#Urogynaecology Treatments in Bangalore

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Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is a clinical syndrome that results from the ascent of microorganisms from the cervix and vagina to the upper genital tract. PID can lead to infertility and permanent damage of a woman's reproductive organs.

How do women get pelvic Inflammatory disease?

Women develop PID when certain bacteria, such as chlamydia or gonorrhea, move upward from a woman's vagina or cervix into her reproductive organs. PID is a serious complication of some sexually transmitted diseases (STDs), especially chlamydia and gonorrhea.

What causes pelvic inflammatory disease?

A number of different microorganisms can cause or contribute to PID.

What are the signs and symptoms of pelvic inflammatory disease?

Women with PID present with a variety of clinical signs and symptoms that range from subtle and mild to severe. PID can go unrecognized by women when the symptoms are mild. Despite lack of symptoms, Pregnancy (including ectopic pregnancy) must also be excluded, as PID can occur concurrently with pregnancy.

When symptoms are present, the most common symptoms of PID are

Lower abdominal pain.

Mild pelvic pain.

Increased vaginal discharge.

Irregular menstrual bleeding.

Fever (>38° C).

Pain with intercourse.

Painful and frequent urination.

Abdominal tenderness.

Pelvic organ tenderness.

Uterine tenderness.

Adnexal tenderness.

Cervical motion tenderness.

Inflammation.

What are the complications of pelvic inflammatory disease?

Complications of PID include :

Tubo-ovarian abscess (TOA).

Tubal factor infertility.

Ectopic pregnancy.

Chronic pelvic pain.

Recurrent episodes of PID and increased severity of tubal inflammation detected by laparoscopy are associated with greater risk of infertility following PID.

Tubo-ovarian abscess (TOA) is a serious short-term complication of PID that is characterized by an inflammatory mass involving the fallopian tube, ovary, and, occasionally, other adjacent pelvic organs.

Treatment includes broad-spectrum antibiotics with or without a drainage procedure, with surgery often reserved for patients with suspected rupture or who fail to respond to antibiotics. Women infected with HIV may be at higher risk for TOA

How is pelvic inflammatory disease diagnosed?

Presumptive treatment for PID should be initiated in sexually active young women and other women at risk for STDs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than PID can be identified, and if one or more of the following minimum clinical criteria are present on :

1) Pelvic examination.

2) One or more of the following additional criteria.

oral temperature >101°F

abnormal cervical mucopurulent discharge.

presence of abundant numbers of WBC on saline microscopy of vaginal fluid.

The most specific criteria for diagnosing PID include.

3) Endometrial biopsy with histopathologic evidence of endometritis.

4) Transvaginal sonography or magnetic resonance imaging techniques showing thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex, or Doppler studies suggesting pelvic infection) or

5) Laparoscopic findings consistent with PID

LAPAROSCOPIC FINDINGS

Endometrial biopsy is warranted in women undergoing laparoscopy who do not have visual evidence of salpingitis, because endometritis is the only sign of PID for some women.

A serologic test for human immunodeficiency virus (HIV) is also recommended.

A pregnancy test should always be performed to exclude ectopic pregnancy.

How is pelvic inflammatory disease treated?

PID is treated with broad spectrum antibiotics to cover likely pathogens.

Antibiotic treatment does not, however, reverse any scarring that has already been caused by the infection.

For this reason, it is critical that a woman receive care immediately if she has pelvic pain or other symptoms of PID.

Prompt antibiotic treatment could prevent severe damage to the reproductive organs.

What should a patient do after being diagnosed with pelvic inflammatory disease?

A patient should abstain from sexual intercourse until she and her partner(s) have completed treatment.

condoms are also an option to prevent spread of infection.

Educating adolescent and young women about prevention of STDs, including abstinence, consistent use of barrier methods of protection, immunization and the importance of receiving periodic screening for STDs and HIV.

How can pelvic inflammatory disease be prevented?

Latex condoms may reduce the risk of PID by preventing STDs.

screening of women at risk for infection and treatment of infected women and their sex partners can help to minimize the risk of PID.

Screening of young sexually active women for chlamydia has been shown to decrease the incidence of PID.

REGULAR treatment and follow up .

What are the risk factors for developing pelvic inflammatory disease?

Risk factors for PID include factors associated with STD acquisition, such as younger age, having a new or multiple sex partners, having a sex partner who has other concurrent sex partners, and inconsistent use of condoms during sex. Other factors that have been associated with PID include a history of STDs or prior PID, and vaginal douching.

What is Laparoscopy ?

During a pelvic laparoscopy, your doctor uses an instrument called a laparoscope to examine your reproductive organs. A laparoscope is a long, thin tube with a high-intensity light and high-resolution camera.

Your doctor insers the laparoscope through an incision in your abdominal wall. The camera relays images that are projected onto a video monitor. Your reproductive organs can be examined without performing open surgery. Your doctor can also use a pelvic laparoscopy to obtain a biopsy and treat some pelvic conditions.

Pelvic laparoscopy is called a minimally invasive procedure because only small incisions are made. Minimally invasive procedures often have a shorter recovery period, less blood loss, and lower levels of post-surgical pain than open surgery.

WHAT IS THE ROLE OF LAPAROSCOPY IN PID?

PID can be diagnosed clinically or with several modalities like ultrasound, CT scan and MR imaging. However, the gold standard of diagnosis is still laparoscopy, When the diagnosis is remain unclear after other tests are done or when antibiotic treatment is not working; diagnostic is the definitive test- LAPAROSCOPY.

Nevertheless some specific roles of laparoscopy are irreplaceable by other modalities particularly for women in reproductive age, menopausal women, doubtful diagnosis and other special cases.

WHEN IS LAPAROSCOPY ADVISED?

Some indications for surgery are:

Failure to respond within 48 to 72 hours of medical management.

Need to drain or remove an abscess, such as a tubo-ovarian abscess.

Cut scar tissue (adhesions) that is causing pain.

CHRONIC LOWER abdominal pain.

Infertility due to tubal disease or unexplained.

Is laparoscopy the best to handle PID?

Laparoscopy offers the possibility to diagnose and manage PID more early, safely and probably cost-effectively. Effective management prevents complications associated with delayed treatment and often preserves the patient's fertility or even catastrophic.Laparoscopy also improve the primary recovery of acute PID patients.

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Uro Gynaecology Has A Multidisciplinary Approach Which Offers You A Joint Consultation With Urologist & Gynaecologist. At Ayaansh Hospital Which Is The Best Urogynecology Clinic in Bangalore , Who Would Evaluate The Condition And Offer The Most Beneficial Urogynecology Treatment in Bangalore For You. It Is Very Important to Determine the Type of Incontinence as The Treatment of Each Type Varies.

Stress Urinary Incontinence Is A Very Distressing Symptom. Urinary Incontinence Basically Means Involuntary Passage of Urine While Sneezing or Coughing or Whenever There Is A Strain of The Abdominal Muscle. Any Weakness of Bladder Supply and A Neurological Problem Can Cause an Unwanted Leak Of Urine. Urinary Incontinence [UI] Is Two Times More Common In Elderly Women Than Men.

 Most of The Patients View This as A Part Of Aging And Believe That It Is A Temporary Problem Or They Just Have To Live With It.

·                     Gynaecological Examination

·                     Urological Examination

·                     An Investigation Like Urine Analysis, Blood Sugar for Diabetes, Ultrasonography, Urodynamic Studies, Cystoscopy Will Be Recommended as Per the Requirement

Best Urogynecology Treatment in Bangalore:

At Ayaansh Hospital, we provide latest Urogynecology treatment in Indira nagar under Specialised Surgeons. The treatments are,

Conservative Treatment / Behavioral Techniques Available Are:

1.            Kagel’S Pelvic Exercises

2.            Vaginal Moulds & Pelvic Floor Rehabilitation

3.            Biofeedback Therapy

4.            Neuromuscular Electrical Stimulation (NMES)

5.            Bladder Training / Timed Voiding

6.            Medicines

·                     Surgical Options Like

1.            Retropubic Bladder Neck Suspension

2.            Transvaginal Tape (Tvt)

3.            Transobturator Tape (TOT)

4.            Periurethral Bulking injections

5.            Artificial Urinary Sphincter

6.            Bottom of Form

What is the Urogynaecology Clinic?

