Wednesday, 30 October 2019

MYOMECTOMY

A myomectomy is a surgery done to remove uterine fibroids while retaining the uterus, done in a women during child bearing age.

Myomectomy


SYMPTOMS - uterine fibroids can cause.
  •     Heavy periods
  •     Painful periods
  •     Infertility
  •     Pelvic pressure
  •     Increase in abdominal girth
AIM - the aim of a myomectomy is to remove the fibroids, and hence relive the symptoms and improve the chances of fertility.

TECHNIQUES OF MYOMECTOMY
1. Laparoscopic myomectomy - The surgery is performed through a few small incisions made on the abdomen. The fibroid is cut into pieces (morcellation) and removed through a small incision. Sometimes the fibroid is put into a bag (endo bag) and in-bag morcellation is done.

2.HYSTEROSCOPIC MYOMECTOMY - A fibroid that protrudes into the uterine cavity is called a submucosal fibroid. This is removed (resected) through a hysteroscope inserted through the vagina and cervix.

3.ABDOMINAL MYOMECTOMY - A large open cut is made in the abdomen.

WHAT TO EXPECT

    1.You will need to come in the morning of the surgery on an empty stomach.

   2. You will be prepared for general anaesthesia.

    3.Depending on the procedure you can go home late evening (hysteroscopic myomectomy) or stay overnight (laparoscopic myomectomy)

   4. As we perform only minimally invasive surgery here at Rashmi Hospital you will have.
  •     Less pain
  •     Shorter hospital stay
  •     Quicker recovery
  •     A much smaller scar; as compared to an open procedure.

FERTILITY AND LAPAROSCOPIC MYOMECTOMY
Women who have undergone a laparoscopic myomectomy have a good chance of improved fertility. Results are better in younger women with only 1 fibroid.

We advise waiting 6 months before planning a pregnancy, this gives time for the uterus to heal.

PREGNANCY RISKS AFTER A MYOMECTOMY
As the uterus has been operated upon, the scar on the uterus makes that area weak, which can rupture during labor. A cesarean section may be advised around 38 weeks of pregnancy.

WILL THE FIBROIDS COME BACK
Yes, they can come back especially in
  •     Older women
  •     Women who do not plan a pregnancy fast
  •     Women who have had multiple fibroids

Contact Us

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Reviewed By : Dr Deepak Rao
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HYSTEROSCOPY

Hysteroscopy is a surgical procedure where a small telescope (the size of a pencil) is used to inspect the inside of the uterus. A camera is attached to the end of the telescope and the image is viewed on a video monitor. Surgery is carried out while looking at the monitor.

Hysteroscopy

DIAGNOSTIC HYSTEROSCOPY  is performed with a smaller instrument. It can be combined with a D & C (Dilatation and curettage) or an endometrial sampling.

OPERATIVE HYSTEROSCOPY.
When a problem is diagnosed during a diagnostic hysteroscopy it can be cleared or operated upon at the same time.

The operative hysteroscope is larger and has parts which allows the physician to insert operating tools like scissors, cautery or a laser.

PROBLEMS THAT CAN BE TREATED
  •     Uterine polyps.
  •     Uterine septum.
  •     Adhesions (a scar tissue) in the uterus.
  •     Same types of tubal block.
  •     Uterine fibroids.
  •     An old IUCD that is ‘lost’.

ROLE OF SIMULTANEOUS LAPAROSCOPY and HYSTEROSCOPY.

The surgeon may advise a simultaneous laparoscopy
  •     In infertility patients to check the potency of the fallopian tubes
  •     When a bicornuate (double) uterus is suspected.
  •     While doing tubal cannulation in patients with blocked tubes.
  •     To aid in the prevention of uterine perforation if excessive hysteroscopy surgery is performed.
WHAT TO EXPECT.
  •     You will come in the morning of surgery on an empty stomach.
  •     You should be able to go home in the evening.
  •     In general, you will be able to return to normal activity within 1-2 days.
  •     Complications are infrequent, may be same mild cramping. 


Contact Us


Visit Us        : rashminursinghome.com
Reviewed By : Dr Deepak Rao
Mail Us        : rashmihospital123@gmail.com
Book Your Appointment Here : rashminursinghome.com/book-appointment.html


Tuesday, 29 October 2019

MYTHS OF A HYSTERECTOMY


HYSTERECTOMY


1.I will put on weight and have an early menopause.

Mood changes, dry skin etc are a sign of menopause. Menopause occurs when both the ovaries are removed and the production of the hormones stop. In a hysterectomy only the uterus is removed. Here in Rashmi Hospital, we retain the ovaries even in post menopausal women.

2.Along recovery period with bed rest.

At Rashmi Hospital all women who undergo a laparoscopic hysterectomy are home the next day and back to work or all normal activities within a week to 10 days.

3.A hysterectomy is very painful.

As we perform only laparoscopic hysterectomy, the cuts are very small and not painful. You can walk by evening and eat normal food too.

4.I will have a huge ugly scar.

