#minimally invasive resection of pelvic adhesions

[thangampmrc]

Role of Laparoscopy in Prolonged Abdominal Disorders

Abdominal disorders encompass a wide range of conditions that can cause discomfort, pain, and dysfunction in the abdominal region. Many of these disorders can persist over time, leading to chronic symptoms and complications. Laparoscopy, also known as minimally invasive surgery, has emerged as a valuable tool in the diagnosis and treatment of prolonged abdominal disorders.

This blog aims to explore the role of laparoscopy in managing chronic abdominal conditions, including its benefits, applications, and advancements in the field.

Prolonged Abdominal Disorders:

Prolonged abdominal disorders encompass a spectrum of conditions that affect the organs and structures within the abdominal cavity. Some common examples include:

Gastroesophageal Reflux Disease (GERD): Chronic acid reflux can lead to inflammation of the esophagus (esophagitis) and contribute to symptoms such as heartburn, regurgitation, and difficulty swallowing.

Inflammatory Bowel Disease (IBD): Conditions such as Crohn’s disease and ulcerative colitis cause chronic inflammation of the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, and rectal bleeding.

Chronic Pancreatitis: Inflammation of the pancreas can result in persistent abdominal pain, nausea, vomiting, and digestive problems.

Chronic Cholecystitis: Inflammation of the gallbladder, often due to gallstones, can cause recurrent episodes of abdominal pain, bloating, and nausea.

Endometriosis: A condition where tissue resembling the uterine lining grows outside the uterus, leading to chronic pelvic pain, painful menstruation, and infertility.

Role of Laparoscopy in Diagnosis:

Laparoscopy plays a crucial role in the diagnosis of prolonged abdominal disorders by providing direct visualization of the abdominal organs and tissues. Key aspects of laparoscopic diagnosis include:

Exploratory Laparoscopy: In cases where the cause of abdominal symptoms is unclear, exploratory laparoscopy allows surgeons to visually inspect the abdominal cavity for abnormalities, such as adhesions, tumors, or organ damage.

Biopsy: Laparoscopy enables targeted biopsies of suspicious lesions or tissues within the abdomen, allowing for accurate diagnosis of conditions such as cancer, inflammatory disorders, or infectious diseases.

Staging of Disease: For conditions such as endometriosis or cancer, laparoscopy can help determine the extent (stage) of the disease, guiding treatment decisions and prognosis.

Advancements in Laparoscopic Techniques:

Advancements in laparoscopic techniques and technology have expanded the scope of laparoscopy in managing prolonged abdominal disorders. Some notable advancements include:

Robotic-Assisted Surgery: Robotic-assisted laparoscopy, which utilizes robotic arms controlled by the surgeon, offers enhanced precision, dexterity, and visualization compared to traditional laparoscopy. This technology is particularly useful in complex procedures such as radical prostatectomy or hysterectomy.

Single-Incision Laparoscopy: Single-incision laparoscopy, also known as SILS or single-port surgery, involves performing minimally invasive procedures through a single small incision in the abdomen. This approach reduces scarring and may result in faster recovery times compared to traditional multi-port laparoscopy.

Fluorescence-Guided Surgery: Fluorescence-guided laparoscopy utilizes fluorescent dyes or contrast agents to enhance the visualization of specific tissues or structures during surgery. This technique can improve the detection of tumors, lymph nodes, or blood vessels, leading to more precise surgical resection and a reduced risk of complications.

Applications of Laparoscopy in Treatment:

Laparoscopy offers various therapeutic interventions for prolonged abdominal disorders, including:

Laparoscopic Fundoplication: For patients with GERD refractory to medical therapy, laparoscopic fundoplication can be performed to reinforce the lower esophageal sphincter and reduce reflux symptoms.

Laparoscopic Colectomy: In cases of severe ulcerative colitis or Crohn’s disease, laparoscopic colectomy may be indicated to remove diseased portions of the colon and alleviate symptoms.

Laparoscopic Cholecystectomy: Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones and chronic cholecystitis, offering faster recovery and fewer complications compared to open surgery.

Laparoscopic Pancreatectomy: Laparoscopic pancreatic surgery, including distal pancreatectomy and pancreaticoduodenectomy, may be performed for selected patients with chronic pancreatitis or pancreatic tumors, offering benefits such as reduced pain and shorter hospital stays.

Laparoscopic Excision of Endometriosis: Laparoscopic excision of endometriosis lesions can provide symptomatic relief for women with chronic pelvic pain or infertility due to endometriosis while preserving fertility whenever possible.

