to offer patients convenient, first-class care close to home. Read on to find out more about minimally invasive surgery at TCHC, or click to find out about our general surgery capabilities.

Why Tri-County?

Tri-Surgical Care at Tri-County Health Care offers a full range of minimally invasive procedures which provide the care our patients need close to home, so they can focus on healing.

The benefits of minimally invasive surgery are many. Patients often return home the same day and can expect a 2-3 week recovery period. Benefits include:

  • Less pain
  • Quicker recovery
  • Shorter hospital stays
  • Less scarring

Visit the list of minimally invasive procedures offered at Tri-County Health Care below. Ask you physician in minimally invasive surgery may be an option for you.

Meet our dedicated providers below:

Jennifer Arnhold, MD, OB/GYN
Jennifer Arnhold, M.D., OB/GYN

David Kloss, MD, FACS
David Kloss, M.D., FACS

Timothy Monson, M.D., FACS
Timothy Monson, M.D., MBA, FACS

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Dr. David Kloss, M.D., FACS

Personal care and cutting edge surgical technology. Right here in Wadena.

Dr. Jennifer Arnhold, M.D., OB/GYN

Minimally invasive surgery. A great option for today's busy woman.


Toll-Free: 800-631-1811
Phone: 218-631-3510


Along with diagnostic laparoscopy, we provide the following minimally invasive procedures:

  • Hysterectomy
  • Hysteroscopy
  • LINX procedure
  • Tubal ligations
  • Pelvic organ prolapse surgery
  • Myomectomy
  • Endometrial ablation
  • Adhesion lysis
  • Vein ablation
  • Appendectomy
  • Breast biopsy
  • Sentinel lymph node biopsy
  • Cholecystectomy
  • Hernia repair
  • Nissen fundoplication
  • Colon resection

Conditions which may also be candidates for minimally invasive surgery include:

  • Ovarian cysts
  • Endometriosis
  • Incontinence
  • Bowel conditions
  • Anti-reflux

If you have an upcoming surgical procedure, ask your physician if there is a minimally invasive procedure appropriate for you.

Patient Benefits

The benefits of minimally invasive surgery are many. Patients often return home the same day and can expect a 2-3 week recovery period. Benefits include:

  • Less pain
  • Quicker recovery
  • Shorter hospital stays
  • Less scarring


Anesthesia services at Tri-County Health Care are provided by three certified registered nurse anesthetists (CRNAs), and coverage is provided for all scheduled procedures and a 24-hour on-call basis. Anesthesia care is provided to patients of all ages, from newborns to seniors. Surgical anesthesia services include general, spinal and epidural anesthesia; various regional blocks as well as monitored anesthesia care (MAC sedation). In addition to surgical anesthesia, CRNAs provide:

  • Resuscitation care in trauma and cardiac/respiratory codes
  • MAC sedation for MRI/CT scans as needed (e.g., in case of claustrophobia)
  • MAC sedation/analgesia for selected ER procedures (e.g., in pediatrics and dislocated joints)
  • MAC sedation for upper GI endoscopy and colonoscopy
  • Epidurals/Intrathecals for labor and delivery
  • PICC lines
  • Consultative services for pain management
  • Regional blocks for orthopedic cases
  • IV starts

Anesthesia care is provided in a safe and modern environment with state-of-the-art anesthesia machines and monitors. The newer BIS monitor is also available for monitoring the depth of anesthesia to assist in preventing recall under anesthesia. Each CRNA is certified bi-annually by the Council on Recertification of Nurse Anesthetists and maintains certification in adult and pediatric advanced cardiac life support and neonatal resuscitation.

Meet our dedicated staff:

Wendy Gravelle, CRNA
Wendy Gravelle, CRNA

Joe Kreklau, CRNA
Joe Kreklau, CRNA

Keith Nelson, CRNA
Keith Nelson, CRNA

Rachael Spear, CRNA
Rachael Spear, CRNA

Surgery Prep

At Tri-County Health Care we want to make your surgery event pleasant and worry-free as possible. Our staff is always here answer your questions or concerns about your upcoming surgery. It is our hope that during the time you spend with us, you will sense our promise to provide the best possible care for you and your loved ones.


Call your insurance company for questions regarding your coverage. The phone number can be found on the back of your insurance card. If further assistance is needed, our prior authorization staff will be available to assist you.