The Urogynaecology Clinic Is A Specialized Clinic That Deals with Problems Of A Lower Part Of The Urinary Tract (Waterworks) And The Genital Tract (Down Below). This Clinic Deals With Problems Like; - Involuntary Loss Of Urine, Such As On Coughing And Sneezing. - Having To Go To Pass Urine Urgently And/Or Frequently. - Difficulty Passing Urine. - Prolapse Of The Vagina Or The Uterus (Womb). - Pain In The Bladder (Waterworks) Or Urethra (The Tube That Takes Urine Outside).

  How Should I Prepare For My Clinic Visit?

You Will Need to Complete A Bladder Diary, A History Sheet And A Quality Of Life Questionnaire, Which Will Be Sent To You By Post Before Your Appointment.

 1) Frequency Volume Chart (Bladder Diary): This Diary Provides an Idea About the Nature and Amount of The Fluids You Drink, How Often You Pass Urine as Well As The Amount Of Urine You Pass. Completing This Diary Can Be Tedious. Nonetheless, It Is One of The Most Valuable Ways of Assessing How Your Bladder (Waterworks) Works.

 This Diary Needs to Be Completed Over 3 Days, Ideally Including Work and Rest Days. Please Mark the Time You Get Out of Bed In The Morning And The Time You Go To Bed In The Evening For Each Day On The Diary.

 2) Urogynaecology Sheet: This Is A Questionnaire About Your Hospital Covering Current Problems and Symptoms. Past Medical Problems, Previous Treatment, Including Surgery, Medical Problems in The Family, Your Goals And Expectations. The Questionnaire Is Detailed and Lengthy. However, This Will Ensure A Thorough Assessment Of Your Condition.

 This Will Help To Reach An Accurate Diagnosis Of The Problem(S) And Guide The Best Way To Deal With It (Them). Being In The Clinic Can Cause Anxiety Such That Patients Forget Problems Or Get Embarrassed To Raise Them. Completing This Questionnaire At Home Will Help You Focus On Your Problem(S) And Observe It/Them So That You Can Document All Your Problem(S) Beforehand.

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Top Gynecologist in India | Dr. G. Bhavani | Elawoman

A gynecologist doctor is a surgeon who specializes within the woman reproductive organs, which includes the cervix, fallopian tubes, ovaries, uterus, vagina, and vulva. Menstrual issues, birth control, sexuality, menopause, and infertility problems are recognized and treated by way of a gynecologist; most gynecologists additionally provide prenatal care and a few offer number one care. Menstrual problems include amenorrhea (the absence of menstrual durations), dysmenorrhea (painful menstrual durations) and menorrhagia (heavy menstrual periods). Menorrhagia is a common indication for hysterectomy, that's the surgical elimination of the uterus. Ovarian cysts, endometriosis, and human virus are other situations that may be detected by a gynecologist, as are incontinence, prolapse of the pelvic organs and infections in any place of the female reproductive organs. A gynecologist can also locate fungal, bacterial, viral or protozoal infections. Gynecologists most often perform an exam known as a pap smear, that is a test that uses an instrument called a speculum to detect abnormalities within the lady reproductive organs, along with cervical and ovarian cancers. Pap smears are conducted manually and regularly are followed by means of a rectovaginal examination, which permits for a complete exam of the pelvic area. An ultrasound can be used to verify any abnormalities detected with the aid of a Pap smear or rectovaginal exam. Most gynecologist doctor also is obstetricians. An obstetrician is an expert within the control of pregnancy, hard work, and the time right now following childbirth called puerperium. An obstetrician/gynecologist, also referred to as an OB/GYN, covers regions starting from preventive care to detection of sexually transmitted sicknesses to own family planning. They can also be involved in adolescent gynecology and endocrinology or deal with behavioral problems among younger ladies. The four subspecialties for an OB/GYN are gynecologic oncology, maternal/fetal treatment, reproductive endocrinology and infertility, and urogynecology/reconstructive pelvic surgical procedure. View the list of Top Gynecologist in India. Dr. Sadhna Kala (Delhi) and Dr. ShobhaVenkat top the listing with because of their enjoy, review ratings and provider exceptional. Looking for the Top Gynecologist in India ? Want to know about the ratings and costs they rate for their services? You are at the proper location in which we gift you the list of first-class Gynaecologists in India.

List of 7 Top Gynecologist in India:

Dr. Sankar Das Mahapatra

Dr. G. Bhavani

Dr. Ranjana Dhanu

Dr. Manisha Munemane

Dr. Shobha Venkat

Dr. Bharti Minocha

Dr. Shweta Goswami

Dr. Sankar Das Mahapatra

Dr. Sankar Das Mahapatra  is an amongst the fine and reputed Gynecologists & Obstetrician in Kolkata with extra than twenty years of enjoyment. He is likewise counted as an excellent laparoscopic physician and famous infertility expert within the town. He finished his MBBS in 1988 from Nil Ratan Sirkar Medical College and Hospital, Kolkata and pursued MS in Gynaecology & Obstetrics from Patna Medical College in 1993. He presents a treatment for Fibroids, Hysterectomy, High-Risk Pregnancies in addition to In-Vitro fertilization - Embryo Transfer (IVF - ET).

Services: Infertility Management, Ovarian Cysts, Gynaecological laparoscopy, Maternity Services, Urogynaecology

Consultation Fee: Rs. 700

Rating : 3.0 / 5

Location: Millenium Clinic, Kanchanjangha Apartment, Tegharia Main Road, Baguihati, Near Uma Medicals, Kolkata - Explore more Gynecologists in Barasat, Kolkata.

Dr. G. Bhavani

One of the most reputed Obstetrician & Gynecologists in India, Dr. G. Bhavani has 30 years of revel in. She has been connected with numerous prestigious clinical positions after becoming Managing Director of Sai Bhavani Super Speciality Hospital, Hyderabad. She is skilled in nearly every factors of Obstetrics & Gynecology along with Reproductive Medicine. She is a Joint Secretary of Indian Menopause Society. She additionally takes initiative in spreading gynecological services around the world by using organizing numerous countrywide and worldwide seminars and symposiums on occasion.

Services: Male & Female infertility, High-Risk Pregnancy Care, Antenatal & Postnatal care

Consultation Fee: Rs. 500

Location: Dr. Bhavani Fertility Centre, Lucid Diagnostics Building, Opposite Asian Movies, Hyderabad - Explore more Gynecologists in Banjara Hills, Hyderabad.

Rating : 3.3 / 5

Dr. Ranjana Dhanu As a Minimal Access Surgeons of the united states, Dr. Ranjana Dhanu is among renowned call keeping 23 years of enjoyment. Her areas of specializations are Laparoscopic and College robotic surgical operation. From King Edward Memorial Hospital and Seth GS Medical College, Mumbai she completed her commencement and her post-commencement from Nawrosjee Wadia Maternity Hospital, Mumbai. After appointed as a Family Planning Officer at Nawrosjee Wadia Maternity Hospital in 1991, she has additionally trained 2 hundred doctors from multiple Public Health Care Centres.

Services: Prenatal Diagnosis, Laparoscopy, PCOD Thyroid, Contraception, Unwanted Pregnancies, Septum Resection

Consultation Fee: Rs. 1800

Rating : 3.0 / 5

Location:Dr. Ranjana Dhanu Gynec Care, Near Parmanand Bandar, Opposite 11th Road, Mumbai - Explore more Gynecologists in Bandra East, Mumbai.

Dr. Manisha Munemane With 22 years experience as a Gynaecologist and Obstetrician, Dr. Manisha Munemane is a professional in High-Risk Obstetrics. With MD in Obstetrics & Gynaecology, Diploma in Advanced Endoscopic Gynae Surgery, she also works as an Infertility Specialist. She gives services for a laparoscopic surgical procedure, complex vaginal surgical procedures and high-risk obstetrics.