Benefits of Laparoscopy in prolonged Abdominal disorders:

The advantages of laparoscopy in the management of prolonged abdominal disorders are manifold:

Minimally Invasive: Laparoscopic procedures are minimally invasive, resulting in smaller incisions, less postoperative pain, reduced scarring, and faster recovery times compared to open surgery.

Enhanced Visualization: Laparoscopy provides surgeons with magnified, high-definition views of the abdominal cavity, enabling precise diagnosis and targeted interventions.

Reduced Complications: The minimally invasive nature of laparoscopy is associated with lower rates of postoperative complications, such as wound infections, bleeding, and hernias, compared to open surgery.

Shorter Hospital Stays: Patients undergoing laparoscopic procedures typically have shorter hospital stays and quicker return to normal activities, leading to improved quality of life and cost savings.

Patient Satisfaction: Laparoscopic surgery offers patients a less traumatic surgical experience, with fewer physical and emotional burdens, leading to greater overall satisfaction with their treatment.

Conclusion

Laparoscopy has revolutionized the diagnosis and treatment of prolonged abdominal disorders, offering patients safer, more effective, and less invasive surgical options. With advancements in laparoscopic techniques and technology, surgeons can provide targeted, personalized care for individuals with chronic abdominal conditions, leading to improved outcomes and enhanced quality of life. As laparoscopy continues to evolve, its role in managing prolonged abdominal disorders will undoubtedly expand, further improving the standard of care for patients worldwide.

At Thangam Hospital, with over 25 years of healthcare excellence in Kerala, we have the best Laparoscopy doctors in Palakkad will provide a precise and effective diagnosis for a variety of abdominal disorders. Our department is equipped with world-class facilities to ensure high diagnosis, treatment, and research standards in laparoscopic surgery.

To address your concerns, schedule an appointment today or call us at 0491 251 5717.

[drdigantpathak]

Expanding Horizons: A Look at Conditions Treatable with Laparoscopic Surgery

Laparoscopic surgery, often referred to as minimally invasive surgery (MIS), has revolutionized the surgical landscape. This technique utilizes small incisions and specialized tools to access internal organs, offering numerous advantages over traditional open surgery. But what are the specific conditions that can benefit from this innovative approach?

Diagnostic Prowess:

Laparoscopy surpasses its surgical role, serving as a valuable diagnostic tool. By inserting a laparoscope, a thin fiber-optic instrument, into the abdomen, laparoscopic surgeon in Jabalpur gain a magnified view of internal organs, allowing for:

Visualization of abnormalities: This includes identifying cysts, tumors, adhesions, and signs of inflammation, aiding in the diagnosis of conditions like endometriosis, appendicitis, and pelvic inflammatory disease.

Biopsy acquisition: Tissue samples can be retrieved through the laparoscope for further analysis, confirming diagnoses, and guiding treatment plans for suspected cancers.

Therapeutic Applications:

When it comes to treatment, laparoscopic surgery in Jabalpur offers a less invasive alternative to traditional open procedures for a wide range of conditions, including:

Gallbladder removal (gallbladder surgery in Jabalpur): This is one of the most common laparoscopic procedures, effectively treating gallstones and associated pain.

Appendix removal (appendectomy): For appendicitis, laparoscopic removal offers faster recovery and reduced scarring compared to open surgery.

Hernia repair(hernia surgery in Jabalpur): This minimally invasive approach effectively addresses inguinal, umbilical, and other hernias, improving patient comfort and reducing recurrence rates.

Pelvic procedures: Laparoscopy is instrumental in treating endometriosis, removing uterine fibroids, and performing hysterectomies (uterus removal).

Gastrointestinal surgery(gallbladder surgery in Jabalpur): Laparoscopic techniques are employed for procedures like fundoplication (for heartburn), and even complex surgeries like colectomy (bowel resection) for specific conditions.

Urologic procedures: Laparoscopic surgery facilitates kidney and adrenal gland removal, as well as certain prostate surgeries.

Beyond Minimizing Incisions:

The benefits of laparoscopic surgery extend beyond smaller incisions. Patients often experience faster recovery times, reduced pain, and improved cosmetic outcomes. Additionally, shorter hospital stays and quicker return to daily activities translate to lower healthcare costs.

Laparoscopic surgery has become an indispensable tool in modern medicine. Its ability to diagnose and treat a diverse range of conditions with minimal invasiveness has significantly improved patient outcomes and redefined surgical possibilities. As technology continues to advance, we can expect the scope of treatable conditions and the benefits for patients to expand even further.

