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Gynaecological Surgery

Specialty > Subspecialty > Gynaecological Surgery

Gynaecology surgery involves surgical procedures involving female reproductive organs including the uterus, ovaries, cervix, fallopian tubes, vagina, and vulva. A woman might need these surgeries as a part of treatment for various conditions. At times, it may also be required as a part of birth control. 

At Aayush Hospital, we provide a comprehensive range of gynaecological services. Right from early checkup to treatment and post-surgical care, you can rest assured to receive the best diagnosis and treatment at each step of your condition. 

Our team of highly renowned gynaecologists, obstetricians, and nurses provide 360-degree solution to your pregnancy needs.  

In addition, we are backed by state-of-the-art infrastructure, modern laboratories, and latest equipment that help our team of doctors to provide exceptional medical outcomes. 

Procedures

 

Hysterectomy refers to the surgical removal of the uterus as well as your cervix. 

 

Why Do You Need a Hysterectomy? 

You may need a hysterectomy, if you have: 

  • Abnormal or heavy vaginal bleeding. 

  • Severe pelvic pain. 

  • Uterine fibroids. 

  • Severe endometriosis. 

  • Uterine prolapse. 

  • Cervical, ovarian, and uterine cancer. 

  • Serious complications including uterine rupture. 

  • Hyperplasia or adenomyosis. 

 

What Happens During a Hysterectomy? 

During the hysterectomy, your surgeon will: 

  • Give you an anaesthesia. 

  • Make an incision on the top of your vagina. 

  • Insert a laparoscope into your lower abdomen through the vaginal incision. 

  • Remove your uterus through the vagina. 

  • Close the incision. 

 

What Happens After a Hysterectomy? 

After the hysterectomy, you will spend some time in the hospital before going home on the same day. 

 

What Are the Risks Associated with a Hysterectomy? 

Hysterectomy is generally safe. It may, however, cause: 

  • Hot flashes. 

  • Vaginal dryness. 

  • Vaginal bleeding. 

  • Difficulty sleeping. 

  • Soreness or irritation. 

 

Myomectomy refers to a surgical procedure to remove uterine fibroids from your uterus. Fibroids are abnormal growths made up of connective tissue and muscle cells.  

Why Do You Need Myomectomy? 

You may need myomectomy if you have uterine fibroids along with: 

  • Severe pelvic pain. 

  • Irregular bleeding. 

  • Not being able to empty your bladder. 

What Happens During a Myomectomy? 

Depending on your condition, your surgeon may perform myomectomy with any of the three procedures: 

Open Myomectomy: 

During an open myomectomy, your surgeon will: 

  • Give you an anaesthesia. 

  • Make an incision in your abdomen. 

  • Remove fibroids. 

  • Close the incision. 

Laparoscopic Myomectomy: 

During this procedure, your surgeon will: 

  • Give you an anaesthesia. 

  • Make a small incision 

  • Insert a lighted telescope into your belly button. 

  • Make other incisions and insert surgical tools to remove the fibroids. 

  • Close the incisions. 

What Are the Risks Associated with Myomectomy? 

Myomectomy is generally safe. It may, however, cause: 

  • Infection. 

  • Bleeding. 

  • Blood clots. 

  • Increased risk of requiring a c-section. 

 

Oophorectomy refers surgical removal of one or both of your ovaries. 

Why Do You Need an Oophorectomy? 

You may need an oophorectomy, if you have: 

  • Endometriosis. 

  • Benign cancerous growths. 

  • Preventative surgery in case of breast cancer or ovarian cancer. 

  • Ovarian cancer. 

  • Pelvic inflammatory disease. 

What Happens During an Oophorectomy? 

During the procedure, your surgeon will: 

  • Give you an anaesthesia. 

  • Make a small incision 

  • Insert a lighted telescope into your belly button. 

  • Make other incisions and insert surgical tools to remove the ovaries. 

  • Close the incisions. 

What Are the Risks Associated with Oophorectomy? 

Oophorectomy is generally safe. It may, however, cause: 

  • Infection. 

  • Bleeding. 

  • Blood clots. 

  • Loss of fertility. 

 

Salpingo-Oophorectomy is a surgical procedure to remove both ovaries and fallopian tubes. It is often done to treat endometriosis and ovarian cancer. 

Why Do You Need a Salpingo-Oophorectomy? 

You may need a salpingo-oophorectomy if you have: 

  • Ovarian cancer. 

  • Endometriosis. 

  • Benign tumours. 

  • Pelvic infection. 

  • Ectopic pregnancy. 

What Happens During Salpingo-Oophorectomy? 

During the procedure, your surgeon will: 

  • Give you an anaesthesia. 

  • Make a small incision 

  • Insert a lighted telescope into your belly button. 

  • Make other incisions and insert surgical tools to remove the ovaries and fallopian tubes. 

  • Close the incisions. 

What Are the Risks Associated with Salpingo-Oophorectomy? 

A salpingo-oophorectomy is generally safe. It may, however, cause: 

  • Infection. 

  • Bleeding. 

  • Blood clots. 

  • Loss of fertility. 

 

Tubal ligation refers to “getting your tubes tied” to prevent pregnancy. It involves cutting, blocking, and sealing off your fallopian tubes to prevent your eggs from being fertilized. 

What Happens During Tubal Ligation? 

During the procedure, your surgeon will: 

  • Give you an anaesthesia. 

  • Make a small incision near your navel. 

  • Insert a laparoscope and inflate your abdomen with carbon dioxide. 

  • Make 2-3 smaller incisions and insert surgical instruments. 

  • Seal your fallopian tubes or use an electric current to seal the tubes. 

  • Close the incisions. 

What Happens After Tubal Ligation? 

After the procedure, you will be moved to a recovery area. Depending on your situation, you may be required to stay in the hospital for 2-3 days. 

What Are the Risks Associated with Tubal Ligation? 

Tubal ligation is safe. It may, however, cause: 

  • Bloating. 

  • Shoulder pain. 

  • Nausea, 

  • Abdominal cramps. 

  • Sore throat. 

  • Dizziness. 

 

Endometrial ablation refers to a procedure to destroy the lining of the uterus. It may be done to treat heavy periods.


Why Do You Need an Endometrial Ablation?
You may need an endometrial ablation, if:

  • You do not want to get pregnant.
  • You have heavy periods.

What Happens During an Endometrial Ablation?
During the procedure, your surgeon will:

  • Numb your pelvic area with a local anaesthetic.
  • Insert a delicate, wand-like device into your vagina.
  • The device will extend through your cervix into your uterus.
  • The device will send energy to destroy the lining.

What Happens After an Endometrial Ablation?
After the procedure, you will be moved to a recovery area until you are normal. You will be able to go home on the same day.


What Are the Risks Associated with an Endometrial Ablation?
Endometrial ablation is safe. It may, however, cause:

  • Heavy bleeding.
  • Puncturing of the uterus.
  • Injury to surrounding organs near the uterus.

 

Cervical cerclage refers to a procedure to keep your cervix closed during pregnancy to prevent premature birth. This is done when you have a weak cervix and the foetus is safe inside your uterus. 

Why Do You Need a Cervical Cerclage? 

You may need a cervical cerclage if you have: 

  • Incompetent cervix. 

  • Past miscarriages due to abnormal uterus or cervix. 

  • Past miscarriages due to damaged cervix. 

What Happens During a Cervical Cerclage? 

During the procedure, your surgeon will: 

  • Give you an anaesthesia. 

  • Stich and close your cervix with strong sutures and tightening until it is secure. 

What Happens After a Cervical Cerclage? 

After the procedure, you will be moved to a recovery area for a couple of hours until you go home on the same day. 

What Are the Risks Associated with a Cervical Cerclage? 

Cervical cerclage is safe. It may, however, cause: 

  • Infection. 

  • Damage to your cervix. 

  • Bleeding. 

  • Premature rupture of membranes. 

  • Preterm labour. 

 

Pelvic organ prolapse is a condition during which your pelvic floor muscles, ligaments, and tissues support your pelvic organs are too weak to hold your organs in place. 

What Are the Symptoms of Pelvic Organ Prolapse? 

The common symptoms include: 

  • Bulge, fullness or pressure in your vagina. 

  • Fullness and pressure in your pelvis. 

  • Pain in the lower back. 

  • Pain during intercourse. 

  • Vaginal spotting. 

How is Pelvic Organ Prolapse Treated? 

A pelvic organ prolapse is treated by: 

  • Non-surgical treatments:  

This includes a removable silicone device called vaginal pessary or exercises. 

  • Surgery: 

This includes sewing your vaginal walls to prevent organs from slipping out. It can be done by: 

  • Colpocleisis: obliterative procedure that results in a shortened vagina. It prevents any organs from bulging outside your body. It’s a good option if you’re too frail for reconstructive surgery and don’t wish to have penetrative sex anymore. 

  • Colporrhaphy: treats anterior and/or posterior vaginal wall prolapse. With colporrhaphy, your healthcare provider performs surgery through your vagina. They reinforce your vaginal walls with dissolvable sutures to support your bladder and rectum. 

  • Sacrocolpopexy: treats vaginal vault prolapse and enterocele. It may involve an incision into your abdomen or a less invasive procedure, called laparoscopy. During the procedure, your provider attaches surgical mesh to your vaginal walls and then attaches it to your tailbone. The mesh lifts your vagina back into place. 

  • Sacrohysteropexy: treats uterine prolapse. Your provider attaches surgical mesh to your cervix and vagina and attaches it to your tailbone, lifting your uterus into place. Sacrohysteropexy is an option if you don’t want to have your uterus removed.  

 

Hysteroscopy is a diagnostic and treatment procedure to treat abnormal uterine bleeding. The procedure allows your surgeon to look into your uterus with a tool called a hysteroscope. 

Why Do You Need a Hysteroscopy? 

You may need a hysteroscopy if you have: 

  • Polyps or fibroids. 

  • Endometrial adhesions. 

  • Uterine septum. 

What Happens During a Hysteroscopy? 

During the procedure, your surgeon will ask you to lie down on an exam table with your legs in stirrups. Once you are set, the surgeon will perform a pelvic exam by dilating your cervix and insert a hysteroscopy. Following this, a liquid solution will be inserted through the hysteroscopy and into the uterus to gently expand it. The surgeon will inspect your uterine cavity and insert surgical instruments to remove any abnormality. 

What Happens After a Hysteroscopy? 

 

After the hysteroscopy, you may be moved to a recovery area for some time until you go back home on the same day. 

What Are the Risks Associated with a Hysteroscopy? 

Hysteroscopy is safe. It may, however, cause: 

  • Infection. 

  • Heavy bleeding. 

  • Injury to your cervix, uterus, bladder, or bowel. 

  • Intrauterine scarring. 

 

Laparoscopy is a minimally invasive method to look into your stomach or pelvic area. during this procedure, a laparoscope is used which is a thin rod with a video camera on the end.  

Why Do You Need a Laparoscopy? 

You may need a laparoscopy, if you have: 

  • Fibroid, cyst, or polyp. 

  • Small tumour removal. 

  • Biopsies. 

  • Tubal ligation. 

  • Ectopic pregnancy removal. 

  • Hernia repair. 

What Happens During a Laparoscopy? 

During the procedure, your surgeon will: 

  • Give you an anaesthesia. 

  • Make an incision near your belly button and insert carbon dioxide to fill your abdomen. 

  • Insert a laparoscope along with tiny surgical instruments. 

  • Remove the gas out of your body. 

  • Close the incision. 

What Happens After a Laparoscopy? 

After the procedure, you will stay in a recovery room for some time until you are ready to go back home on the same day. 

What Are the Risks Associated with a Laparoscopy? 

Laparoscopy is generally safe. It may, however, cause: 

  • Bleeding. 

  • Injury to surrounding organs. 

  • Infection. 

  • Abdominal swelling. 

  • Blood clots.