Dr Manisha Munemane is a smart gynecologist. She specializes in Gynaecology, Obstetrics and Infertility treatments. She has completed her 23 years in this subject. Dr. Manisha studied MBBS in J J Hospital and later did her MD in Obstetrics and Gynaecology from Lokmanya Tilak Municipal Medical College, Sion, Mumbai. She has additionally accomplished a Diploma in Advanced Endoscopic Gynae Surgery from Kiel University, Germany. She has obtained a certificate in vaginal Surgery in Cochin and did education in Colonoscopy in Mumbai. She additionally did education in Obstetrics and Gynaecology Ultrasonography in Mumbai. Dr Manisha is a member of FOGSI, Indian Medical Association and Association of Minimal Access Surgeons of India. Dr. Manisha Munemane gives offerings like Dysmenorrhea Treatment, High- Risk Pregnancy Care, Mirena (Hormonal Iud) Insertion/ Removal, Menopausal Care, In Vitro Fertilisation (IVF), Embryo Donation Program, Intrauterine Insemination (IUI), Hysteroscopic surgical procedure and so forth.

Services: Triplet Pregnancy, Multiple Pregnancy, Stitchless Vaginal Surgery, Severe PIH, Eclemsia, Diabetes in Pregnancy

Consultation Fee: Rs. 400

Location:Surya Mother and Child Super Speciality Hospital, Survey Number 8, Bhujbal Chowk, Hinjewadi Fly Bridge, Pune - Explore more Gynecologists in Wakad, Pune.

Rating : 2.8 / 5

Dr. Shobha Venkat With 25 years of experience in as a Gynaecologist, Laparoscopic Surgeon, and Obstetrician, Dr. Shobha Venkat is now working towards at Bhargavi Clinic, Bangalore and as a Full-time representative with Cloudnine Hospital. Her areas of specialization consist of preconception counseling, high-threat pregnancy care, publish-transport care, pregnancy with diabetes, pregnancy with thyroid issues and lots of greater associated with being pregnant.

Dr. Shobha Venkat is a gynecologist and obstetrician who finished MBBS from Bangalore Medical College and Research Institute in 1991. Then, she pursued DGO from Grant Medical College and Sir JJ Hospital, Mumbai in 1994 and DNB in Obstetrics and Gynecology from DNB Board, New Delhi in 1996. She is currently working towards at Cloudnine Hospital, Old Airport Road, Bangalore and focuses on Normal vaginal delivery procedure and infertility problems. Check out Elawoman.Com for extra information.

Services: High-Risk Pregnancy Care, Pre- Conception Counseling, Routine Pregnancy Care, Post Delivery Care, Multiple/ Twin Pregnancies, Contraception & Fitness

Consultation Fee: Rs. 600

Rating : 3.8 / 5

Location: Cloudnine Hospital, Opposite Kemp Fort and Total Mall, Bangalore - Explore more Gynecologists in Old Airport Road, Bangalore.

Dr. Bharti Minocha

With forty years of experience in Obstetrics & Gynaecology, Dr. Bharti Minocha is famed gynecologist. Her vicinity of specialization consists of understanding in PCOD management, gynae endocrinology, thyroid, infertility and plenty of extra. She has also handled high danger pregnancies. She is related to FOGSI, Indian Menopausal Society, IMA and DMA and Gynecologic Oncology Society, India.

Services: Gynae-Endocrinology, PCOS in Young Females, Infertility Treatment

Consultation Fee: Rs. 700

Rating: 3.3 / 5

Location: Paras Hospitals, Sushant Lok- 1, Sector-43, Gurgaon - Explore more Gynecologists in Sushant Lok I, Gurgaon.

Dr. Shweta Goswami Dr. Shweta Goswami with 12 years of revel in as a Gynaecologist has many stages and training in her experienced card. After MBBS, she has accomplished MS- Obstetrics & Gynaecology, FNB- Reproductive Medicine, Clinical Embryologist, Obstetrician, Laparoscopic Surgeon, and Reproductive Health Specialist. She has been trained internationally in infertility and IVF professional. She has been additionally acclaimed for her transparent, ethical and professional scientific technique. Currently, she is working at Jaypee Hospital & Milan Fertility Centre as IVF Consultant.

Services: Laparoscopy, ICSI, Sexual Dysfunction, Recurrent Miscarriages, Hysteroscopy, Male Infertility

Consultation Fee: Rs. 600

Location: Jaypee Hospital, Gautam Budh Nagar, Noida - Explore more Gynecologists in Noida Sector 19, Noida.

Rating : 3.2 / 5

If you have any doubt about the Top Gynecologist in India. You Can confirm with us.

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Hysteroscopic Septal Resection

Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat certain gynaecological conditions. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus.

WHAT IS A UTERINE SEPTUM?

A uterine septum is a form of a congenital malformation where the uterine cavity is partitioned by a longitudinal septum; the outside of the uterus has a normal typical shape. The wedge-like partition may involve only the superior part of the cavity resulting in an incomplete septum or a subseptate uterus, or less frequently the total length of the cavity (complete septum) and the cervix resulting in a double cervix. The septation may also continue caudally into the vagina resulting in a double vagina.

WHAT COULD BE THE SYMPTOMS?

The condition may/maynot result in infertility,thus normal pregnancies may occur.[2] However, it is associated with a higher risk for miscarriage , premature birth and malpresentation.

The condition is also associated with abnormalities of the renal system. Further, skeletal abnormalities have been linked to the condition

HOW IS IT DIAGNOSED?

A pelvic examination may reveal a double vagina or double cervix that should be further investigated and may lead to the discovery of a uterine septum. In most patients, however, the pelvic examination is normal. Investigations are usually prompted on the basis of reproductive problems.

Helpful techniques to investigate a septum are transvaginal ultrasonography and sonohysterography, MRI, and hysteroscopy. LAPAROSCOPY AIDS TO THE DIAGNOSIS More recently 3-D ultrasonography has been advocated as an excellent non-invasive method to delineate the condition.[4] Prior to modern imaging hysterosalpingography was used to help diagnose the uterine septum, HOWEVER hysteroscopy remains the gold standard.

WHY IS hysteroscopy PERFORMED?

Common reasons for undergoing a hysteroscopy include the assessment of heavy periods, abnormal vaginal bleeding, post-menopausal bleeding, fibroids, polyps, or as part of the assessment of fertility. ombined with a curettage, which samples the lining of the uterus,OR TO diagnose or treat a uterine septum

Why is hysteroscopic septal resection done?

Hysteroscopic septum resection is accompanied by a significant improvement in the reproductive performance of the patients. There is no adverse effect in the achievement of pregnancy in women with a history of recurrent abortions. Septate uterus does not seem to be an infertility factor, although it may contribute to the delayed natural conception of patients with secondary infertility. Patients with septate uterus and infertility should be treated mainly for the improvement of their reproductive performance.

HOW IS IT TREATED?

Hysteroscopic removal of a uterine septum is generally the preferred method, as the intervention is relatively minor and safe in experienced hands.

What should I expect after the procedure?

You will stay in the recovery room within the operation theatre after the operation while you wake up from your anaesthetic.

You will then be transferred in your bed to the Day Procedure Unit.

You will be given pain relief as needed.

You should be eating and drinking normally, and be mobilising.

What are the after care tips?

You should be able to return to work the following day, but may require more time off work depending on the procedure performed.

You may continue to have spotting lightly for 3-4 days after the procedure.

It is important for you to shower rather than bath.

It is important for you to use sanitary pads and not tampons.

What to avoid ?

Intercourse, taking a bath, using tampons and swimming for two weeks.

When to contact the doctor?

a fever or are feeling unwell

offensive vaginal discharge or heavy bleeding

nausea and vomiting which does not settle

unable to empty your bladder or bowel

severe pain.

HOW COMMON IS SEPTUM?

in about 15% of patients with recurrent pregnancy loss anatomical problems are thought to be causative with the septate uterus as the most common finding.

HOW DOES IT CAUSE PROBLEM ?

One often undetected cause of female infertility and recurrent miscarriage is a uterine septum. This uterine abnormality, present from birth, essentially divides the uterus in half, hindering a woman's chances for successful implantation of an embryo and carrying a baby to term.

HOW FAR IS IT SUCCESSFUL IN ACHIEVING PREGNANCY?

One often undetected cause of female infertility and recurrent miscarriage is a uterine septum. This uterine abnormality, present from birth, essentially divides the uterus in half, hindering a woman's chances for successful implantation of an embryo and carrying a baby to term.

What can I expect after the procedure?-spotting/abdominal cramps?Will I have to stay in the hospital overnight?

There is a high success rate for improving pregnancy chances after uterine septum surgery 75-80%.