[duodiyet]

Robotic Surgery for Endometriosis

Robotic Surgery for Endometriosis; For some women with endometriosis, minimally invasive surgery is the best treatment option. Both laparoscopic surgery and robotic-assisted surgery (with da Vinci technology) can be performed through small incisions in the abdomen. Robotic surgery allows surgeons to see and manipulate pelvic organs with greater accuracy. This is especially helpful for bowel endometriosis. It also helps avoid damage to important organs like the uterus.

What is robotic endometriosis surgery?

Robotic surgery is a minimally invasive approach to treating endometriosis that may be a good choice for certain patients. It is a more advanced form of “keyhole” or laparoscopy surgery that can be more precise and reduce blood loss. During robotic surgery, instruments and a video camera are inserted through small incisions. A surgeon controls the system using a console, which displays images of the pelvic organs in high resolution. When compared to traditional laparoscopic surgery, robotic surgery may allow the surgeon to perform smaller incisions with greater precision and range of motion, and provide a higher-resolution three-dimensional anatomical view. These advantages may help gynecologic surgeons perform endometriosis procedures faster, with fewer complications and less pain. Your doctor will discuss all your treatment options and decide which is right for you. If you choose to have robotic surgery, you should make sure your doctor is experienced in the procedure and has good outcomes. You should also ask about the recovery time.

Robotic Surgery for Endometriosis

Robotic excision of endometriosis

Robotic surgery is an advanced form of keyhole or laparoscopy that uses specialized instruments that are inserted through small ports (channels through the skin) and controlled remotely by a surgeon sitting at a console a few feet away from you. It offers many benefits over traditional laparoscopy, especially in cases of bowel endometriosis. It also allows for better visualization of the surgical site, which can improve precision and reduce pain. It has articulated instruments, 3D imaging, and tremor filters that give the surgeon a magnified view of the operative site. Another benefit of robotic surgery is that it provides real-time observation of vascular and microvascular flow. This allows for improved diagnosis and treatment of critical conditions, such as obese patients or extragenital endometriosis that affects the intestines, bladder, ureters, or diaphragm. This study aimed to evaluate the safety and feasibility of robotic-assisted surgery in 31 patients with high-stage pelvic endometriosis including ureteral involvement. Robotic-assisted laparoscopic excision of ureteral endometriotic nodules was feasible and allowed complete resection of ureteral nodules in all patients.

Robotic laparoscopy endometriosis

Endometriosis is a condition that causes tissue that looks and behaves like endometrial tissue to grow outside of your uterus. This is a persistent inflammatory disease that affects 10% to 15% of women of childbearing age, causing pain, irregular bleeding and the development of adhesions that look like scars. Robotic laparoscopy is a minimally invasive procedure that can be used to diagnose and remove endometrial implants. It can also be used to treat a severe form of endometriosis called deep endometriosis. It can help reduce pain and improve fertility in patients with this disease. https://youtu.be/IwqjgI4DtVs

Robotic surgery for stage 4 endometriosis

Endometriosis is a common gynaecological disease in which endometrium-like cells are implanted outside the uterus, mainly in the abdominal cavity. It causes severe pain symptoms from teenage years to menopause, deteriorating fertility and quality of life. In advanced stages of endometriosis (stage 3 and stage 4 disease), implants can penetrate into bowel, rectovaginal septum and urinary organs. In addition, they can cause adhesion formation in the abdominal cavity and pelvic region. Robotic surgery is an interesting approach for the surgical management of advanced endometriosis. Although there is limited evidence, it may provide certain patient and work-ergonomic-related benefits as well as reduce procedure-related costs compared to standard laparoscopic surgery. This study is the first to compare the perioperative outcomefors of robotic surgery for deep ureteral endometriosis with conventional laparoscopic surgery in a case series of 31 patients. Results indicate that minimally invasive treatment with robotic assistance is feasible, and that perioperative outcomes are comparable to those of conventional laparoscopic surgery. Related Article: Fibromyalgia and Endometriosis Read the full article

[askmediasolution]

Dr . Sanjay Kolte (Fellowship in Laparoscopic Surgery (New Delhi) - Diploma in Laparoscopy, ULP, Strasbourg, France •MBBS, • FCPS (General Surgery), • DNB (General Surgery), • MNAMS) Website- http://www.drsanjaykolte.in/index.html

                             Dr Sanjay kolte is Laparoscopic General Surgeon, Pune,Maharashtra India. He did his Fellowship in Laparoscopic Surgery (New Delhi) , Diploma in Laparoscopy, ULP, Strasbourg, France .

