What is hysterectomy and when to take treatment of it?

A uterus (womb) is a muscular organ in which baby grows. If you were having menstrual periods before the surgery you won’t have it after the surgery and you will never be able to get pregnant after this operation.

Abdominal Myomectomy Treatment In Vashi is a surgery to remove the uterus through the vagina. It is a way of removing the uterus out through a cut in vagina instead of belly bottom. When a vaginal hysterectomy is assisted with laparoscopy means your surgeon will use a tool called laparoscope. Laparoscopic Hysterectomy Surgery is operated by a lighted tube that is placed through a small cut in the belly. It means that you’ll probably have less pain than the large cuts while removing the uterus Firstly through a tiny incision, a camera is inserted. The surgeon sees the entire procedure on the monitor then after that few more incisions are made and through these, specialized instruments are inserted and used for the uterus removal process.

The problems like abnormal uterine bleeding should initially be treated medically, but if the condition takes a severe turn then laparoscopic uterus removal surgery can be considered by gynecologists.

Types of Laparoscopic Hysterectomy Surgery Performed

There are different kinds of hysterectomy but the type and condition will vary according to conditions being treated. Some of the types that are performed in women are-

  • Total hysterectomy: The uterus and cervix is removed
  • Bilateral Hysterectomy: The uterus, cervix, fallopian tube and ovaries are removed.
  • Complete or total hysterectomy: Only uterus is removed
  • Radical hysterectomy:  The uterus, cervix, ovaries, oviduct, surrounding tissues, lymph nodes are removed.
  • Abdominal Hysterectomy: An incision is made in the abdomen that can be either vertical from the area of the public bone up towards the belly button, or it may be horizontal along the bikini line.

Advantages of undergoing Laparoscopic Hysterectomy Surgery in India

In the past 20-30 years, advanced operative laparoscopy procedures have been developed including laparoscopic hysterectomy and hence this practice more visionary and taking it towards the higher success rates in India.The magnification offered by laparoscope helps the gynecologist in viewing each and every structure minutely and identifies the right surgical planes hence, giving it a surgical success rate of about 100%.

One in six women would undergo uterus removal surgery worldwide after age of 60 makes this one of the most elective surgery among women. Benefits of Laparoscopic Hysterectomy surgery in India is a boon for those who are looking forward for affordable, accessible and efficient surgeries in India. In year 2016 around 200,000 tourists travelled India on medical visa.

Get Affordable

The Laparoscopic Hysterectomy Surgery in India is substantially less as to the western countries and hence patients travelled all the way to India not only for its cultural heritage but also to seek advance technology treatment and that too considerably at a shoe box price as compared to western countries. The average cost of surgery in India is 1, 20000-1,70000. Medical tourism is playing an immense role in providing best health care facilities around the globe.

India has developed itself in the field of healthcare and medicine and today it provides world class facilities for almost all the medical ailments with the help of the most extensively trained doctors. These trained doctors are backed by the most advanced technology for diagnosis and treatments of various diseases. Through the years the Indian hospitals have managed to give service better than most of the developed countries and attract patients from across the world for their unparalleled treatment at an affordable cost.

Click here: Maternity Hospital In Navi Mumbai

by Uday Thanawala

The Time Of Coronavirus How To Deal With Pregnancy ? Dr. Uday Thanawala

Distressing, in any event, during ordinary occasions, pregnancy can be profoundly upsetting during a pandemic prompted lockdown. Significantly more so on the off chance that you or somebody near you has tried positive for the coronavirus. Here’s a couple of do’s and don’ts for eager moms during these disturbed occasions, in view of what we know so far about the infection.

Try not to Fret 

Not at all like the Severe intense respiratory disorder or SARS pandemic of 2003-2004, which was additionally brought about by a Corona infection, pregnant moms are not in the higher hazard section from COVID-19. During the SARS flare-up, pregnant ladies had a casualty danger of 25 percent contrasted with 10 percent of everybody. This is for the most part dependent on a report on 9 pregnant ladies from Wuhan, China, the focal point of the COVID-19 flare-up, who had COVID-actuated pneumonia. The report, distributed in the Lancet, said none of the ladies, who were in their third trimester, created extreme disease, and every one of their children were brought into the world sound and Corona infection free. The World Health Organization (WHO) distributed a report on February 28 of 147 pregnant ladies, of whom, 64 were affirmed to have coronavirus, 82 were suspected to have the infection and one demonstrated no indications. As per the report, just 8% of these ladies built up an extreme condition and just 1% fell fundamentally sick.

Insusceptibility Matters 

This doesn’t mean pregnant ladies can bear to be self-satisfied as the insusceptibility framework will in general plunge during pregnancy, making the ladies helpless against different contaminations and sicknesses, including COVID-19. In this way, guarantee the eating routine contains insusceptibility boosting and iron rich nourishment, including organic products, verdant vegetables and nuts. You ought to likewise keep on taking all the nutrient enhancements the specialist may have recommended.