Hysteroscopic surgery is relatively painless and recovery time is short.

Successful uterine septum surgery WIDENS UPTO top of the uterus to restore a normal shape and function.

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[altiushospital]

Scarless Surgery in Bangalore

For all intents and purposes Scarless Surgery - The most developed methodology for Single-Site medical procedure

Altius Hospital has taken the negligibly obtrusive medical procedure to the following dimension. Our Hospital is eminent as the Third Operation Theater in the nation and to have OR1 framework first in Karnataka. robot to expel the gallbladder with one small cut inside the umbilicus (navel), leaving patients practically free of scars. The primary Single-Site mechanical gynecological system in the Bangalore arrive region was performed at Altius Hospital.

Today, exceptionally prepared doctors perform many Single-Site mechanical medical procedures consistently, including gallbladder expulsion (cholecystectomies) and considerate ovarian methods and hysterectomies. Contrasted with a regular medical procedure, the potential advantages of Single-Site systems include:

Less perceptible or undetectable scars

Possibly shorter doctor's facility remain

Quicker recuperation

Frequently less torment

Customarily, specialists make three to five cuts for a laparoscopic medical procedure, yet with them, in fact, propelled Single-Site approach, just a one-inch cut inside the umbilicus is vital. The progressed mechanical innovation and specific instruments give specialists a more noteworthy dimension of accuracy and predominant representation.

Like other automated systems performed at Altius, the specialist sits easily at support amid the technique, seeing 3-D, top-notch pictures of the patient's life systems. The specialist utilizes controls underneath the watcher to move the instrument arms and camera. Progressively, the framework interprets the specialist's hand, wrist and finger developments into incredibly exact developments of the scaled down instruments inside the patient. It likewise recognizes and sifts through any tremors in the specialist's hand developments for a considerably progressively exact strategy.

For More information Contact Us:

Phone: 8023151873

      9900031842

Fax:   8023116750

Email: altiushospital@yahoo.com

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Related Information: Gynecologist in Bangalore | Uterus Removal Surgery in Bangalore | Gynaecology Hospitals in Bangalore | Fibroid Uterus Removal in Bangalore | IVF Treatment Centre in Bangalore | Laparoscopic Treatment in Bangalore.

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Laparoscopic Cervical Encerclage

Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester.

Cervical incompetence occurs in 0.5% to 1% of all pregnancies and has a recurrence risk of 30%. Patients typically present with cervical dilatation in the absence of uterine activity after first trimester usually.

Cervical cerclage can be placed via trans vaginal, open -trans abdominal, or laparoscopic trans abdominal approach, preferably before pregnancy.

A laparoscopic approach is superior to the trans abdominal approach in terms of surgical outcomes, cost, and postoperative morbidity.

A laparoscopic approach to cervical cerclage placement is a potentially effective adjunct to the treatment of women at high risk of recurrent preterm birth.

Laparoscopic and trans abdominal approaches both yield similar obstetric outcomes, and laparoscopic cerclage may be a superior method in terms of surgical outcomes, as suggested by several studies.

Laparoscopic surgical techniques have now increasingly replaced traditional abdominal approaches to gynecologic surgery.

Laparoscopic cervical cerclage is a minimally invasive, extremely safe , cosmetically better pain and bleeding is lesser, intra abdominal adhesion are less, patient feels better postoperative effective procedure in properly selected patients and should replace the traditional laparotomy technique.

When To Time Procedure?

LAPAROSCOPIC cerclage placement can be performed prior to conception or in early pregnancy. Preconception placement provides optimum exposure and reduces risks of excessive bleeding and injury to the pregnancy.

Is It better than a vaginal Approach?

DEFINITELY. Time and again laparoscopy is the best method in treatment of various disease states in this modern medicine.

When the stitch has to be removed?

The cerclage remains inside till delivery. It is released during the caesarean section in the operation theater.

What Are The Risks Of Having A Cerclage Placed?

The likelihood of risks occurring is very minimal, and most health professionals feel a cerclage is a life-saving procedure that outweighs the possible risks involved.

What anesthesia is given?

its general anesthesia preferably.

What will be the recovery period?

Generally 2-3 days as with all the Laparoscopy procedures depending on your ability to recover.

Who are the candidates for laparoscopic cerclage?

Previous failed vaginal cerclage with scarring or lacerations rendering vaginal cerclage technically very difficult or impossible.

Absent or very hypo-plastic cervix with history of pregnancy loss fitting classical description of cervical insufficiency.

Which trimester it has to be planned?

The procedure is planned at the end of the first trimester or the early second trimester, after fetal viability has been documented and initial ultrasound evaluation of the pregnancy and preliminary blood tests have ruled out any major congenital malformation.

When not to have a cerclage?

Active labor.

Active vaginal bleeding.

Abruptio placenta.

Premature rupture of membranes.

Chorioamnionitis.

Prolapsed membranes.

Vaginal spotting.

What about postoperative care?

Elective cerclage is typically an ambulatory procedure. The patient is discharged after recovery from the anesthetic and when she is able to ambulate and void.

how to follow up?

Frequent visits as informed by your doctor report immediately in case of pain or spotting or bleeding or leaking.

What is the success rate?

Cervical cerclage helps prevent miscarriage or premature labor caused by cervical incompetence. The procedure is successful in 85% to 90% of cases. Cervical cerclage appears to be effective when true cervical incompetence exists

Why Doesn't Every Woman Who Has Had A Preterm Baby Need A Cerclage?

Only women with an abnormal or "incompetent" cervix can be helped by a cerclage. However, even with the help of a cerclage, other problems can cause labor to begin too early.

What About Future Pregnancies?

Most women who need a cerclage in one pregnancy will need to have a cerclage placed in future pregnancies.

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Telephone: +91 8023151873 | +91 9900031842

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Email: altiushospital@yahoo.com | endoram2006@yahoo.in

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Vaginoplasty in Bangalore

Altius Hospital is one of the India’s best leading centres with Gynaec Laparoscopic surgery, Infertility & Urogynaecology treatments. It is a 50 Bedded Hospital with High Tech State of the art speciality centre. Our Hospital is renowned as the Third Operation Theatre in the country and to have OR1 system first in Karnataka.

Vaginal Discharge

Vaginal discharge is most often a normal and regular occurrence. However, there are certain types of discharge that can indicate an infection. Abnormal discharge may be yellow or green, chunky in consistency, or have a foul odor.

Vaginal discharge serves an important housekeeping function in the female reproductive system. Fluid made by glands inside the vagina and cervix carries away dead cells and bacteria. This keeps the vagina clean and helps prevent infection.

What is Normal?

Women develop PID when certain bacteria, such as chlamydia or gonorrhea, move upward from a woman's vagina or cervix into her reproductive organs. PID is a serious complication of some sexually transmitted diseases (STDs), especially chlamydia and gonorrhea.

Most of the time, vaginal discharge is perfectly normal. The amount can vary, as can odor and hue (its color can range from clear to a milky whitish), depending on the time in your menstrual cycle.

For example, there will be more discharge if you are ovulating, breastfeeding, or are sexually aroused. The smell may be different if you are pregnant or you haven't been diligent about your personal hygiene.

When is It Abnormal

if the color, smell, or consistency seems significantly unusual, especially if it accompanied by vaginal itching or burning, you could be noticing an infection or other condition.

What should I do if I have abnormal vaginal discharge?

Vaginal discharge is perfectly normal but if your discharge looks unusual and you experience other symptoms such as itching and swelling of the vagina, fever, fatigue, pain in the abdomen, unexplained weight loss, or increased urination, you should consult your doctor.

What does a lot of vaginal discharge mean?

In the majority of cases, excessive vaginal discharge is merely the body's reaction to certain physiological changes.

The amount of discharge varies during your menstrual cycle.

It's normal for vaginal discharge to increase with ovulation, breastfeeding, exercise, sexual arousal, the use birth control pills and emotional stress.

A lot of discharge is often observed in early pregnancy. Although in most cases excessive discharge is normal, sometimes it can indicate serious problems such as a vaginal infection or a cervical or vaginal tumor.