Dr. Snjay Kotlte is specialized into laparoscopic, Thoracoscopic, gastrointestinal, all types of Cancer surgery Emergency and General Surgery. The main focus is to give best service in healthcare in reasonable price is the main motto of the clinic. Dr. sanjay Kolte hospital is situated in Aundh Pune, he Provide all types of treatment in the Laparoscopic surgery of the gallbladder and biliary tree.

Malignancy surgery – (laparoscopic and radical open procedures) for cancers of the esophagus, stomach, pancreas and liver. Laparoscopic obesity surgery. Laparoscopic hernia repairs. Our main Service and treatment is write below

1       Laparoscopy - Dr.sanjay Kolte is main focus is to give right education to their patients. Its means what is laparoscopy, how its perform, pre and post care of the treatment, recovery time of the  patients after surgery , difference between open and laproscopical surgery etc and many more doubt clearing will perform first when patients come to meet us first time .

What is Laparoscopy-     Is also known  as diagnostic laparoscopy, its perform through  key hole system the recovery time in this surgery is very low patients , less pain surgery , the scare of the surgery also invisible after two to three months , there is no risk of more blood loss during surgery. The post and pre care is most important in this kind of surgery. It is often used to identify and diagnose the source of pelvic or abdominal pain. It’s usually performed when noninvasive methods are unable to help with diagnosis. The laparoscopy is operating for, ovarian cyst, infertility, Ectopic pregnancy, PID tubal abscess or adhesions and many more.

How its perform - Before this system came along, a surgeon who operated on their patient’s belly had to make a cut that was 6-to-12 inches long. That gave them enough room to see what they were doing and reach whatever they had to work on.

2)     Endoscopy -   The endoscopy is the long tube inserted into the body to observe internal organ.  A procedure using an endoscope to diagnose or treat a condition. There are several types of endoscopy. Those using natural body openings include esophagogastroduodenoscopy (EGD) which is often called upper endoscopy, gastroscopy, enteroscopy, endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography (ERCP), colonoscopy, and sigmoidoscopy. Percutaneous endoscopic gastrostomy (PEG) is a procedure that utilizes endoscopy to help placement of a tube into the stomach; a small incision in the skin is also required. Endoscopies are usually performed under sedation to assure maximal patient comfort.

3.  Hernia Treatment - Hernia can be treated well by open as well as laparoscopic way. I do all types of inguinal, incision, umbilical etc hernias by both laparoscopic and open method very effectively and successfully. I have done almost thousand such hernia repairs laparoscopically.

    4. Obesity Surgery /Treatment - Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. A crude population measure of obesity is the body mass index (BMI), a person's weight (in kilograms) divided by the square of his or her height (in meters). A person with a BMI of 30 or more is generally considered obese e. A person with a BMI equal to or more than 25 is considered overweight.

Bariatric Surgery or metabolisam surgery have verious types into this is the  some of type of the same

  http://www.drsanjaykolte.in/index.html

       Piles Treatment - Dr. Sanjay Kolte., done over 500 stapler surgeries (MIPH) for Piles. Also have treated simple and complex fistula in anon cases with very good results.

Hemorrhoids, also called piles, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed; the unqualified term "hemorrhoid" is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. If bleeding occurs it is usually darker. Symptoms frequently get better after a few days. A skin tag may remain after the healing of an external hemorrhoid.

 Thoracoscopy Treatment - Doing thoracic surgery is Dr.Sanjay Kolte’s specialty. He does all sorts of open lung resections and also oesophageal surgeries including perforation and cancer. He has done lot of thoracoscopies or VATS for diagnostic purpose, decortications, biopsies, thymectomies for tumor or myasthenia gravis, sympathectoies etc. He has received thoracoscpic training from France.Thoracoscopy is a medical procedure involving internal examination, biopsy, and/or resection of disease or masses within the pleural cavity and thoracic cavity. Thoracoscopy may be performed either under general anesthesia or under sedation with local anesthetic.

Cancer Treatment- Cancer can be treated well and even cured at times if its detected early. It’s very important to get the right treatment at right time Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal bleeding, prolonged cough, unexplained weight loss, and a change in bowel movements. While these symptoms may indicate cancer, they can also have other causes. Over 100 types of cancers affect humans.

  Diabetic Foot Treatment – One need to have a very good knowledge about the wound healing so as to make difficult wounds heal speedy .Dr. sanjay Kolte took a training in wound management to understand the basis of wound healing and he have successfully treated lot of ulcers of various etiologies and was successful in avoiding amputations at most of the occasions. For complicated wounds he use lot of options such as vacuum therapy, surgical debridement, cavity dressings etc with personal ate nation as it's a challenge to treat every such wound.

http://www.drsanjaykolte.in/index.html

Trauma Treatment -Treating trauma patients needs an alert and wise surgeon who will take right decisions at right time. Dr. Sanjay Kolte have received lot of experience in treating all sorts of trauma including road traffic accidents, fire arm injuries, sharp object injuries, fall from height etc. He has even treated few selected patients by laparoscopic technique.