Eating Before Surgery

The night before your surgery, eat a light (i.e. soup, toast or Jell-O) supper unless you have been told not to. Do not smoke, chew gum, eat, or drink anything including coffee after midnight unless your nurse or doctor told you it was okay.


A nurse from the surgery department will call you prior to your surgery to review your medications and instruct you on which medications to TAKE the morning of your procedure and which medications to HOLD until after your procedure. Medications should be taken with a small sip of water. Do not take any ACE inhibitors, oral diabetics, herbal medications, or vitamins. If you are on any anticoagulants such as Warfarin/Coumadin or taking any insulin, please follow your physician’s recommendations for morning dosing. Please bring with you all current medicine bottles including insulin, accucheck machine, inhalers, vitamins, herbals, and over-the-counter medications.


Take a shower or bath the night before or the morning of surgery with an antibacterial soap (Dial). Please do not apply lotions, powders, or oils to your skin. Remove all colored nail polish, hairpins, and jewelry. Pack lightly and wear loose-fitting, comfortable clothing.

What should I bring to the hospital?

All current medicine bottles including insulin, accucheck machine and inhalers, vitamins, herbals, and over-the-counter medications. If you wear contact lenses, bring their storage case. If you use items like a cane, crutches, a walker, wheelchair, C-PAP machine, or hearing aids, please bring them with you. You should also bring your Insurance cards and any Medicare/Medicaid numbers. Also, please inform us if you have completed an Advanced Medical Directive or "5 Wishes" documentation.

Please do not bring valuables such as jewelry, credit cards, checkbooks, excess clothing, or more than $5 to the hospital with you. If any problems arise prior to your arrival for surgery, please call 218-631-7581 or 218-631-3510 and ask for the surgery department.

Day of Surgery


Tri-County Health Care is located at 415 Jefferson St. N. in Wadena. You may park in the south parking lot. Valet service is available Monday through Friday from 9 a.m. to 4 p.m.


If weather prevents travel, please call 218-631-7557 or 218-631-3510 to postpone surgery.

What if I don't feel well?

If you become sick or don’t feel well, such as a cold, fever, cough, runny nose, sore throat, or vomiting the day before your surgery, please call 218-631-7557 or 218-631-3510. For your safety, it may be necessary to postpone your surgery.

What to Expect

Before surgery you will change into a patient gown and robe since the operating room is a germ-free area. You will be given a name band for your wrist, and information on what to expect during surgery. For patient safety, you will be asked to verify your name and date of birth before receiving medications or having procedures. Staff will also ask many questions about your health history. Before surgery you will:

  • Go to the restroom
  • Remove all dentures, partials or plates
  • Remove hearing aids, wigs, hairpieces, hair clips, man-made limbs, contact lenses, glasses, and jewelry including body piercings

Once in the operating room, you will be awake long enough to meet the operating room staff and visit with staff that will be caring for you. A staff member will wash your skin with special soap and may shave the skin. This is to prevent infection from the many germs in hair and skin.

Family & Friends

A close friend or family member may stay with you until you are taken to the operating room. Your family will be told the likely length of the waiting time. During surgery your family is encouraged to wait in your private room until your surgeon talks to them postoperatively. Please have them inform the nursing staff if they leave. Your doctor will want to find them and visit with them after your surgery.


There are several types of anesthesia to stop pain and feeling during surgery. Anesthesia staff and your surgeon will help you decide which type of anesthesia is best for you. The anesthesia staff will administer your anesthesia and remain at your side during surgery. Other staff, such as nurses and technicians, will be present during surgery to assist your doctor.

Post Surgery

Once surgery is done, you will be taken to the recovery room to be watched closely by specially trained nurses. Nurses will monitor your blood pressure, heart rate, breathing, and pain level until you are fully awake. Your family will be waiting for you in your room. After surgery, your mouth may feel very dry, but you will not be given any water until you are more awake or until your doctor orders it. Warm blankets will be available if you feel cool after surgery.

The area of your surgery, called an "incision," may hurt, which is normal after surgery. In order to keep you comfortable, your nurse will ask you often about your pain. Please tell your nurse if you are uncomfortable. Non-drug comfort measures and pain medication will be given as soon as possible. Depending on the procedure, you can expect to be discharged when discharge criteria are met. Your nurse will keep you and your support persons informed of your discharge plans. You will need to make arrangements for transportation home since you will not be allowed to drive. You will also need to make arrangements for a responsible adult to care for you at discharge.

At any time if you have questions or concerns regarding your surgery, please call 218-631-7557 or 218-631-3510.