Some of the surgeries performed here are:

Vaginal hysterectomy for non-descent upto 24 weeks size

Vaginal hysterectomy for uterine prolapse, cystocele, enterocele, rectocele

Vaginal repair of vault prolapse

Vaginal sacrospinous colpopexy

Fistula repairs

Pelvic floor repair with mesh- APOGEE/PERIGEE, ANTERIOR PROLIFT, POSTERIOR    PROLIFT, ELEVATE

Vaginal surgery for stress urinary incontinence (leaking of urine during coughing,    sneezing, etc) using, tapes -TVT, TOT, TVT-O, MINISLING, OPHIRA etc

Vaginoplasty

Hymenectomy

Sex reversal surgery

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

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Surrogacy Treatment in Bangalore

What is Surrogacy?

According to artificial Reproductive Technique guidelines, Surrogacy is an arrangement in which a woman agrees to a pregnancy, achieved through assisted reproductive technology in which neither of the gametes belong to her or her husband with the intention of carrying it to term and handling over the child to the person or persons for whom she is acting as surrogate and surrogate mother is a woman who agrees to have an embryo generated from the sperm of a man who is not her husband and the oocyte of another woman implanted in her to carry the pregnancy to full term and deliver the child to its biological parents.

Who can be a Surrogate Mother?

Has given birth to and be raising that child This is the number one requirement to become a surrogate mother with Surrogate Alternatives as well as all IVF clinics. The reason is that once a woman gives birth, it shows she is able to become pregnant and establishes fertility. The IVF clinic will also require OB records from the surrogate, so the IVF physician can review them to make sure the surrogate had an uneventful and uncomplicated pregnancy. The reason Surrogate Alternatives likes to know you are raising your child, is that it shows stability as not only a mother and but also in life.

Has a Healthy Lifestyle

This is very important to all parties involved. Our surrogate mothers must live a healthy lifestyle to be given the trust to take care of someone else’s child. Intended parents basically want to make sure their surrogate mother is taking care of the pregnancy like they would if it was their own child they were carrying. We all know as mothers, that it’s important to eat healthy and exercise while we are pregnant to avoid possible complications. This also ensures that the baby has a great start to life.

Be Financially Stable

It’s very important to Surrogate Alternatives that our surrogate mothers are financially stable and not collecting government assistance. The reason that this matter’s to us it that we have to make sure they are becoming a surrogate mother for the right reasons and just not solely on the funds they will receive. Women who sign up to become surrogates understand that it takes sacrifice and time to be a surrogate mother. It’s also a great thing to receive the extra funds for your future, whether used to go back to school or save for a down payment on a first home.

Responsible Lifestyle

Surrogate Alternatives feels that the two above requirements fit into this category. We feel a surrogate mother must live a stable lifestyle in order to qualify to become a surrogate mother. This means no drugs of any kind, whether it is street or prescription pills without your OB’s consent. The child is the most important part of the surrogacy process and ensuring the babies health and wellbeing is expected.

Be a Non-Smoker

This is a very important requirement when you sign up to become a surrogate mother. Smoking during pregnancy can cause a stillbirth, premature delivery, and low birth weight. It will also cut the oxygen off to the baby by narrowing blood vessels throughout your body, including the ones in the umbilical cord. So you see why we do not accept smokers into our program.

BMI under 32

IVF clinics have become very strict in regards to the body mass index (BMI) a surrogate mother must be, in order to become a surrogate mother. The reason for this is, if you are over the normal BMI you are at a greater risk of developing diabetes, which can be a risk not only to you but also, to the pregnancy.

No history of mental illness

To be a surrogate mother you have to be able to schedule appointments, remember to attend them and take the proper medication when the time comes. You have to also be able to read and understand the legal contract you will be entering into with the couple you help. Being a surrogate mother requires you to relinquish your rights to the baby once you deliver, as you are only the carrier and not the biological or legal parent. We have to be sure you are stable enough to be able to do that.

Your age is between 21-38

During our 15 years of experience in operating a surrogacy and egg donation agency, we feel that our surrogates need to be at least 21 years of age to be a surrogate; this is also an IVF clinic requirement. We accept surrogate mothers up to the age of 38, since of course it’s the egg donors or intended mothers who provide their eggs, and not the surrogate mother.

The surrogate must agree to psychological & drug screenings

This is one of the standard requirements of our program and the IVF clinic. The IVF clinic not only requires it, but it is important as you are carrying someone else’s child and must make sure you are healthy. The intended parents must put their trust in you, a complete stranger and this only helps them through this emotional process.

IUD’s will have to be removed

If you have an IUD for birth control, you will have to schedule an appointment with your OB or primary care doctor to have it removed. You cannot proceed with an IVF cycle if you have an IUD, as the IVF doctor will need to look at your uterus to make sure there is no scarring or fibroids and he cannot do this with an IUD in place. You cannot have an IUD in you while attempting an embryo transfer.

Tubal ligation is OK

It’s ok if you have had your tubes tied. As a surrogate mother, your eggs will not be used, only your uterus as the carrier.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

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Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

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Intra-Cytoplasmic Sperm Injection

What is intra-cytoplasmic sperm injection and how does it work ?

Used with IVF and eggs of good quality, ICSI often is a successful treatment for men with impaired or no sperm. IVF ICSI has revolutionized the treatment of male infertility allowing fertilization to occur even if only a few sperms are available. First developed by reproductive medical specialists in Belgium, ICSI is a specialized form of micro-insemination to help couples overcome male infertility problems. ICSI has become so successful that most treatments previously used for male infertility have been abandoned in its favour.

ICSI is often recommended if:

The male partner has a very low sperm count.

Other problems with the sperm have been identified, such as poor morphology (abnormally shaped) and/or poor motility (poor swimmers).

At previous attempts at in vitro fertilization (IVF) there was either failure of fertilization or an unexpectedly low fertilization rate.

The male partner has had a vasectomy and sperms have been collected from the testicles or epididymis (sperm reservoir).

Other situations where the sperm count is zero and donor insemination is not wanted.

The male partner does not ejaculate any sperm but sperm have been collected from the testicles.

The male partner has had problems obtaining an erection and ejaculating. This includes men with spinal cord injuries, diabetes and other disorders.

How does ICSI work?

The procedure for ICSI is similar to that for IVF(see IVF patient information leaflet), but instead of fertilization taking place in a dish, the embryologist selects sperm from the sample and a single sperm is injected directly into each egg. After two to three days in the laboratory, those that are fertilized are transferred to your womb in the same way as for conventional IVF.

The major development of ICSI means that as long as some sperm can be obtained (even in very low numbers), fertilization is possible.

This procedure requires highly developed skills. Because only one sperm is needed per egg, even very small number of sperms can work. This becomes especially important in males with azoospermia (the complete lack of sperm present in the ejaculate). In such cases, we can offer a procedure called testicular sperm extraction (TESE), where our doctor extracts a small piece of testicular tissue that may contain sperm cells that can be used for ICSI. In a very high percentage of cases, azoospermic males can achieve fatherhood.

Difference between IVF and ICSI ?

During routine IVF, eggs and sperm are combined and incubated together in order to achieve fertilization. ICSI is performed by the embryologist, who surgically inserts one sperm into each egg. This is done by perforating the membrane of the egg with a glass pipette, which contains the sperm.

Success rates for ICSI:

Fertilization rates for ICSI: Most IVF programs see that about 70-85% of eggs injected using ICSI become fertilized. We call this the fertilization rate, which is different from the pregnancy success rate.

Pregnancy success rates for in vitro fertilization procedures with ICSI have been shown in some studies to be higher than for IVF without ICSI. This is because in many of the cases needing ICSI the female is relatively young and fertile (good egg quantity and quality) as compared to some of the women having IVF for other reasons.

What are the advantages of ICSI?

ICSI may give you and your partner a chance of conceiving your genetic child when other fertility treatments options are unlikely to do so.

If your partner is unable to ejaculate on the day of egg collection for standard IVF, sperm can instead be extracted for ICSI.

ICSI can also be used to help some couples with unexplained infertility. In this case however, your doctor is likely to initially recommend standard IVF, as ICSI and IVF pregnancy rates are very similar and IVF is a less complex treatment.

ICSI doesn't appear to have any effect on your child’s mental or physical development.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

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Tubal Pregnancy Treatment in Bangalore

What is Tubal pregnancy?

Tubal pregnancy also called ectopic pregnancy is a complication of pregnancy in which embryo attaches outside the uterus in the fallopian tube.