Gastrointestinal & General Treatment - The Division of General and Gastrointestinal Surgery is committed to excellence in patient care. We offer advanced surgical options in the fields of gastro esophageal reflux disease, endoluminal and minimally invasive surgery, bariatric surgery, surgical endoscopy, and the treatment of malignant disease of the gastrointestinal tract.

[drnatalyadanilyants]

Pelvic Adhesions and Minimally Invasive Removal at CIGC

A pelvic adhesion is a band of scar tissue that can cause vital organs to become stuck together. Pelvic infections, prior surgery, and endometriosis are all potential causes of adhesions. Pain occurs when these adhesions are particularly thick or interfere with the operation of the organs.

In particular, adhesions may cause internal obstruction of the bowels. Serious, untreated adhesions often result in constipation, bloating, and even infertility.

Symptoms of Pelvic Adhesions

The smallest pelvic adhesion may be asymptomatic, meaning that women can suffer from them without even realizing it. However, most adhesions cause pain centered on their location in the pelvis. They can also interfere with organ function, which can cause systemic issues and infertility.

The presence of adhesions does not necessarily mean that they are the cause of pain. If a woman has suffered from endometriosis in the past, for example, a full examination must be conducted to ensure the development of uterine cysts and other complications are not to blame for pain.

Pelvic Adhesion Removal at the Center for Innovative GYN Care

CIGC founders Paul MacKoul MD and Natalya Danilyants MD have developed the advanced DualPortGYN laparoscopic technique. DualPortGYN has been successfully applied to thousands of procedures for pelvic adhesion removal, resection of endometriosis, hysterectomy etc. Women recover in 1 week, with less complications and pain, due to the minimally invasive approach.

Call 888-SURGERY or contact the Center of Innovative GYN Care online to get in touch with a CIGC specialist. To learn more about our patients’ experience, visit doctor review sites: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews | Dr. Rupen Baxi Reviews. Out-of-town patients can look into CIGC’s comprehensive travel program.

[neelkanthhospital-blog]

How laparoscopy helps in infertility

Laparoscopy refers to the technique or method by which surgical procedures access body cavities without making large cuts in the body. The method is a form of minimal access surgery which has increased in popularity in recent times for most thoracic and abdominal operations. This method is also being utilised in an increasing number of other surgical procedures and medical conditions. One such medical condition is infertility, and laparoscopy plays an essential role in different cases and conditions.

Let’s look at four cases or conditions where laparoscopy can be utilised for infertility treatment.

Lysis of Adhesions Scar tissue in the uterus can be a problem for women trying to conceive. Lysis of adhesions is a procedure in which scar tissue in the uterus or outside the uterus in the abdominal cavity is removed. This procedure is done best with minimally invasive techniques such as laparoscopic surgery or hysteroscopy. Carrying out laparoscopy helps reduce the risk of additional adhesions that will form after the resection. It will also help increase the chances of fertility in the future and prevent any more complications from uterine adhesions.

Endometriosis Treatment Endometriosis is a condition where the endometrial tissue (inner lining of uterus grows outside of the uterus. This abnormal growth can cause severe pain, heavy periods, and at times can also lead to infertility. This Extra tissue can cause scarring and swelling, creating a hostile environment for both eggs and sperm to survive. This tissue can destroy ovaries, cause adhesions tubal damage. Minimally invasive laparoscopy for infertility can help in a situation like this by cauterising, lasering, or removing the lesions caused by endometriosis.

Ovarian Cystectomy A cystectomy is a process that removes cysts from one or both of a woman’s ovaries. It is a minimally invasive laparoscopy procedure. Ovarian cysts can disturb ovulation cause mechanical compressor to tubes. A doctor may suggest removing the cysts that are growing too large. In some cases, the doctor may also suggest an ultrasound-guided needle procedure to drain the cyst. Unlike other treatments, the minimally invasive laparoscopy surgery is a much better option as it requires only a small incision, less pain, and removes cysts while keeping ovaries and surrounding muscles intact.

