Gynaecology In General

Gynaecology

Gynaecology or gynecology is the medical practice dealing with the health of the female reproductive systems (vagina, uterus and ovaries) and the breasts. Literally, outside medicine, it means "the science of women". Almost all modern gynaecologists are also obstetricians.

Read Gynaecology Treatments in detail.

Treatments

Hysterectomy

Procedure: Your surgery will begin with the administration of general anesthesia. The type of hysterectomy you have will be decided ahead of time. The decision is based upon your medical history and the reason for your surgery.

Open abdominal hysterectomy begins with a 5 to 7 inch incision in the lower belly. Open vaginal hysterectomy begins with an incision inside your vagina. Laparoscopic hysterectomy is done through a small incision in the vagina or 3 to 4 small incisions in the abdomen.

When you have a hysterectomy your surgeon will remove all or part of the uterus. They may also remove the fallopian tubes and or the ovaries. If the connecting reproductive organs are left intact they will be separated from the uterus and tied off before the uterus is removed.

  • Anesthesia: General
  • Duration: 1 hour
  • Hospital stay: 2-4 days
  • Recovery: After the procedure you will be taken to recovery. Your vitals will be monitored carefully during this time. When you have woken from the surgery and your vitals are stable you will be moved to a regular hospital room.
    You will be given pain medication through an IV or in pill form. You will have a catheter in your bladder for the first 24 to 48 hours. The hospital staff will encourage you to get up and move around as much as possible.
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    Self care after hysterectomy:

    • Avoid heavy lifting
    • Do light housework or short walks for activity
    • Avoid strenuous activity for 4 to 8 weeks
    • Avoid driving for 3 weeks
    • Avoid sexual activity for 6 weeks
    • Avoid use of douche, tampons or any other vaginal insert for 6 weeks

     

  • Risks: As is with any surgery there are risks associated with hysterectomy. The following is a list of the most common risks and complications:
    • Reaction to anesthesia or medication
    • Breathing problems
    • Blood clots
    • Pulmonary embolism
    • Bleeding
    • Infection
    • Organ damage
    • Blood vessel damage
    • Bowel injury
    • Bladder injury
    • Pain during sex
    • Early menopause

 

Myomectomy

Procedure: Your surgery will begin with the administration of general anesthesia. This procedure is done either laparoscopicallyor hysteroscopically. The procedure that is done is chosen ahead of time by the surgeon. The choice is based upon the size and amount of fibroids that need removing.

During a laparoscopic procedure 3 to 4 small incisions are made in the abdomen. The laparoscopic instruments are inserted through the incisions. The abdomen is inflated with air for better viewing and more work room for the surgeon. The fibroids are removed using an electrical current or laser that shrinks them. Then, the uterine wall is repaired and the surgical incisions are closed with sutures or tape.

The hysteroscopicmyomectomyis done through your cervical canal. The procedure uses a device called a resectoscopeto cut the fibroids away from the uterine wall or it uses an electrical current to evaporate the fibroids. No sutures are required because no incision is made.

  • Anesthesia: General
  • Duration: 1-2 hours
  • Hospital stay: After the procedure you will be taken to recovery. Your vitals will be monitored carefully during this time. When you have woken from the surgery and your vitals are stable you will be moved to a regular hospital room.
    It is normal for patients to have abdominal pain and discomfort after this procedure. Pain is controlled with pain medications given in IV or pill form. Pain from this surgery subsides within 7 to 10 days for most patients.

     

    Self care after myomectomy:

    • Sanitary pads may be necessary
    • Bathe and shower normally
    • Avoid driving for 2 weeks
    • Avoid strenuous activity for 6 weeks
    • Avoid sexual activity until physician approval
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  • Recovery: patients can return home 10 days after the procedure.
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  • Risks: As is with any surgery there are risks associated with myomectomy. The following is a list of the most common risks and complications:
    • Reaction to anesthesia or medication
    • Breathing problems
    • Blood clots
    • Pulmonary embolism
    • Bleeding
    • Infection
    • Bowel obstruction
    • Infertility
    • Possible hysterectomy
    • Weakening of the uterine wall

 

Laparoscopic surgery

Procedure: Laparoscopic surgery also referred to as minimally invasive surgery describes the performance of surgical procedures with the assistance of a video camera and several thin instruments. During the surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports which allow access to the inside of the patient.Thecamera transmits an image of the organs inside the abdomen onto a television monitor and the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.

  • Anesthesia: Local
  • Duration: 30 minutes to 1 hour
  • Hospital stay: 1 day
  • Recovery: You can return to your job one week after the surgery.
  • Risks: The risks are minimum. You have to follow the advice of your surgeon in order to avoid complications.

 

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