How is it diagnosed?

Signs and symptoms of tubal pregnancy include abdominal pain, vaginal bleeding, absence of menses. Detection of tubal pregnancy is typically by blood tests for Human Chorionic Gonadotropin(Beta- hCG) and ultrasound. This may require testing more than one occasion. Trans vaginal USG is best to get the clue of tubal pregnancy.

Does it need admission?

Tubal pregnancy can show spectra of presentations depending on which patient needs admission. Patient with ruptured ectopic pregnancy can present with abdominal distention, tenderness, peritonitis and hypovolemic shock & will need immediate admission and surgery to stop the bleeding. Patient who is stable, with unruptured ectopic pregnancy can be monitored and if tubal gestational size < 3.5 cm with absent foetal heart beat, with serum beta hcg < 5000 IU/L , with normal Liver function tests can be treated with injectable methotrexate under supervision on an outpatient basis.

Can it be treated with medicines?

Yes early treatment of ectopic pregnancy in haemodynamically stable patient is a viable alternative to surgical treatment. If tubal pregnancy gestational sac is unruptured, < 3.5 cm in size without heart beat, I/M Methotrexate can be given , dose adjusted according to body surface area of patient under supervision. Beta hCG is serially monitored for its fall for successful treatment of tubal pregnancy. Patient should be compliant for regular follow ups average upto 35 days.

What is surgery for Tubal pregnancy?

If the tube is ruptured or mass> 3.5 cm, then that tube is removed- called Salpingectomy. If the mass is unruptured, then the affected tube is incised and pregnancy only is removed . This procedure is called salpingostomy. The tube is left open without suturing and heals by itself by secondary intent. It can be done laparoscopically.

What are the chances of pregnancy after removing the tube?

Though statis tically removing one fallopian tube reduces chances of conceiving by 50 %, if the woman’s other fallopian tube is healthy & functioning normally, then a woman should be able to get pregnant fairly easily.

What about recurrence of tubal regnancy after it occurred once?

The recurrent ectopic rate is about 10-12 %. The subsequent delivery rate after ectopic is 55%.After 2 or more ectopics and conservative surgery, subsequent delivery rate is about 25%.

If both tubes are removed, How do I get pregnant?

Invitro fertilisation is the way of getting a patient pregnant if she has had tubal pregnancy in past. Ovum and sperm are fused outside the body, embryo is formed and introduced directly into the uterine cavity and fallopian tubes here are not needed for conception. It has very low risk of ectopic.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

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Laparoscopic Tubal Ligation Treatment

Sterilization is any of a number of medical techniques that intentionally leave a person unable to reproduce.

It is a method of birth control.. Sterilization methods include both surgical and non-surgical, and exist for both males and females.

Sterilization procedures are intended to be permanent.

What is sterilization by laparoscopy?

Sterilization by laparoscopy is a common procedure used to perform tubal ligation in women. Tubal ligation is a method of sterilization that involves obstruction of the Fallopian tubes. Laparoscopy enables the surgeon to complete tubal ligation by making a small incision near the navel. This smaller incision reduces recovery time after surgery and the risk of complications. In most cases, the woman can leave the hospital within hours after laparoscopy.

WHEN TO CHOOSE STERILIZATION?

A woman should carefully weigh her decision to undergo sterilization .Though this procedure has been successfully reversed in some women, in almost all cases it causes a permanent loss of fertility.

Women who are unsure if they still want children should choose a less permanent form of contraception, such as birth control pills, an intrauterine device (IUD), or a barrier method (such as a diaphragm). Discuss these alternatives with your physician.

Your partner may also consider having a vasectomy, a method of male sterilization that involves severing and tying the vase deferens, a tube that transports sperm.

LAPAROSCOPIC STERILIZATION

sterilization by laparoscopy provides a safe and convenient form of contraception. Once completed, no further steps are needed to prevent pregnancy. Tubal ligation also does not change a woman's menstrual cycle or cause menopause.

UNDER general anesthesia ,A small incision is then made near the navel. A laparoscope, a thin viewing tube about the width of a pencil, is passed through this incision and the abdomen is inflated to make the organs easier to view.

A special device for grasping the Fallopian tubes is inserted through a second, small incision The Fallopian tubes are sealed with a band or clip that is placed over the tubes.

After surgery, patients stay in a recovery room and are observed for any possible complications. Patients are discharged generally same day, after they receive instructions for home recovery. Patients are asked for a follow-up appointment within-10 days.

Recovery-Bandage can be removed the morning after the surgery. Steri-strips, which resemble tape, can be removed 2 to 3 days after surgery.

Patients can return to normal work 1 day after surgery.

Vaginal bleeding and menstruation

Vaginal bleeding/spotting up to 2-3 weeks after surgery is normal. Many women do not have their next normal menstrual cycle for 4 to 6 weeks after surgery. When your normal cycle returns, you may notice heavier bleeding and more discomfort than usual for the first two to three cycles.

Sexual activity

You can resume sexual activity 3 week after surgery.

Is tubal sterilization reversal?

Reversal of the procedure is done in our center by laparoscopic tubal recanalisation.

Laparoscopic technique .- of tubal reacanalization minimizes injury to delicate tissue in and around fallopian tubes and helps to ensure clear passage within the tubes for the sperm and the ovum.

This improved surgical technique has resulted in live births in 70-80% . The overall success in terms of intrauterine pregnancy after reversal of sterilization by microsurgery is about 60-80%

Laparoscopic technique for reversal of sterilization can provide better results than conventional surgery.

Although micro surgical reversal achieved 100% potency rate in our patients, certain factors, like duration of sterilization, technique of sterilization, and the length of the tube remaining after reversal, played a crucial role in deciding the pregnancy rate. Besides the magnification and atraumatic technique, tubal length > 4cm and time interval between sterilization and reversal of < 5 years resulted in better pregnancy rate.

Although the micro surgical technique has its own limitations, its proper application has brought a ray of hope to women seeking sterilization reversal like wishing to be pregnant after death of a child,or women opting for childbirth from second marriage.

What to be considered for women with failed tubal re canalization?

Women with severe Fallopian tube disease who are not good candidates for tubal re canalization may consider IVF and embryo transfer as an alternative

Am I too old to undergo a tubal reversal?

it is important to understand that age is an important factor in predicting success following a tubal reversal procedure. Highest success is achieved when a tubal reversal is performed in women who are under the age of 40.

However, many women over the age of 40 have excellent ovarian reserve (strong functioning ovaries) and can be quite successful in achieving pregnancy following a tubal reversal.

Various tests can be performed to determine a woman's ovarian reserve prior to undergoing a tubal reversal. If it is determined that a woman's ovarian reserve is reduced, alternatives to tubal reversal, such as in vitro fertilization (IVF) can be offered.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Hysteroscopic Surgeries in Bangalore | Urogynaecology Treatments in Bangalore

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Cervical Encerclage Treatment in Bangalore

What is cervical cerclage?

Cervical cerclage, also known as a cervical stitch, is a treatment for cervical incompetence or insufficiency, when the cervix starts to shorten and open too early during a pregnancy causing either a late miscarriage or preterm birth.

When is it done?

Usually the treatment is done in the second trimester (12-14 weeks) of pregnancy, for a woman who had either one or more late miscarriages in the past. It can be planned prior to pregnancy when it is done abdominally and laparoscopically.

Who needs a cervical circlage?

A doctor might recommend a cerclage be performed if a woman has one or more of the following risk factors:

a previous preterm delivery

previous trauma or surgery to the cervix

H/O early rupture of membranes ("breaking water")

hormonal influences

abnormalities of the uterus or cervix

In women with a prior spontaneous preterm birth and who are pregnant with one baby, and have shortening of the cervical length less than 25 mm, a cerclage prevents a preterm birth and reduces death and illness in the baby.

What are various methods of it?

Types: There are three types of cerclage

Mc Donald’s circlage is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. This cerclage is usually placed between 16 weeks and 18 weeks of pregnancy. The stitch is generally removed around the 37th week of gestation

A Shirodkar cerclage is very similar, but the sutures pass through the walls of the cervix so they're not exposed. The Shirodkar procedure sometimes involves a permanent stitch around the cervix which will not be removed and therefore a Caesarean section will be necessary to delivera an abdominal cerclage, the least common type, is permanent and involves placing a band at the very top and outside of the cervix, inside the abdomen. This is usually only done if the cervix is too short to attempt a standard cerclage, or if a vaginal cerclage has failed or is not possible. A c-section is required for women giving birth with a TAC. A transabdominal cerclage can also be placed pre-pregnancy if a patient has been diagnosed with an incompetent cervix.