Maintain a strategic distance from These 

Aside from keeping the standard rules like staying away from groups and wiped out individuals, every now and again washing hands and not contacting the face, specialists suggest conscientiously keeping up social separating, maintaining a strategic distance from open territories and wearing a cover at whatever point you are outside.

Be Prepared 

Given the weight on the human services framework, and the chance of diseases from emergency clinics, you should check whether your primary care physician or emergency clinic offers tele-medication offices. Try not to visit the emergency clinic except if it is completely fundamental, or for basic exams. Never abandon an unmistakable arrangement. Continuously keep your records convenient, and demand that the specialist mail you any guidance or medication recommended, with the goal that you don’t commit errors. Ensure you educate your primary care physician/wellbeing supplier on the off chance that you have any indications like fever, respiratory side effects or even looseness of the bowels, or on the off chance that you have been in contact with somebody who has tried positive for COVID-19. Maintain a strategic distance from over the counter drugs to treat hack and cold.

Convey With Care 

On account of the crown limitations, numerous emergency clinics don’t permit more than one guest during your conveyance. Along these lines, guarantee that your companion or accomplice is set up for that, and have a reinforcement set up on the off chance that he can’t be available there. Disclose this to different individuals from your loved ones with the goal that they don’t show up at the clinic. After the conveyance, ensure that you have a reinforcement backing to deal with you and the child, especially if the first emotionally supportive network included older folks of the family.

Imagine a scenario where You Test Positive. 

On the off chance that you have tried positive for COVID-19 during your pregnancy or not long before conveyance, don’t stress. Beginning investigations demonstrate that the infection doesn’t transmit to uterus, or through breastmilk. In any case, guarantee that the infant doesn’t get tainted through contact with somebody who has tried positive for the illness. All things considered, specialists will for the most part seclude the child, which will be taken care of by solid guardians in defensive rigging. This can be horrendous, so be set up for it. Your accomplice may be permitted to invest energy with the youngster in the event that he tests negative. In the event that you need to offer milk to your youngster utilizing a bosom siphon, do guarantee legitimate cleanliness, and wear a veil while utilizing the siphon. Direct breastfeeding may be permitted if the contaminated mother wears a veil, however would you truly like to face the challenge?

Read Dr. Uday Thanawala Information:

Dr. Uday Thanawala is a consultant and Obstetrician and Gynecologist at Thanawala maternity Clinic. It is the best gynecology clinic provides the best Infertility Treatment in vashi, Navi Mumbai by laproscopic infertility speciaists. Get in touch for the free consultation or if you have any query related to gynecology feel free to ask on 9920143277 or write you query on http://thanawalamaternity.com/request-
appointment/ we will get back to you asap.

by Uday Thanawala

Myomectomy and Its Types..!!

A myomectomy is a surgery to remove fibroids without taking out the healthy tissue of the uterus. It is best for women who wish to have children after treatment for their fibroids or who wish to keep their uterus for other reasons. You can become pregnant after myomectomy. But if your fibroids were imbedded deeply in the uterus, you might need a cesarean section to deliver. Myomectomy can be performed in many ways. It can be major surgery (involving cutting into the abdomen) or performed with laparoscopy or hysteroscopy. The type of surgery that can be done depends on the type, size, and location of the fibroids. After myomectomy new fibroids can grow and cause trouble later.

There are 3 main types of Myomectomy procedures:

1. Hysteroscopic myomectomy
In this procedure, a camera is introduced through the vagina and into the uterine cavity. Submucous or intracavitary myomas are easily visualized and can be resected or removed using a wire loop or similar device. While submucous myomas can cause significant bleeding and anemia, their management is straightforward with hysteroscopic myomectomy. Patients usually are sent home after surgery and have minimal need for recovery.

2. Open myomectomy

Now reserved for patients with very large myomas, an open myomectomy is traditional surgery involving an incision similar to a cesarean section incision. The fibroids are shelled out from the normal uterus and the uterus is repaired using multiple rows of suture. Patients normally are hospitalized for 1-3 days and experience discomfort similar to other open surgeries. Most patients are able to return to work in 4 weeks comfortably.

3. Laparoscopic or Robotic myomectomy
During this procedure, a 10 millimeter (1 centimeter) camera is introduced, usually through the umbilicus or belly button. Three other small (5 – 8mm) incisions are made and instruments are used to complete the surgery similar to an open myomectomy. This procedure is more time consuming, and technically difficult but affords the patient a more rapid recovery. In our practice, patients are observed in the hospital overnight and usually released in the morning. They typically return to work in 2-4 weeks.
The da Vinci robotic system has revolutionalized laparoscopic myomectomy, allowing for improved suturing of the uterus with better visualization.

by Uday Thanawala

Hysterectomy: Why, When and Then What?

Hysterectomy is a descriptive term that covers a range of surgical procedures and options. At its most basic, a hysterectomy is surgery to remove a woman’s uterus. (The uterus is where a baby grows.)

TYPES

“There are 3 basic types of hysterectomy,” .“In a partial (or subtotal) hysterectomy, the upper part of the uterus is removed. In a total hysterectomy, the total uterus and the cervix are removed. A radical hysterectomy is an uncommon procedure performed when cervical cancer is detected in an early stage. Removal of the tubes and ovaries are not included in the term hysterectomy, but may be noted by the terms oophorectomy and/or salpingectomy (ovary and/or tube).

CAUSES

A woman and her gynecologist may choose a hysterectomy if she has:

Fibroids, or non-cancerous growths that may cause pain or excessive bleeding.
Endometriosis, or tissue from the uterus lining that begins growing outside the uterus. It can cause painful periods, abnormal bleeding and infertility.
Pelvic Organ Prolapse, where the organs lose support and drop into the vagina. Prolapse causes urinary leakage or a feeling of pressure in the pelvis.
Pelvic Pain or Abnormal Bleeding not related to the above problems.
Cancer in the cervix, ovaries or fallopian tubes.
SURGICAL OPTIONS

A surgeon can perform the hysterectomy in a variety of ways:

Open or Abdominal hysterectomy involves an incision 6-8 inches long in the lower abdomen (bikini incision). Cancer or large fibroids may require this approach, which enables the surgeon to see the entire area clearly.
Vaginal hysterectomy removes the uterus through the vagina, avoiding the abdominal incision. A surgeon will use this approach for early-stage cancer or pelvic organ prolapse.
Laparoscopic Supracervical hysterectomy is performed through several small incisions in or near the navel with thin, tube-like instruments and a camera.
Laparoscopic Assisted Vaginal Hysterectomy (LAVH) involves small incisions near the navel and removal of the organs through the vagina.
Removal of the uterus marks the end of a woman’s ability to bear children, so the decision is important. For treatment of fibroids, there is an alternate procedure called Myomectomy.

Using this approach, the fibroids are removed but fertility can be maintained. Uterine Artery embolization is a minimally invasive approach that can be effective in selective patients.

RECOVERY

The laparoscopic approaches involve shorter hospital stays (usually 24 hours), less pain and faster recovery. Open surgery may require a 2-3 day hospital stay. Other approaches can often be done as same-day surgery.

WHAT ABOUT AFTER?

Almost all women still enjoy an active sex life after hysterectomy without interference in normal function or pleasure. For a better answer on this issue, you may want to talk with women you know who’ve had a hysterectomy.

Removal of ovaries that provide the sex hormones (estrogen, progesterone and testosterone) is not usually necessary or indicated with hysterectomy. Patients with endometriosis or strong family history of ovarian cancer may benefit from removal of the ovaries at the time of hysterectomy, but will experience a surgical menopause that may cause significant symptoms including hot flashes and vaginal dryness. These symptoms can usually be managed with either hormonal or non-hormonal therapies.

Most patients will not require Pap tests post hysterectomy for benign disease. Regular Pap tests will still be necessary for women who retain their cervix or had a hysterectomy after a cancer diagnosis.

FINAL THOUGHT

A hysterectomy is a major surgery that can have complications such as bleeding or infection. Most patients have significant and long-term improvements in their health post-hysterectomy and rarely regret having the procedure if medically indicated. Your decision should be made in consultation with your gynecologist to understand the surgical options, alternatives, and benefits. Each woman’s choice depends on her medical history, other health conditions and reasons for the surgery.

by Uday Thanawala

When is a Hysterectomy performed..?

There are many reasons why the uterus would need to be removed. Some of the disorders that may be treated with a Hysterectomy are:

  • Constant heavy bleeding that has not been controlled by medicines or Dilatation and Curettage (D&C)
  • Endometriosis that causes pain or bleeding and does not respond to other treatments
  • Chronic pelvic pain
  • Prolapse uterus – a fallen (sagging) uterus
  • Precancerous or cancerous cells or tissue present in the uterus
  • Tumours in the uterus .Other ways in which the uterus may be removed are:
  • Vaginal Hysterectomy – Having the uterus removed through the vagina
    Laparoscopic Hysterectomy through key hole incisions made in the abdomen
    Robotic Hysterectomy
    Hysteroscopy, Laparoscopy, Robotic Surgery may be used to:
    Remove an area of endometriosis without removing the uterus
    Remove tumours (fibroids) without removing the uterus
    You should ask your doctor about these choices but you will find that your doctor would have chosen the method of Hysterectomy that is most appropriate for your medical condition. Please note that some techniques will not be the best option for your medical condition.
by Uday Thanawala