Our aim is to provide excellence in women’s health care throughout their reproductive years and beyond
Advanced laparoscopy and Gynecology services
Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical technique in which operations are performed far from their location through small incisions (usually 0.5–1.5 cm) elsewhere in the body.
Advanced laparoscopy and Gynecology services
Hysteroscopy is the process of viewing the inside of uterus along with cervical canal. It is done by hysteroscope, which is a narrow telescope with camera and light at end. It is passed through vagina and cervix which helps in detecting the problems in uterus. The fertililty expert view the images sent to monitor to diagnose the problems.
A hysteroscopy is used to diagnosis of symptoms such as heavy periods, repeated miscarriages, unusual vaginal bleeding, pelvic pain etc. It is also used in treatment of problems such as removing fibroids, polyps, displaced intrauterine devices (IUDs) and intrauterine adhesions. It is also used for surgical sterilization and also guides the fertility expert to localize on area of endometrial biopsy.
Polycystic ovary syndrome (PCOS) is a health problem that can affect a woman’s menstrual cycle, ability to have children, hormones, heart, blood vessels, and appearance. With PCOS, women typically have: 1. High levels of androgens. These are sometimes called male hormones, although females also make them. 2. Missed or irregular periods. 3. Many small cysts in their ovaries and they are fluid-filled sacs. One of the ways of treating this disease is Laparoscopic Ovarian Drilling. “Ovarian drilling” is a surgery that brings on ovulation. It is done when a woman does not respond to fertility medicines. Patients of PCOD are taken up for surgery after strict pre-operative diagnostic work-ups that include ultrasound, blood test for FSH, LH, TSH, PRL and DHEAS. When a patient satisfies all the above investigation, the first line of management is diet advice, weight reduction, increase physical activity. For medical management, clomiphene citrate is used. Insulin sensitizers, metformin etc are used as basic outlay. In PCOS hyper insulinemia occurs as a result of insulin insensitivity which is treated with metformin. After a fair trial of medical management and if the patient still does not become pregnant, patients are then taken up for laparoscopic ovarian drilling. Most of the women will ovulate the very next month after PCOD drilling and are able to achieve pregnancy within 3-6 months of the surgery.
Mayomectomy (Myoma = fibroids, ectomy = removal) literally means surgical removal of fibroids. This is the procedure of choice for women who have symptomatic fibroids and do not wish to have a hysterectomy. Myomectomy can be performed either by key hole approach (laparoscopically) or by open abdominal approach (by making a larger surgical incision on the abdomen). Laparoscopic myomectomy offers many advantages compared to open abdominal surgery such as:
- Enhanced recovery
- Short hospital stay
- Cosmetically improved scar
- Reduced adhesions (scarring) from the procedure
- Comparable pregnancy rates
Laparoscopic myomectomy is an advanced laparoscopic procedure and the success depends very much on the experience and expertise of the surgeon.
Cystectomy is a surgical procedure during which the ovarian cyst is removed either with laparoscopy, or an open surgery. A laparoscopic cystectomy procedure is a minimally invasive surgery during which a laparoscope, a long thin instrument with a camera attached at one end is used. The procedure is usually done under general anaesthesia and a small incision is usually made below the navel. A laparoscope is inserted through this incision to see the inside of your pelvis and abdomen.
A laparoscopic cystectomy removes only the cyst leaving the ovaries intact. However, if the cyst is too large or connected to ovarian tissue, your surgeon removes all or part of the ovary.
At any stage of development, surgical removal of an ectopic growth and/or the fallopian tube section where it has implanted is the fastest treatment for ectopic pregnancy. Surgery may be your only treatment option if you have internal bleeding. When possible, surgery is done through a small incision using laparoscopy.
(TLH) involves removal of the uterus and also the cervix laparoscopically. Dr. Umesh is an expert in Total Laparoscopic Hysterectomy which requires great skill and expertise as entire uterus is removed laparoscopically along with suturing which is also done laparoscopically. There are tremendous benefits to the patient by doing an entire surgery laparoscopically compared to hybrid surgery, laparoscopic assisted vaginal hysterectomy.
The advantages of
Total Laparoscopic Hysterectomy are
- Pain is less as the nerve fibres are not disturbed and the patient recovery is very fast
- The patient is out of the bed the very next day and gets back home
- The chances of urinary incontinence (leakage of urine), Vault prolapsed (hernia of intestine) occurring is less and the depth of the vagina is also maintained
- Maintaining its depth is very important for normal sexual activities
- The pelvic floor is not disturbed
- The patient returns to normal activities within a week and working women can get back to work in 2 weeks time.
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