What are the preparations made before cerclage?

Before the procedure may be performed, there are a number of preparatory steps that must be taken. A complete medical history will be taken. A cervical exam will be necessary to assess the state of the cervix; usually a transvaginal (through the vagina) ultrasound will be performed. No food or drink will be allowed after midnight before the day of surgery to avoid nausea and vomiting during and after the procedure. The patient will also be instructed to avoid sexual intercourse, tampons, and douches for 24 hours before the procedure. Before the procedure is performed, an intravenous (IV) catheter will be placed in order to administrate fluids and medications.

Lap circlage- how is it done?

The procedure is performed under anesthesia through a laparoscopic ports. The peritoneum overlying the bladder and uterus is divided, and the bladder is pushed caudally. The uterine vessels are identified and displaced laterally, and a suture is then placed around the cervix at the levelof the internal os. The suture is tied posteriorly; this is to allow removal of the suture by posterior colpotomy if necessary. Some surgeons tie the suture anteriorly. The uterine vessels have to be dissected from the cervix to allow insertion of the suture medially. The technique is more demanding than that by the vaginal approach, and might lead to excessive bleeding from the uterine vessels. Transillumination of the uterine vessels and their branches with a laparoscope, and placing the suture through the avascular area of the paracervical tissue medial to the vessels, have been proposed. Most cases of abdominal cerclage have been performed during pregnancy, usually after 10 weeks of gestation. Abdominal cerclage by laparotomy and by laparoscopy have been performed in the pregnant and non-pregnant states. Compaired to open method Lap has faster recovery.

What is aftercare for circlage?

After Care INSTRUCTIONS:

Medicines:

Take your medicine as directed:

Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your primary healthcare provider. Do not stop taking your medicine unless directed by your primary healthcare provider. Pain medicine: You may need medicine to decrease pain.

Constipation: Do not try to push the bowel movement out if it is too hard. High-fiber foods, extra liquids, and regular exercise can help you prevent constipation. Examples of high-fiber foods are fruit and bran. Regular exercise helps your digestive system work. You may also be told to take over-the-counter fiber and stool softener medicines. Take these items as directed.

Rest: You may need to rest in bed while lying on your left side most of the time. Avoid heavy work to prevent premature labor or delivery.

Vaginal or wound care: When you are allowed to bathe or shower, carefully wash without wetting abdominal cuts. Afterwards, put on clean sanitary pad. Change your bandages or pad any time it gets wet or dirty. Avoid placing anything inside your vagina, such as a douche or tampon. Ask your caregivers for more information about vaginal and wound care.

CONTACT A CAREGIVER IF:

You have a fever.

You have chills, a cough, or feel weak and achy.

You have nausea (upset stomach) or vomiting (throwing up).

Your bandage becomes soaked with blood.

Your skin is itchy, swollen, or has a rash.

You have questions or concerns about your surgery, condition, or care.

SEEK CARE IMMEDIATELY IF:

You feel something is bulging out into your vagina.

You have clear fluid coming from your vagina.

You have lower abdominal or back pain that comes and goes like labour pains.

You have pus or a foul-smelling odour coming from your vagina.

You have regular contractions.

You have trouble passing urine.

You have vaginal bleeding.

What are the results of circlage?

The success rate for cervical cerclage is approximately 80-90% for elective cerclages, and 40-60% for emergency cerclages. A cerclage is considered successful if labor and delivery is delayed to at least 37 weeks.

What is Rescue cerclage?

In cases with advanced cervical dilatation and bulging membranes, it has been referred to as (heroic cerclage) or rescue cerclage due to its poor success rate Cervical cerclage in advanced cervical dilatation with bulging membranes in the second trimester is controversial. The outcome of these pregnancies is usually poor, but without a cerclage the loss of pregnancy is inevitable. The outcome can be improved if initially a uterine contraction suppressant is used and vaginal infection can be treated. These patients need a lot of counseling and be made aware of the risk of losing the pregnancy. Prolonging pregnancy to reach just viable gestations may also increase overall morbidity. It has been suggested that infection is likely to play a part in many cases of miscarriage in the second trimester and therefore screening for infection before insertion of the suture may predict prognosis. However, in women with bulging membranes, delay in the insertion of the suture is likely to increase the risk of infection, due to the increased exposure of the fetal membranes to vaginal bacteria Reported survival rates following emergency cerclage vary from 12.5% to 63% in women with cervical dilatation of >3cm.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

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Laproscopic Ovarian Drilling Treatment in Bangalore

If you have been diagnosed with polycystic ovary syndrome (PCOS),you are probably no stranger to fertility problems. You may have tried to lose weight or take different fertility drugs to help you conceive. But if these PCOS fertility treatments did not work for you, you may wonder if there is another option. Ovarian drilling could be your answer.

Ovarian drilling for PCOS treatment:

Polycystic ovary syndrome can cause your body to produce too much testosterone and insulin, leading to fertility problems. High testosterone levels can cause irregular menstrual cycles, prevent ovulation and hinder pregnancy. PCOS treatments, including ovarian drilling, could help you conceive by regulating your hormone levels and improving your ovulation and menstrual cycles. Laproscopic ovarian drilling may also increase ovarian blood flow, allowing a high delivery of gonadotrophins and post-surgical local growth factors. There is also an improvement of insulin sensitivity after ovarian drilling which helps in ovulation.

Laparoscopic ovarian drilling may improve the effectiveness of other ovulation induction treatments. The oral drug, clomiphene citrate , is the first-line treatment for PCOS, yet, one fifth of women are resistant to the drug and fail to ovulate. In such cases, laproscopic ovarian dirlling may prove to be an effective alternative.

How does ovarian drilling work?

It may sound scary, but “ovarian drilling” is relatively simple and minimally invasive. Ovarian drilling is a laparoscopic procedure performed under general anesthesia. The surgery is typically done on an outpatient basis with minimal recovery time. Here is how ovarian drilling works:

Your surgeon makes a small incision below your belly button. Because the incisions are so small, laparoscopy is often called "Band-Aid surgery."

He or she inserts a tube into your abdomen, filling itwith carbon dioxide. This inflates your abdomen and prevents damage to your internal organs.

A thin telescope with a camera attached is inserted into your abdomen, allowing your surgeon to view your internal organs and ovaries. Guided by the camera, the surgeon inserts special tools and uses an electric current to make very small holes on your ovaries. The common technique of ovarian drilling is the use of monopolar electrocautery (diathermy) or laser with comparable results. Normally, three to eight diathermy punctures are performed in each ovary using 40 watts energy for each puncture.

Will ovarian drilling work for me?

If your periods become regular after ovarian drilling, your chances of pregnancy are good. About half of all women that go through with ovarian drilling become pregnant within one year. Even if your cycles do not become more regular after ovarian drilling, you may have better success in getting pregnant with the help of fertility drugs.

Advantages of Laproscopic

Ovarian Drilling:

Ovarian drilling has lower rates of ovarian hyperstimulation syndrome and of multi-fetal gestation. The advantages of the procedure also include its singular treatment, as opposed to several trials of ovulation inductions. Other benefits of this technique include cost-effectiveness and that it can be performed as an outpatient procedure.

Talk with your doctor to determine if you are a good candidate for ovarian drilling. By regulating your cycles for several months or more, ovarian drilling may offer you a window of opportunity to become pregnant that you did not have before.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

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3D Laparoscopic Surgery in Bangalore

Altius Hospital is one of the India’s best leading centres with Gynaec Laparoscopic surgery, Infertility & Urogynaecology treatments. It is a 50 Bedded Hospital with High Tech State of the art speciality centre. Our Hospital is renowned as the Third Operation Theatre in the country and to have OR1 system first in Karnataka.

