Gynaecology Surgery

Comprehensive Women’s care at its best

Many women silently suffer gynaecological problems that can easily be treated. Motherhood Hospital offers effective procedures and minimally invasive treatments so that they can get back to a normal, active life

At some point in her lifetime, almost every woman has suffered from some condition that affects her reproductive organs. Most often, problems such as fibroids, ovarian cysts, abnormal uterine bleeding and endometriosis are ignored or not properly addressed and treated.

There is a high prevalence of gynaecological morbidities in India, and often women do not get timely treatment. Studies reveal that at least 45 per cent of women suffered from some kind of gynaecological condition.

At Motherhood Hospitals, a dedicated team of experts take the utmost care in diagnosing and treating gynaecological conditions through state-of-the art facilities and remarkable medical prowess. Advanced surgical and minimally invasive procedures ensure quick recovery and the promise of getting back to a normal, pain-free life.

“We have had some really challenging gynaecological cases at the hospital, but we have the prowess and the facilities to deal with all kinds of complications. One of our patients was a 48-year-old who came with a lot of discomfort and complications. She had already had hernia mesh repair and intra-abdominal surgeries elsewhere and her uterus had become enlarged – it was the size of a 14-week uterus. We performed a Total Laparoscopic Hysterectomy on her and she is really doing well,”

GYNAECOLOGICAL CONDITIONS AND TREATMENT

FIBROIDS

Uterine fibroids are the most common form of benign uterine tumours in women, affecting around 20 to 40 per cent of women in their reproductive age. They grow on the wall of the uterus and may be single or in clusters. Symptoms of fibroids include — heavy bleeding, painful periods, frequent urination, feeling of heaviness in the bladder, discomfort and bloating of lower abdomen, complications during pregnancy and labour. It can also result in infertility and miscarriages. Motherhood has an early screening programme that detects fibroids before they become painful or show other symptoms.

Surgical treatment –

While small fibroids can be targeted with medications for controlling symptoms and for shrinking them, larger ones usually need surgery.

1. Hysterectomy

This is the the surgical removal of the uterus. Total hysterectomy involves total removal of the body of the uterus and the cervix, while in some cases this may include removal of the fallopian tubes and the ovaries, depending on the extent of the growth and infection. Such a procedure is called Hysterectomy with salpingo-oophorectomy.

Laparoscopic hysterectomy is a surgical procedure which involves removal of uterus with the help of laparoscope, a thin lighted tube with a camera at the end. A small incision is made in the navel through which the laparoscope is inserted. The surgeon performs the procedure by seeing the images from this camera on a screen. Tiny incisions are made in the lower abdomen and the uterus is removed.

“At Motherhood, we have the required support machines for laparoscopic procedures, needed for surgical removal of really big tumours. We have removed fibroids as big as five kilograms in weight and up to 30 fibroids in a cluster, in a single patient,”

2. Myomectomy

It is a surgery to remove fibroids without taking out the healthy tissue of the uterus. Myomectomy is mostly recommended for women who want to get pregnant as in contrast to hysterectomy the uterus remains preserved and the woman retains her reproductive potential.

OVARIAN CYSTS

Ovarian cysts are fluid-filled sacs within or on the surface of an ovary in the reproductive system. Women have two ovaries that produce eggs, and also the hormones – estrogen and progesterone. Almost all women develop cysts during the reproductive and for most part they are asymptomatic and painless. But some cysts can lead to serious complications and need to be removed.

Surigcal Treatment

Laparoscopic cystectomy – This is a minimally invasive surgery wherein the ovarian cyst is removed by inserting the laparoscope into the abdomen through a small incision below the navel.

ABNORMAL UTERINE BLEEDING

Many women experience persistent, heavy uterine bleeding and cramping. The bleeding may be during or sometimes in between the periods and in some cases accompanied by clots. They pose extreme discomfort and lead to anaemia, tiredness, mood swings and so on. Irregular bleeding could be caused by endometriosis, ovarian cysts and uterine fibroids.

Treatment

Normally, hormone therapy or certain medications are given to stop the bleeding. But if it is still persistent, Hysterectomy or Hysteroscopy may be performed.

ENDOMETRIOSIS

Endometriosis occurs when the tissue that forms the lining of the uterus (endometrial tissue) grows outside the uterine cavity. Tissues surrounding the area of endometriosis may become inflamed or swollen, leading to the development of scar tissue. When the disease affects the ovary, large patches of endometriosis may form into cysts that are filled with dark blood, and are called ‘chocolate cysts’ or endometriomas.

The disorder can result in debilitating pain in the abdomen and pelvic areas and can be so severe that it affects normal, daily life. Other symptoms include – painful menstrual cramps, pain in the lower back, pain during or after sex, painful bowel movements and infertility.

SURGICAL TREATMENT

Laparoscopic Excision of cysts – In this procedure, the surgeon will remove the growth/scars (endometriomas) through a minimally invasive procedure performed with the help of a laparoscope. This will give relief from the discomfort and pain caused by the condition.

Diathermy – Endometriosis can also be treated by Diathermy, which is a minimally invasive  procedure wherein laser is used to burn the extra growth.

PELVIC ORGAN PROLAPSE

The Pelvic floor muscles are a group of muscles across the pelvic opening that keeps organs         such as the uterus, bladder, bowel, vagina and rectum in place. If there is a dysfunction of these muscles, the organs start descending or drooping and cease to work properly. This is called Pelvic Organ Prolapse. Symptoms of prolapse include pressure and discomfort in the pelvic region, lower back pain, painful intercourse, leaking of urine, constipation, feeling of something dropping from the vagina and vaginal bleeding.

Treatment

  1. Vaginal hysterectomy is a surgical procedure in which the uterus is surgically removed through the vagina. One or both ovaries and fallopian tubes may be removed during the procedure.
  2. Pelvic Floor Repair – This is a procedure performed to restore support to the pelvic organs and remove excess vaginal skin and is performed through the vagina. Depending on the type of prolapse, a mesh maybe inserted through a minimally invasive procedure to give support to the organs. In this procedure, a small vaginal incision is made and the mesh is inserted and attached to the ligaments and muscles.

“Motherhood has extensive experience and expertise in performing gynaecological surgeries and we have the necessary technology to support the skill of the doctors.”