Leading Indian hospitals with gynecology departments
and women's hospitals have facilities for the prevention and early
detection of gynecological disorders. Many hospitals have women
check-up programs designed to detect the earliest signs of disorders
of the breast and the organs of reproduction as well as catering
to the contraceptive needs of women. A mammogram, an ultrasound
of the pelvis and a pap-smear of the cervix are an integral part
of any good medical check-up for women. Specialist medical as well
as surgical care is available for all types of gynecological problems
like menstrual abnormalities, prolapsed, fibroids and other tumors
of the uterus and ovaries, tubal recanalization by microsurgery
and care of the infertile couple. State-of-the-art gynecological
surgery is available with world class equipment and expertise using
minimally invasive techniques.
Keyhole Hysterectomy – The Cutting Edge
Hysterectomy means removal of the uterus and
sometimes the ovaries too are removed with the uterus
(oopherectomy). There are many reasons for the removal of the
uterus. Some of the common reasons for performing hysterectomies
include fibroids of the uterus, abnormal uterine bleeding
Endometrosis, prolapse of the uterus, chronic pelvic pain or
cancerous lesions in the uterus. The usual methods of surgical
treatment for these are either an abdominal hysterectomy or a
vaginal hysterectomy.
Convenient New Method
The conventional or open Hysterectomy is done through a large
abdominal incision and requires a hospital stay of 7-10 days with a
long recovery period of upto 8 weeks. It leaves a visible scar on the
abdomen.
In recent years keyhole laparoscopic assisted
vaginal hysterectomy is replacing conventional surgery as the
procedure of choice. Its greatest benefit is the potential to convert
what would have been an abdominal hysterectomy into vaginal
hysterectomy.
What you will undergo
In a laparoscopic assisted vaginal hysterectomy, an instrument
called a laparoscope and other specialized instruments are used to
help with the removal of uterus which is completed vaginally. The
instruments are passed through 3 or 4 half inch cuts on the abdominal
wall. The supporting ligaments of uterus, blood vessels and tissue
that surround and support the uterus are cut, and the blood vessels
are sealed off. Then a cut is made through the vagina, the uterus is
separated from the vagina and removal with or without ovaries is
done.
Shorter Recovery Time
After this procedure you will be required to spend atleast 1-3
days at the hospital. You will experience very minimal post operative
pain and the recovery time is shorter. There is no abdominal cut, only
small punctures, so there is lesser possibility of wound related
complications. Therefore, you will be left with a smaller scar instead
of a large abdominal scar.
Abnormal Uterine Bleeding
Heavy or irregular bleeding can disrupt your life. Having
to be constantly on guard with pads can distract you at work, an
evening out with friends and worse still you may feel worn out. You
may wonder if this is normal and if so what is causing this.
So what is normal? Normal menstrual
cycle ranges from 24-35 days length, with an average bleeding for 2-8
days. The menstrual cycle is governed by a hormone” Estrogen” in the
first half of the cycle which helps the lining of the uterus to grow
(otherwise known as Endometrium). Mid cycle hormonal surge causes the
ovary to usually release an egg (known as Ovulation), which triggers
the 2nd hormone called Progesterone to act on and nature the
endometrium. At the end of the cycle, the hormone levels drop when
there is no pregnancy and the lining is shed with blood, which is
called Menstruation.
If you are worried about your cycles, you should consult your doctor
today. Chances are the problem may be simple.
Manipal Hospital, Bangalore are among the most
recognized Gynecology & Obstetrics centre in Bangalore and has
strived to provide the best of the treatment and always has looked
out to incorporate the latest techniques and technology in patient
care.
Gynecologic Oncology department at Manipal
Hospital, Bangalore are involved in the diagnosis, management
and follow-up of patients with cancers of the female reproductive
tract. These include malignancies of the cervix, body uterus, ovaries,
fallopian tubes, vagina, vulva and gestational trophoblastic tumors.
There is a close interaction between the gynecologic oncologist,
radiation oncologist and medical oncologist to ensure a multi-disciplinary
approach in the formulation of treatment protocols.
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