Myomectomy This procedure helps in the removal of fibroids from the uterus. The uterine fibroids are non-cancerous growths that form during a woman’s childbirth years. Because of the fibroids, one experiences intense pelvic pain, and irregular periods. Also, the fibroids can cause blockage in the uterus, which can cause more complications while conceiving. In such conditions, it may be difficult for an embryo to implant itself in the uterus. The procedure of myomectomy can be done with minimally invasive laparoscopy surgery for infertility. This can reduce the risk of scar tissue, heavy blood loss, and other complications with childbirth that usually occur in open surgeries.

Final Word

The above four cases are excellent examples of how minimally invasive procedures can assist in medical conditions. A laparoscopic surgery is an excellent option for women who are having issues in conceiving and want to avoid further complications from major surgeries. Visit Neelkanth Hospital for the best fertility treatment and 100% success rate. We have a vigilant and knowledgeable team of doctors happy to put a smile on your face. Fix and appointment now!

[gunjanclinic]

Major Services in the Gynecology Department -Gunjan Clinics

Gynecologist in Noida - In Gunjan Clinics we believe that preventive healthcare begins with the care of the healthy. Our Team have programmes in both gynaecology and obstetrics for prevention and early detection of disorders.

Gunjan Clinics doctor have owns rich & successful experience in women’s health. We are categories to the needs of all the age groups from adolescence to menopause and beyond.

This department is well equipped to address the gynae in noida needs of the women and offers comprehensive medical, diagnostic & surgical expertise.

Equippmented with the state of the art diagnostic equipment and operation theatres the team of gynecologists has the expertise to perform surgeries through minimal invasive & laparoscopic technique.

Our major services in the Gynecology Department include –

·        Teenage problems- hormonal imbalances, menstrual issues, vaginal discharge

·        Menstrual problems

·        Fibroid uterus

·        Prolapse uterus

·        Tubal blockade

·        Endometriosis( medical & surgical treatment)

·        Ovarian cysts

·        Pelvic adhesions

·        Infertility

·        Tumours in the uterus and ovaries

·        Minimal Invasive Hysterectomy (removal of uterus)

·        Sterilisation – laparoscipic litigation

·        Detection and treatment of cervical cancer

·        Uro Gyanecology- urinary incontinence

Laparoscopic Procedures

·        Total laparoscopic hysterectomy

·        Laparoscopic assisted vaginal hysterectomy

·        Laproscopic myomectomy

·        Laproscopic ovarian cystectomy

·        Laproscopic endometriotic cystectomy

·        Laproscopic adhesiolysis

·        Laproscopic fimbrioplasty

·        Laproscopic ectopic pregnancy treatment

·        Diagnostic laparoscopy for infertility

·        Ovarian diathermy (Laparoscopic PCOD treatment)

Hysteroscopic procedures :

·        Uterine septal resection

·        Uterine polyp removal

·        Intrauterine adhesiolysis

·        Displaced IUCD removal

·        Diagnostic hysteroscopy

What are the gynaecologist in noida services offered at Gunjan Clinics?

Gynecology services in Gunjan Clinics include gynecology consultation, gynecology surgeries, customized women’s health check, gynecology specialty clinics, cancer evaluation and last vaccinations supported by an inhouse diagnostic laboratory.

Can I undergo Laproscopic procedure at Gunjan Clinics?

Yes, there are many specialized surgeons who are ther well-skilled and trained in performing laparoscopic surgeries which requires less hospital stay.

When is Hysterectomy recommended?

Hysterectomy is recommended to treat multiple fibroids or prolapsed uterus.

What conditions can be managed through Hysterectomy?

The conditions that can be managed by performing hysterectomy includes:

·        Cervix, uterus or ovary cancer

·        Multiple uterine fibroids

·        Heavy periods

·        Endometriosis

·        Uterine prolapse

·        Adenomyosis

Can Tubectomy be reversed?

No, it is a permanent form of contraception for women which cannot be reversed.

Can PCOD lead to Hair Loss?

Yes, you may have symptoms such as weight gain, hair loss, high blood pressure, irregular periods and acne.

[altiushospital]

Hysteroscopic Tubal Cannulation

The uterine tube (fallopian tube) carries an egg from the ovary to the uterus. Unless a biological abnormality, surgery, or ectopic pregnancy caused the loss of one tube, women should have two uterine tubes in their bodies.

Fallopian tube obstruction is a major cause of female infertility. Blocked fallopian tubes are unable to let the ovum and the sperm fuse, thus making fertilization impossible.

The fallopian tubes can sometimes become blocked or even damaged due to certain conditions that a woman may suffer from. In rare cases, the blockage to the fallopian tubes may have been present since birth as a birth defect, but has gone undetected until the woman reached adulthood and tried to conceive

What are the reasons Proximal tubal occlusion?