All the equipments and monitors are suspended from the ceiling by pendent and cables, Gas connections to the equipments run through the pendent. The advantage of pendent system is saving floor space and concealing all the cables and connections. Pendent with the equipments can be moved to 360 deg throughout in operation room. With OR1’s help, the entire control of Medical Devices, Lighting, Room, Cameras and Tele-conferencing from a Central Station inside or outside with the sterile area communication BUS system (SCB) functions can be monitored continuously & smoothly.

Mission

We are committed to the achievement and maintenance of excellence in education, research and healthcare for the benefit of humanity.

To enhance lives and preserve health by enabling access to a comprehensive, fully integrated network of the highest quality and most affordable care, delivered with kindness, integrity and respect.

Facilitate communities to access quality skilled Women Health Care.

Vision

Our vision reflects our desire to provide leading practice health care in a modern, well-equiped facility and ultramodern treatment at affordable cost.

Our Values

Quality: Altius Hospital is committed to the continuous evaluation and improvement of all processes related to delivering comprehensive medical treatment and superior patient care.

Integrity: Altius Hospital will ensure that Transparency among systems and physician practices will be maintained at all times.

Excellence: Altius Hospital will strive to foster teamwork, innovation, personal responsibility and trust in every aspect.

Dignity: Altius Hospital will always uphold patient dignity, safety and respect.

What is OR1?

Operation Room1 (OR1)

OR1 is the latest system for High Tech State of Art Laproscopic surgeries.

Features of Our OR1

World class operation theatre

Stainless Steel cladding of the wall and roof for maitaining absolute sterile atmosphere

Fibre Cart Flooring

Celing Panel (pendent System)

All the equipments and monitors are suspended from the ceiling by pendent and cables. Gas connections to the equipments run through the pendent. The advantage of pendent system is to save floor space and is concealed with the cables and connections. The Pendent equipments can be moved 360 deg (throughout the operation theatre. With OR1, it is now possible to control everything from Medical Devices, Lighting, Room, Cameras and tele-conferencing from a Central Station inside or outside from the sterile area with communication BUS system (SCB) and all the function can be monitored continuously/thoroughly.

Flat Screen Technology

For Non-Flickering clear image quality and effortless ergonomically optimized positioning.

Touch Screen Control

Control of all peripheral devices and cameras from only one monitor.

OT Table

Remote controlled C-Arm compatible OT Table with sliding movements and all the tilts.

Telemedicine and Teleconferencing

Facilities for Telemedicine and Simultaneous Audio-Video conferencing with the patient relatives and referral doctor.It is the first center in South India to install 3D laparoscopic camera system. The 3 D laparoscopy system at our center is from Karl Storz, Germany (FIRST ONE IN INDIA).

Why 3D laparoscopy system?

Benefits to patients

SafetyLess complications

Cost effectiveness

One day hospital stay

Less time for surgery

Benefits to surgeons

Depth perception

Precision

Accuracy

High resolution

Incredible 3D image thus reducing surgical & anaesthesia time

Technical information

The KARL STORZ 3D system increases the benefits of 3 dimensional imaging in endoscopy, where surgeons previously had to learn to work in the 2D world. 3D provides potential for increased surgical accuracy while suturing and cutting, and more importantly, identifying and locating vital anatomical structures. These benefits could also mean improvement in safety, precision, and speed of procedures, decrease the learning curve, and provide a valuable teaching/learning tool.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

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Diagnostic Laparoscopy

DIAGNOSTIC LAPAROSCOPY

Diagnostic laparoscopy is a procedure that allows a doctor to look directly at the contents of the abdomen or pelvis. Now a days it has become a safe minimal invasive surgery in diagnosing the pathology.

How the Test is Performed

The procedure is done in the hospital or outpatient surgical center under general anesthesia (while you are asleep and pain-free).

The procedure is performed in the following way:

The surgeon makes a small cut (5 mm incision) below the belly button.

A needle or tube is inserted into the incision. Carbon dioxide gas is passed into the abdomen through the needle or tube. The gas helps in expanding the area, giving the surgeon more room to work, and helps the surgeon to see the organs more clearly.

A tube is placed through the cut in your abdomen. A tiny video camera (laparoscope) goes through this tube and is used to see the inside of your pelvis and abdomen with magnification over the screen. More small cuts may be made if other instruments are needed to get a better view of certain organs.

In female infertility cases,tubal patency is tested by injecting dye through cervix from below so the surgeon can view the flow of dye through the fallopian tubes abdominally .

After the exam, the gas, laparoscope, and instruments are removed, and the cuts are closed. You will have bandages over those areas.

How to Prepare for the Test

It is a day care procedure where patient is asked to come in the morning with over night fasting. Follow instructions of not eating and drinking before surgery. Do not change or stop taking any medicines without advise from the doctor.

How the Test will Feel

You will feel no pain during the procedure. Afterward, the incisions may be sore. Your doctor may prescribe a pain reliever.

You may also have shoulder pain for a few days. The gas used during the procedure can irritate the diaphragm, which shares some of the same nerves as the shoulder.

You will recover for a few hours at the hospital before going home. You will probably not stay overnight after a diagnostic laparoscopy.

Why the Test is performed

Diagnostic laparoscopy is often done for evaluating female infertility,tubo ovarian pathology,endometriosis,chronic pelvic pain, suspected, adnexal masses,uterine anomalies, PID, suspected ovarian malignancies etc

Normal Results

The laparoscopy is normal if there is no blood in the abdomen, no adhesions, no hernias, no intestinal obstruction, and no cancer in any visible organs. The uterus, fallopian tubes, and ovaries are of normal size, shape, and color.

What Abnormal Results Mean

Abnormal results may be due to a number of different conditions, including:

Scar tissue inside the abdomen or pelvis (adhesions).

Cells from inside the uterus grow in other areas (endometriosis, chocolate cyst of ovary).

Ovarian cysts or cancer of the ovary.

Infection of the womb, ovaries or fallopian tubes (pelvic inflammatory disease, hydrosalpingx and pyosalpingx).

Uterine fibroids.

Appendicular problems etc.

Tubal block.

Risks

As like any other surgeries this procedure too has got the risk of wound infection, perforation of viscera, internal bleeding. However complications for a diagnostic laparoscopy are extremely rare.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

[altiushospital]

Laparoscopic Gynaecologist in Bangalore

Gynecological laparoscopy is an alternative to open surgery. It uses a laparoscope to look inside your pelvic area. Open surgery often requires a large incision.

A laparoscope is a slender, lighted telescope. It allows a doctor to see inside your body. Diagnostic laparoscopy can determine whether you have conditions such as endometriosis or fibroids. It can also be a form of treatment. With miniaturized instruments, your doctor can perform a variety of surgeries. These include:

ovarian cyst removal

tubal ligation (surgical contraception)

hysterectomy

Laparoscopy generally has a shorter healing time than open surgery. It also leaves smaller scars. A gynecologist may perform this procedure.

Reasons for gynecologic laparoscopy

Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can sometimes turn into treatment.

Some reasons for diagnostic laparoscopy are:

unexplained pelvic pain

unexplained infertility

a history of pelvic infection

Conditions that might be diagnosed using laparoscopy include:

endometriosis

uterine fibroids

ovarian cysts or tumors

ectopic pregnancy

pelvic abscess, or pus

pelvic adhesions, or painful scar tissue

infertility

pelvic inflammatory disease

reproductive cancers

Some types of laparoscopic treatment include:

hysterectomy, or removal of the uterus

removal of the ovaries

removal of ovarian cysts

removal of fibroids

blocking blood flow to fibroids

endometrial tissue ablation, which is a treatment for endometriosis

adhesion removal

reversal of a contraceptive surgery called tubal ligation

Burch procedure for incontinence

vault suspension to treat a prolapsed uterus

Procedure

Laparoscopy is almost always performed under general anesthesia. This means you will be unconscious for the procedure. However, you may still be able to go home the same day.

Once you are asleep, a small tube called a catheter will be inserted. This collects your urine. Then your abdomen will be filled with carbon dioxide gas. This is done with a small needle. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury.

The surgeon will make a small cut in your navel. The laparoscope will be inserted. It transmits images to a screen. This gives your doctor a clear view of your organs.

What happens next depends on the type of procedure. For diagnosis, your doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then surgery is performed using the laparoscope as a guide.

Once the procedure is over, all instruments are removed. Incisions are closed with stitches. Then you will be bandaged and sent to recovery.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore