OBS & Gynaecology

Diagnostic Laparoscopy

A laparoscopy, also known as a diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the organs inside the abdomen, as well as other closed spaces, such as the knees. It’s a low risk, minimally invasive procedure that requires only small incisions. When an abdominal laparoscopy is performed, a doctor uses an instrument called a laparoscope to look at the abdominal organs. A laparoscope is a long, thin tube with a high intensity light and a high resolution camera at the front. The instrument is inserted through an incision in the abdominal wall. As it moves along, the camera sends images to a video monitor. A laparoscopy allows your doctor to see inside your body in real time, without having to make large incisions.

Laparoscopic Adhesiolysis

Adhesions are lumps of scar tissue that form inside your body. Previous surgeries cause about 90 percent of abdominal adhesions. They can also develop from trauma, infections, or conditions that cause inflammation. Adhesions can also form on the organs and cause organs to stick together. Many people with adhesions don’t experience any symptoms, but some people may have discomfort or digestive problems. Abdominal adhesiolysis is a type of surgery that removes these adhesions from your abdomen.

PCOS Drilling

Ovarian drilling, also known as multiperforation or laparoscopic ovarian diathermy, is a surgical technique of puncturing the membranes surrounding the ovary with a laser beam or a surgical needle using minimally invasive laparoscopic procedures. It differs from ovarian wedge resection, which involves the cutting of tissue. Minimally invasive ovarian drilling procedures have replaced wedge resections. Ovarian drilling is preferred to wedge resection because cutting into the ovary can cause adhesions which may complicate postoperative outcomes. Ovarian drilling and ovarian wedge resection are treatment options to reduce the amount of androgen producing tissue in women with polycystic ovarian syndrome (PCOS).

Ovarian Cystectomy

Cystectomy or ovarian cyst removal is a surgical procedure that is done to remove a cyst (fluid-filled sac) from your ovary or its surface. Women have 2 ovaries – each one about the size and shape of an almond, and they are located in the pelvis, one on either side of the uterus. The ovaries have 2 functions, which is to produce eggs (ova) and female hormones. Eggs (ova) that develop and mature in the ovaries are released during each monthly cycle in the childbearing years. Any ovarian follicle larger than 2cm is considered an ovarian cyst. There are often no signs or symptoms, but ovarian cysts can sometimes cause pain and bleeding. Persistent or symptomatic cysts larger than 3 – 4cm may require surgery.

Oophorectomy

An oophorectomy is a surgical procedure to remove one or both of your ovaries. Your ovaries are almond-shaped organs that sit on each side of the uterus in your pelvis. Your ovaries contain eggs and produce hormones that control your menstrual cycle. When an oophorectomy involves removing both ovaries, it's called bilateral oophorectomy. When the surgery involves removing only one ovary, it's called unilateral oophorectomy.

Endometriosis Surgery

Endometriosis is an often painful disorder in which tissue similar to the tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial-like tissue may be found beyond the area where pelvic organs are located.

Diagnostic Hysteroscopy

A hysteroscopy is a frequently used minimally invasive diagnostic procedure that gives your doctor/gynecologist (women's specialist) a clear view of the inside of your womb (uterus). In this procedure, a thin, light flexible telescope-like tube (hysteroscope) is inserted through your vagina into your womb (uterus) through the cervix that projects images of your womb onto a screen. In this procedure, the insides of the womb can be visualized with the camera. If there is any growth seen, it is removed either directly or with smaller instruments (curettes). These tissues will then be sent to the laboratory to check the presence of any cancerous growth.

Polyp Removal

Polyps are small growths in the body. They can look like small mushrooms or flat bumps. Uterine polyps grow in the inner lining of the uterus in women. They are also called endometrial polyps. You may have one polyp or several. Uterine polyps can range in size from just a few millimeters to more than 6 centimeters (2.4 inches) wide. More than 95 percent of uterine polyps are benign, meaning they don’t cause cancer

Hysteroscopic Adhesiolysis

Hysteroscopic adhesiolysis is a minimally invasive technique that is used to treat adhesions or scar tissues and fibrosis (a condition called Asherman’s syndrome) inside the cervical canal or the uterine cavity. Adhesions or scars generally caused due to trauma to the endometrium, which is the result of repeated uterine cavity surgery, postpartum hemorrhage procedures, or infection. Although the condition could be completely symptomless, some common symptoms are- Menstrual disturbances, Problem in conceiving

Myomectomy (Fibroids)

A myomectomy is a procedure to remove fibroids (also known as myomas) from the uterus. Fibroids are growths made up of connective tissue and muscle cells. These growths can present as one or many fibroids growing inside the muscle of the uterus or even elsewhere in the pelvis. They are typically not cancerous. During myomectomy, fibroids are removed, and the uterus is repaired. After this procedure, you will typically have a normally functioning uterus. In some cases, treatment for fibroids could include a hysterectomy (a procedure to remove the entire uterus). Unlike after myomectomy, women who undergo a hysterectomy can no longer become pregnant.

Tubal Cannulation

Tubal cannulation is a procedure where a thin catheter is advanced through the proximal portion (the part closest to the uterus) of the Fallopian tube to examine and possibly restore tubal patency. The catheter is guided by fluoroscopy (real-time X-ray imaging) or hysteroscopy (inspection of the uterine cavity by endoscopy, to the location of the Fallopian tube opening into the uterine cavity. Then it passes through the adjoining, or proximal, part of the Fallopian tube. An inflatable balloon on the tip of the catheter then may be used to open up the blockage of the tube.

Delivery

Childbirth, also known as labour and delivery, is the ending of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or Caesarean section. The most common childbirth method is vaginal delivery. It involves four stages of labour : the shortening and opening of the cervix during the first stage, descent and birth of the baby during the second, the delivery of the placenta during the third, and the recovery of the mother and infant during the fourth stage, which is referred to as the postpartum. In many cases and with increasing frequency, childbirth is achieved through labour induction or caesarean section.