This can occur after infection such as complications from abortion, missed miscarriage, cesarean section or PID. Permanent birth control procedures like Essure block the isthmus.

What is Midsegment tubal obstruction?

It is most often due to tubal ligation damage. Tubal ligation removal comes with its own risk for development of more scar tissue on top of scar tissue already present from the initial tubal ligation procedure.

What isDistal tubal occlusion ?

It is the type of blockage that affects the part of the fallopian tube end towards the ovary. This type of blockage is typically associated with hydrosalpinx. . caused by Chlamydia trachomatis infection, which is a sexually transmitted disease.

What are the Common conditions that may cause blocked fallopian tubes ?

Endometriosis.

Pelvic Inflammatory Disease (PID).

Uterine Fibroids.

Ectopic pregnancy.

Tubal Ligation Removal.

Complications from lower abdominal surgery such as Cesarean section.

Genital Tuberculosis (still common in developing countries, especially India).

What is tubal cannulation?

Tubal cannulation is a procedure used to help clear blockages in a woman's fallopian tubes.

Blockage is a common cause of female infertility because the fallopian tubes are vulnerable to infection and surgical damage. Between 12 - 33% of infertile couples experience a blockage, which affects the woman's ability to get pregnant.

What is hysteroscopic tubal cannulation ?

A relatively new method for treating proximal tubal obstruction is that of hysteroscopic tubal cannulation.. . this kind of block is often because of mucus plugs or debris which plug the tubal lining at the uterotubal junction which is as thin as a hair. It is now possible to pass a fine guidewire through the hysteroscope into the tubes, and thus remove the plug or debris and open the tubes - thus restoring normal tubal patency with "minimally invasive surgery"!

What is Nuchal Translucency (NT) scan?

Its done at 11-13 WEEKS

A Nuchal fold scan gives a risk assessment of your baby having Down's Syndrome or other chromosomal abnormalities. An assessment based on the mum-to-be's age, the thickness of the nuchal fold at the back of your baby's neck, your baby's nasal bone and a blood test.

If there is a high probability, then you might need to take further tests such as an amniocentesis test to get a definite answer. You and your partner will be able to discuss this fully with your doctor.

How long is the recovery period?

After a hysteroscopy, patients often have cramping similar to that experienced during a menstrual period; and some vaginal staining for several days. Regular activities can be resumed within one or two days after surgery. Sexual intercourse should be avoided for a few days or for as long as bleeding occurs.

What are the benefits of cannulation?

Tubal cannulation is a procedure that can help open the fallopian tubes. It is successful in 80 - 90% of cases. The procedure is less invasive than fallopian tube surgery and because of its simplicity, it's considered a first line treatment for fallopian tube blockage.

Which part of the tube can be reached with this procedure?

The cannulation procedure is most successful when the blockage affects the part of the tube closest to the womb (uterus). This is known as a proximal tubal obstruction.

Who should not have tubal cannulation?

Tubal cannulation may not be recommended if you have:

Extensive scarring in the fallopian tubes

Genital tuberculosis and certain other infections

Previous fallopian tube surgery

Severe blockage that makes it difficult for a tube to pass through

Severe damage to the fallopian tubes

When it can be unsuccessful?

Tubal cannulation may be unsuccessful, or may not work as well if you have:

A blockage in a part of the fallopian tube far away from the uterus

Certain blockages in the narrowest part of the fallopian tube

Inflammatory condition of the fallopian tubes -

Severe tubal disease or scarring OR Tuberculosis

What to expect after tubal cannulation?

Tubal cannulation is successful in restoring fertility for many, but not all, women. It is important to remember that unblocking the fallopian tubes does not always help a woman become pregnant.

What are the factors considered for the success of the procedure?

Type of procedure performed

Location of the blockage

Cause of the blockage

Why opting for this?

Hysteroscopic cannulation for proximal obstruction is a procedure with minimal morbidity and a reasonable successful recanalisation rate. It should be considered as an alternative to in vitro fertilisation.

What are the other options for proximal block?

Tubotubal anastomosis and tubal implantation onto uterus.But these are tedious,prolonged,postoperative longer recovery period and hospitalization and adhesion formation.Whereas hysteroscopic cannulation doesnot require incision,reduced hospital stay,faster recovery,no blood loss,achieves higher pregnancy rates about 80-90%.

What is HSG ?

A hysterosalpingogram, or HSG is an important test of female fertility potential. The HSG test is a radiology procedure usually done in the radiology department of a hospital or outpatient radiology facility.

