Gynaecology and Obstetrics Hospital in Hyderabad

Surgical Steps

• The surgeon utilises a laparoscope that is inserted through a small incision made in the abdomen to visualise and remove the cervix and the uterus, and sometimes the fallopian tubes or ovaries may get involved, followed by the closure of the vaginal cuff.

Benefits:

• Reduced scarring and blood loss
• Cost-effective
• Faster recovery
• Lower risk of complications
• Less post-operative pain and discomfort

Read more about – Total Laparoscopic Hysterectomy

Surgical Steps

• Open Myomectomy: This traditional method involves making a larger incision in the abdomen to access and remove the uterine fibroids.
• Laparoscopic Myomectomy: This minimally invasive technique involves a smaller incision and a laparoscope to guide and remove the uterus.
• Robot-assisted Myomectomy: This method is the same as laparoscopic myomectomy, where it utilises two robotic arms remotely controlled by a surgeon to precisely remove the fibroids.

Benefits:

• Better fertility-preserving option
• Alternative to hysterectomy
• Reduced risk of complications
• Imparts quick recovery

Read more about – Myomectomy

Preview: Trachelectomy treats early-stage cervical cancer while preserving the possibility of future pregnancy by keeping the uterus intact and removing the cervix and other surrounding organs, while objectively maintaining normal hormonal functions, since the preservation of the uterus allows for normal hormonal functioning.

Surgical Steps

• Trachelectomy can be performed vaginally, openly, laparoscopically, or using a minimally invasive technique.
• In radical trachelectomy, depending on the stage of the cancer, a pelvic lymph node dissection is performed to assess the cancer and remove the affected lymph nodes.

Benefits:

• Better alternative to hysterectomy
• Preserve fertility
• Reduced risk of complications

Types of Surgeries

• Wide Local Excision Vulvectomy: Cancer is removed along with the margin of healthy tissues surrounding the tumor.
• Simple Vulvectomy: This procedure removes the entire vulva along with the clitoris.
• Skinning Vulvectomy: A superficial layer of the vulva is removed.
• Modified Radical Vulvectomy: This procedure removes an entire vulva with selected lymph nodes.

Benefits:

• Cost-effective
• Relieves symptoms
• Lowers the chances of recurrence
• Sentinel lymph node biopsy

Read more about – Vulvectomy

Surgical Steps

• The surgeon makes an incision on the abdomen from the midline to visually inspect the organs for any abnormalities or diseases under the influence of general anesthesia.
• They may take a biopsy or perform surgeries based on the findings, like tumors or damaged organs, or to drain the abscess.
• The recovery may take up to several weeks, depending on the number of hospital stays and the extent of the procedure.

Benefits:

• Performs quickly in emergency cases
• Effective for complex cases
• Less reliance on specialised tools

Read more about – Laparotomy

Surgical Steps

• During the surgery, the surgeon, under the influence of general anesthesia, surgically removes the ovaries and fallopian tubes via a small abdominal incision, utilizing laparoscopic, robotic, and open surgeries.
• The patient may receive instruction for pain management and wound care with follow-up appointments and is required to follow their advice on diet, activities, and prescriptions for a smooth recovery.
• The procedure may last for 1-2 hours, depending on the severity of the conditions, surgical approach, and the patient’s overall health and age, whereas initial recovery may take up to 1-2 weeks.

Benefits:

• Immediate symptom relief
• Reduced need for future surgery
• Cancer risk reduction
• Improved quality of life

Read more about – Oophorectomy

Surgical Steps

There are common types of reconstructive plastic surgical procedures, namely pelvic floor reconstruction, vaginal reconstruction, native tissue repair, mesh-based repair, and sacrocolpopexy.

Benefits:

• Improved quality of life
• Long-term relief
• Enhanced quality of life
• Minimally invasive option

Preview: Uterine artery or uterine fibroid embolisation (UAE/UFE) is a nonsurgical alternative to hysterectomy or myomectomy. It aims to treat uterine fibroids by blocking their blood supply and making them shrink, alleviating symptoms like pain and heavy bleeding.

Surgical Steps

• A contrast dye is injected into the bloodstream to visualise blood vessels on an X-ray film and help diagnose the affected uterine arteries.
• Tiny particles (embolic agents/microspheres) are injected into the uterine arteries via the catheter, causing blockage of the blood flow to the fibroids and allowing them to shrink and reduce symptoms over time.

Benefits:

• Minimally invasive
• Uterus preservation
• Reduced risk of complications.
• Immediate symptom relief
• Cost-effective

Read more about – Uterine Artery Embolisation

Surgical Preparations for Delivery

• When preparing for childbirth, the patient must have all the medical records, discuss presurgical or postsurgical medication and vaccinations, and wear comfortable clothing, always carrying a relaxing kit.
• Consult with your doctor to manage high-risk conditions such as preeclampsia or gestational diabetes and recognise any membrane rupture or contractions.
• Recovery after childbirth through a C-section requires a gynecologist’s assistance with instructions like avoiding heavy lifting and strenuous activity to promote healing.

Benefits:

• Allows precise tracking of time for the delivery
• Reduces the risk of pain during birth, injury to the vagina, and loss of bladder control.
• Faster recovery
• Shorter hospital stay
• Makes breastfeeding easier

Read more about – C-sections & Normal Childbirth

Surgical Treatment Types:

• Egg Retrieval Process: a needle-guided ultrasound procedure where the needle is inserted through the vaginal wall into the follicles and continues the aspiration of the egg present in the follicular fluid.
• Surgical Sperm Retrieval: The surgeons obtain the sperm from the reproductive tract when they are absent from the ejaculate through sperm aspiration procedures.
• Tubal Ligation Reversal Procedure: This process involves joining the two cut ends of the fallopian tubes.