No, a laparoscopic hysterectomy is done through a few small incisions (a cuts) which heal very well.

5.Sex is not enjoyable.

On the contrary some women enjoy sex more because.
  •     The fear of pregnancy is no longer there.
  •     Any condition like a deep fibroid which was causing painful intercourse is eliminated.
6.I will have back pain.

This is again a sign of menopause when women do not take calcium. Since your ovaries are left intact you will not experience back pain.

WHAT HAPPENS TO ME AFTER A HYSTERECTOMY.

You will be relieved of your symptoms like heavy periods, painful periods etc.

The only change that you will see in your body is
  •     You will no longer have your periods.
  •     You will not be able to have a baby.
 
Contact Us


Visit Us        : rashminursinghome.com
Reviewed By : Dr Deepak Rao
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Monday, 16 September 2019

Hysterectomy: Types, Risks And Recovery

Hysterectomy:

Hysterectomy, a medical term for the removal of the uterus, is commonly performed on patients ailing from uterine cancer, gynaecological cancer, uterine prolapse, persistent vaginal bleeding, chronic pelvic pain, fibroids, or endometriosis.
hysterectomy-treatment-in bangalore


There are two ways of performing a Hysterectomy: Open and Laparoscopic.

Open Hysterectomy, although still practiced by many doctors, has some drawbacks. For one, it requires the doctor to make a large incision across the belly, due to which the patient has to spend 2-3 days in hospital care. Two, it leaves a scar on the body.

Laparoscopic Hysterectomy, on the other hand, is far less invasive. Instead of one big incision, the doctor makes a few incisions of about a centimetre each near the abdomen through which he lets in a laparoscope having a camera. The images taken by the camera are then projected to a high-resolution screen for the doctor to view and perform the surgery.


There are some clear advantages to Laparoscopic Hysterectomy, which include:
  • Less blood loss
  • Less scarring
  • Less post-operative pain; and
  • Quick recovery
There are several surgeons who continue to insist that Laparoscopic Hysterectomy is not an option where the size of the uterus is too large. A surgeon skilled in it, may, however, want to disagree to the view.

The important thing really is for patients to find a surgeon with the necessary skill and the experience - and, no less, having access to the right equipment - to carry out a laparoscopic hysterectomy.

  Hysterectomy can be done in several ways:

  • Partial hysterectomy, which removes the uterus leaving the cervix in place.
  • Total hysterectomy, which removes both the cervix and the uterus
  • Hysterectomy and bilateral salpingo-oophorectomy, which remove the uterus along with the ovaries, fallopian tubes, and cervix.
  • Radical Hysterectomy, which removes the upper portion of the vagina, the surrounding tissues and also the lymph nodes.

Are there any risks related to Hysterectomy?

Hysterectomy is a relatively safe procedure. If at all some complications do arise during surgery, they can be controlled and treated.

The risks of performing a hysterectomy are:
  • Urinary tract may be damaged in a few cases; and
  • Bladder and rectum may also be damaged.

Other complications include:
  • Blood clots
  • Infections
  • Excessive bleeding; and
  • Adverse reactions to anaesthesia

Recovery

After hysterectomy, a patient is kept in the recovery room for a few hours under medical observation. Within a day or two of the surgery, she is fit to start walking.                    
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Wednesday, 5 September 2018

Laparoscopic Myomectomy Is Not A Hurdle Anymore

Has your mother turned fifty? Is she suffering from abnormal bleeding and backache? If so, it is high time she should be taken to a gynecologist to diagnose the disease she is having. There are high chances that she might be having fibroids and have to go through a surgery to remove the fibroids. The doctor would probably suggest you to go for a Laparoscopic Myomectomy. Yes, the name of the treatment procedure is apparently not so cool but the net result of the treatment is purely genuine and transparent. Myomectomy means the removal of fibroids from uterus through a surgery. Not all hospitals would help you with Laparoscopic Myomectomy in Bangalore. Hence choosing the hospital that offers laparoscopic uterus fibroid removal surgery in Bangalore is most certainly a challenge. Rashmi Hospital, under the guidance of Dr. Deepak Rao, is a wise option because of its specialized surgical facilities and well-advanced treatment procedures.

http://www.rashminursinghome.com/fibroid-removal-surgery-bangalore.html

Why should you go for Laparoscopic Myomectomy?


Preferring an open abdominal surgery over Laparoscopic Myomectomy would not give you the best possible outcome as the advantages are very much minimal. That is why most of the gynecologists suggest you Laparoscopic Myomectomy. Here is the list of a few advantages of the treatment:
  • Speedy recovery
  • Very less scars
  • Better pregnancy rates compared to other surgeries
  • Very small incisions
At the same time, there are some risks directly involved in it. They are:
  • Excessive blood loss
  • Very low chance of spreading a cancerous tumour
http://www.rashminursinghome.com/fibroid-removal-surgery-bangalore.html

How is Laparoscopic Myomectomy carried out?