Radiographic contrast (dye) is injected into the uterine cavity through the vagina and cervix

The uterine cavity fills with dye and if the fallopian tubes are open, dye fills the tubes and spills into the abdominal cavity

This shows whether the fallopian tubes are open or blocked and whether a blockage is at the junction of the tube and uterus (proximal) or at the other end of the tube (distal).

What is SSG?

Sonosalpingography (SSG), also known as Sion test, is a diagnostic procedure primarily used for evaluating patency of fallopian tubes.

What are the added advantages of this?

Advantages of tubal catheterization include it being an effective triage for patients with tubal disease, the avoidance of contrast allergies, and the avoidance of radiation, as well as the avoidance of laparoscopy in selected patients. This approach is superior to proximal tubal micro-reanastomosis when successful and superior to IVF when successful. There are low complication rates for this procedure.

Hysteroscopic cannulation should be first choice in the management of proximal tubal obstructions in selected patients. It may be a treatment option for delayed occlusion after successful cannulation or resection anastomosis.

What to be considered for women with severe tubal disease?

Women with severe fallopian tube disease who are not good candidates for tubal cannulation may consider IVF and embryo transfer as an alternative.

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Why is laparoscopic surgery done?

Laparoscopic surgery, also known as minimally invasive surgery, is performed for various reasons:

Reduced invasiveness: Laparoscopic surgery in Jabalpur involve small incisions, resulting in less trauma to the body compared to traditional open surgeries. This leads to less pain, minimal scarring, and quicker recovery times.

Diagnosis and exploration: Laparoscopy allows doctors to visually examine and explore the abdominal and pelvic organs, identifying and diagnosing conditions such as endometriosis, adhesions, tumours, and cysts.

Treatment of gynaecological conditions: GERD surgery in Jabalpur is commonly used to treat gynaecological issues such as fibroids, ovarian cysts, ectopic pregnancies, and pelvic inflammatory disease. It enables the removal of these abnormalities with precision and minimal disruption to surrounding tissues.

Gallbladder and appendix removal: Gallbladder surgery in jabalpur (gallbladder removal) and appendectomy (appendix removal) are frequently performed using minimally invasive techniques. These procedures result in smaller incisions, reduced post-operative pain, and faster recovery compared to traditional open surgeries.

Hernia repair: Hernia surgery in Jabalpur is utilised for repairing various types of hernias, including inguinal, incisional, and hiatal hernias. This approach involves inserting a mesh to reinforce the weakened area, reducing the risk of recurrence.

Bariatric surgery: Laparoscopic techniques are employed in weight loss surgeries such as gastric bypass, sleeve gastrectomy, and gastric banding. These procedures restrict the size of the stomach or alter the digestive process, assisting individuals in achieving significant weight loss. Laparoscopic surgeon in Jabalpur will going to help you in this.

Treatment of gastrointestinal conditions: Hernia operation in Jabalpur is used for procedures like colectomy (removal of part or all of the colon), rectal resection, and gastric bypass for conditions such as colorectal cancer, diverticulitis, Crohn's disease, and ulcerative colitis.By one of the best hernia surgeon in Jabalpur.

Reproductive health procedures: Laparoscopy is utilized for fertility-related surgeries, including tubal ligation reversal, tubal reanastomosis, removal of ovarian cysts or tumors, and treatment of conditions like polycystic ovary syndrome (PCOS) and pelvic adhesions.

Urological procedures: Best hernia surgeon in Jabalpur are employed for surgeries involving the kidneys, bladder, and prostate. These include procedures like nephrectomy (kidney removal), prostatectomy (prostate removal), and treatment of urinary tract conditions like kidney stones and ureteral strictures.

Surgical oncology: Laparoscopic surgery in Jabalpur is used in cancer surgeries to remove tumors or perform biopsies, providing a less invasive option for conditions like ovarian cancer, liver cancer, pancreatic cancer, and renal cell carcinoma.

Repair of abdominal wall hernias: Laparoscopic techniques, such as laparoscopic hernia repair, are effective for treating various types of abdominal wall hernias, including umbilical, incisional, and ventral hernias.

Reduction of complications: Best laparoscopic surgeon in Jabalpur offers benefits such as reduced blood loss, lower risk of infection, shorter hospital stays, and faster recovery times compared to open surgery. It is especially beneficial for high-risk patients or those with pre-existing medical conditions.

It is important to note that the appropriateness of laparoscopic hernia surgery in Jabalpur depends on individual patient factors, the specific condition being treated, and the surgeon's expertise. Consultation with a healthcare professional is crucial to determine the most suitable surgical approach.