Benefits:

• Minimises risks
• Control over timing
• Increases chances of conception
• Address expanding reproductive options

Read more about – Fertility Treatments

Surgical Steps

• The surgeon, after administering general anaesthesia and performing LOD laparoscopically to visualise the ovaries from one of the small incisions, uses a laser or electrocautery device to drill multiple small holes at the outer surface of the ovary.

Benefits:

• Increased pregnancy rates
• Reduced needs for fertility medications
• Reduced risk of ovarian hyperstimulation syndrome (OHSS)
• Potentially long-term durable

Surgical Steps

• The surgeon inspects the uterus after inserting the hysteroscope into the cervix and targets the necessary treatments, followed by the insertion of the MyoSure device through the hysteroscope to treat the targeted tissue area, such as removing polyps or correcting septa.
• This device utilises a rotating blade and suction to diagnose, remove, or correct the abnormality.
• Under the influence of general anesthesia, the surgery typically lasts for 5 minutes to 30 minutes, depending on the complexity and technique of the procedure.

Benefits:

• Performed in an office setting for diagnosis
• Minimally invasive with shorter recovery time
• Reduces the need for extensive surgeries
• Precisely address the uterine abnormalities

Read more about – Hysteroscopy

Surgical Steps

Under general anesthesia, a laparoscope and a few specialised tools are inserted through the small abdominal incisions, inflating the abdomen with carbon dioxide for visibility and removing the cyst, followed by the closure of the incision with dissolvable stitches.

Benefits:

• Minimizes tissue damage, improving fertility chances.
• Reduces pelvic pain and pressure.
• Reduces the risk of complications caused by the cyst.
• Helps in regulating the menstrual cycle.

Read more about – Ovarian Cystectomy

Surgical Steps

• The surgeon evaluates and determines the type and severity of the prolapse, assesses the patient’s overall health and discusses treatment planning together.
• POP repair is performed under general anesthesia either through a vaginal approach (anterior and posterior colporrhaphy, or sacrospinous ligament fixation), abdominal approach (sacrocolpopexy, hysterectomy with uterosacral ligament suspension), or laparoscopic/robot-assisted approach.

Benefits:

• Reduced bulging and pressure
• Improved bladder and bowel function
• Enhanced sexual function
• Alleviation of pelvic pain and dyspareunia

Why is it performed?

Fluoroscopy aims to visualize and assess the female reproductive organs, like the uterus and fallopian tubes, during procedures like hysterosalpingography (HSG) to diagnose infertility, assess tubal patency (whether the fallopian tubes are open or blocked), and fallopian tube recanalization.

Advantages:

• Guidance for procedures
• Real-time imaging
• Minimally invasive
• Reduced need for surgery

Read more about – Fluoroscopy

Why is it performed?

It aims to assess the well-being of the fetus during pregnancy and labour by detecting abnormal fetal heart rate or any fetal distress. It can be used to constantly monitor the fetus and prevent adverse outcomes like stillbirth, neonatal morbidity, and mortality.

Advantages:

• Early detection of fetal distress
• Informed decision-making
• Monitor during high-risk pregnancies
• Provides reassurance for the mother

Why is it performed?

Its modern approach enhances precision, visualization, and minimally invasive techniques, making complex surgeries like myomectomy, hysterectomy, and oophorectomy more effective and time-efficient.

Advantages:

• Enhanced precision and dexterity
• Reduced pain and scarring
• Faster recovery and return to activities
• Reduced risk of infections

Read More about – Robotic Surgery

Advanced labour rooms provide specialized care during childbirth by aiming to reduce maternal and newborn mortality and morbidity. They are well-equipped for normal and complex delivery procedures and specialised neonatal support.

Advantages:

• Monitors the baby with a fetal monitor.
• Specialised teams take care of breathing difficulties and malformations at birth.
• Allows more flexibility for any surgical technique

Advanced maternity suites provide personalized care to women throughout their pregnancy, childbirth and postpartum period, focusing specifically on their unique motherly needs. It involves all the prenatal checkups, delivery services and postpartum care, including the management of ectopic pregnancy or hyperemesis gravidarum.

Advantages:

• Enhanced comfort and privacy
• Shorter hospital stays
• Impart natural pain relief
• Invites lower intervention rates
• Cultural and personal preferences

Why is it performed?

Minimally Invasive Surgical Units (MISU), or minimal access gynaecological surgery (MAGS), aim for a less invasive alternative by utilizing specialized instruments and techniques (laparoscopy, hysteroscopy, and robotic surgery). Commonly treated conditions using these units are uterine prolapse, ectopic pregnancy, endometriosis, fibroids, and ovarian cysts.

Advantages:

• Reduced pain
• Minimal scarring
• Shorten recovery time
• Improves cosmetic outcome

Address life-threatening issues throughout the pregnancy, childbirth, and postpartum phases. It aims to provide life-saving surgical interventions for conditions such as eclampsia, preeclampsia, or other infections.

Advantages:

• Reduced maternal and neonatal mortality
• Immediate access to important services
• Makes the management of complications easier
• Cost-effective
• Promotes patient satisfaction