Prior to taking the surgery, it is highly recommended that the patient should inform the doctor the medicines and blood thinners he takes. This is because prolonged bleeding can happen if some medicines are taken by the patient.
A general anesthesia is given and a very small incision is made. After filling carbondioxide and a laparoscope inside the abdomen, it is viewed by the surgeon from outside. This laparoscope helps to observe the fallopian tubes, uterus and ovaries. A few other instruments are also inserted for a reason that the fibroids can be removed from the uterus. Then, the uterine muscles are stitched in a proper way that it retains the original position. Carbon dioxide is released and the incisions are closed. 

The surgery does not take more than an hour. Also, it is possible for the patient to come back home on the same day. Rashmi Hospital provides a safe and sound Laparoscopic Myomectomy. It ensures transparency in all the services they are willing to give away. Now, is it possible for you believe that uterus fibroid surgery in Bangalore is not a herculean task?!!
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Monday, 21 May 2018

Removing Appendix Is Pretty Easy Now

Before knowing about Appendectomy, let us take a glance at “what is appendicitis”.  Appendicitis is the condition when appendix gets inflamed, where the appendix is a worm-shaped pouch that projects out from cecum.

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Brief Description on Appendectomy

An appendectomy is a common emergency surgery which is performed to treat appendicitis by the surgical removal of the appendix. Removal of appendix is the easiest and quickest way to treat appendicitis.

In 1735, the first report on appendectomy procedure came. A surgeon from the English army, Amyan, who performed appendectomy without anesthesia to remove an inflamed appendix.

Main symptoms of Appendicitis

  • Severe stomach pain
  • constipation or diarrhea
  • vomiting
  • loss of appetite
  • low fever

How is appendectomy performed

Appendectomy procedure can be performed by either open surgery or by Laparoscopic technique. The open method requires a 2 to 3-inch incision in the lower right–hand side of the abdomen, where laparoscopic appendectomy is a minimally invasive procedure by three small incisions in the abdomen area under general anesthesia.
http://www.rashminursinghome.com/appendix-removal-surgery.html

For laparoscopic appendectomy procedure, firstly a cannula is inserted to inflate the abdomen with carbon dioxide gas that allows the surgeon to clearly see the appendix. After abdominal inflation, a laparoscope is inserted through one of the incisions, which is attached to a monitor that guides the surgeon to see inside the abdomen. The appendix is tied off with stitches and removed through the incisions. These incisions are then cleaned, closed, and dressed.

Small incisions and minimal scarring.......short surgery which usually takes only 15 to 30 minutes......less postoperative pain.......Short hospital stays......early return to normal activity.....

Dr. Deepak Rao at Rashmi Hospital offers advanced Appendix removal surgery in Bangalore. Rashmi Hospital in Bangalore is well known for effective appendicites treatment in india.

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Sunday, 18 February 2018

An Advanced Method In Polyps Removal – Hysteroscopy

Polyps are the overgrowth of endometrial tissues, i.e. the inner lining of the uterus. It is sometimes called as endometrial polyps. The polyps may be oval or round and the size may range from millimeters to centimeters. Polyps can form as one or many.
hysteroscopy for polyps removal


What are the causes of Polyps?
Even though the exact cause of polyps is unknown, yet hormonal swings are the considerable factor. Estrogen which thickens the endometrium each month also appears to be linked with uterine polyps’ growth.

What are the main symptoms of Polyps?

Many women with uterine polyps will have no symptoms at all. However, some women may face one or more of the below symptoms.
  • Infertility
  • Irregular menstrual period
  • Bleeding even after menopause
  • Vaginal spotting
  • Unusual blood flow during menstruation
  • Pelvic pain
  • Bleeding after coitus
hysteroscopy for polyps removal
In Hysteroscopy procedure, the uterus is examined for any abnormality. It is also used to remove abnormal growths such as polyps from the uterus.

Hysteroscopy Procedure

Hysteroscopy Treatment is performed as an outpatient treatment. It is done either in local or general anesthesia. The patient’s uterus is inflated with saline. The vaginal wall is opened with the help of speculum and hysteroscopy, a thin lighted tube is inserted into the uterus through the cervix. By doing so, the surgeon can view the uterus lining and any growth such as polyps, fibroids. Other instruments are inserted into the hysteroscopy to remove the polyps from the womb. Finally, the polyp/s is sent to the laboratory for a microscopic examination. Depends on the procedure and the condition, treatment time may fall between 10-60 minutes.

Advantages of hysteroscopy in polyps’ removal:
  • The procedure does not imply with any incisions
  • No abdominal wound and infections
  • No blood loss
  • Mild postoperative pain
  • Quick recovery time
  • Post-operative hysteroscopy
There are very mild discomforts felt by the patients after hysteroscopy
  • Abdominal cramping
  • Pain in the shoulder and upper abdomen
  • Bleeding or spotting
The above symptoms are common. If the symptoms go severe, then immediate medical intervention is necessary.

Dr. Deepak Rao is an ace gynecologist and laparoscopic surgeon. In his Rashmi Hospital, he provides world-class treatments and it owns the pride of being one of the best hospitals for hysteroscopy treatment in Bangalore.


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