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    3. Laparoscopy Procedure

    Laparoscopy Procedure

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    Diagnostic laparoscopy

    This is a surgical procedure to view the female reproductive organ using a laparoscope passed through a small incision in the abdomen. Female pelvic laparoscopy is recommended when other imaging test fails to confirm the cause of the condition. Diagnostic laparoscopy is used to find pelvic and abdominal pain cause, tissue mass, fallopian tube blockages, infertility causes, and pelvic inflammatory disease.

    Laparoscopy

    This is a surgical procedure involving a fiber-optic instrument inserted through the abdominal wall to view internal organs.

    Laparoscopic hysterectomy

    Hysterectomy is the most common surgery performed in women, which involves removal of the uterus. The surgery is performed using a laparoscope, where a camera is mounted on the tube to view and separate the uterus from attachment. Laparoscopic hysterectomy is efficient, safe, and requires smaller incisions on the abdomen which gives faster recovery.

    Indications of hysterectomy

    Hysteroscopy is recommended for benign diseases such as:

    • Leiomyomas (fibroids) which are causing severe symptoms and in women who have completed family planning.
    • Abnormal uterine bleeding not responding to medical management.
    • Endometriosis: in the presence of severe symptoms with the failure of other options.
    • Pelvic organ prolapse: in these cases, hysterectomy should include associated pelvic organ supporting procedures.
    • Pelvic pain when medical treatment failed cancerous disease- early endometrial and cervical cancer

    Laparoscopic myomectomy

    Uterine fibroids are abnormal growths of the uterus mostly during a woman’s childbearing age 

    Myomectomy is a surgical procedure used in the removal of uterine fibroids (abnormal growth). Myomectomy is recommended to remove fibroids causing troublesome symptoms such as heavy menstrual bleeding, prolonged periods, irregular periods, spotting, backache, infertility, and pelvic pain. 

    This surgical procedure involves the removal of fibroid through smaller cuts made on the abdomen by inserting a laparoscope. A high-definition camera is attached to the laparoscope to view the fibroid location and to remove it. Laparoscopic myomectomy is patient-friendly, smaller cuts, less blood loss, short stay, and faster recovery.

    Laparoscopic ovarian cyst removal

    An ovarian cyst is a fluid collection surrounded by a very thin wall, within the ovary. Most (about 95%) are harmless and occurs during the reproductive years.

    There are two main types of ovarian cysts, namely, functional cysts which are the most common and form the part of the normal menstrual type and short lived. The other type of ovarian cysts are pathological cysts which are cysts that grow in the ovaries and can be harmless (benign) or cancerous (malignant).

    Symptoms of ovarian cyst are mild to severe discomfort in the lower abdomen, fullness in the abdomen, pain during or after menstrual periods, irregular periods, infertility, and urinary or bowel disturbance.

    Laparoscopic or keyhole surgery involves removal of cysts through a small incision. The surgery doesn’t cause any side effects to a women’s fertility and the recovery time is quick.

    Laparoscopy for prolapse

    Uterine prolapse can occur at any age and it affects postmenopausal women with more vaginal deliveries. A majority of women don't require treatment, but if uterine prolapse is disturbing normal life, treatment might be needed.

    Signs and symptoms include urinary problems, painful bowel movement, tissue protruding from the vagina, and sexual concerns.

    Laparoscopy for prolapse involves repair of weakened pelvic floor tissues by grafting own tissues or artificial mesh to support the pelvic organs. 

    Laparoscopy for family planning

    A laparoscopic tubal ligation or permanent birth control procedure can be performed for family planning. The surgeon will insert a smaller device for a closer view of the fallopian tubes and a ring is applied to block the fallopian tube. Time taken for the procedure is about 10-15 minutes. 

    Laparoscopic recanalization

    This is a microsurgical procedure to unblock fallopian tubes in a woman’s reproductive system. A common cause for female infertility is a blockage in the fallopian tubes. It’s a result of debris which is built up. Surgery scarring or serious infection might also be a reason for the blockage. A laparoscopic approach involves fewer surgical incisions and less bleeding.  

    Laparoscopy for infertility

    Laparoscopic surgery to treat infertility is usually performed only after other infertility tests have been completed and initial treatment methods for infertility have failed.

    Female infertility accounts for 35-40% of all fertility problems, and probable causes can be ovulatory cause (any condition, usually hormonal that prevents the release of a mature egg from an ovary). Another common cause is polycystic ovaries. Patients whose ovaries contain many small cysts, have hormone imbalances and do not ovulate regularly. Laparoscopy helps to puncture ovarian cysts.

    Endometriosis is a condition, in which endometrial tissue (the uterine lining that sheds with each monthly period) grows outside the uterus, and this is a major cause of infertility in women. Laparoscopy helps in removal of ovarian cysts and endometriomas with the reconstruction of the ovary to a fully functional state.

    Female tubal blockage- blocked or damaged fallopian tubes prevent eggs from getting to the uterus and sperm from getting to the egg. The leading cause is pelvic infection. Laparoscopy helps to evaluate the tubes for patency, the ovaries and also for removal of scar tissue around the tubes and ovaries and opening blocked tubes (tuboplasty).

    Laparoscopy for early endometrial & cervical cancer

    The procedure is a preferred option for women with early-stage endometrial cancer and it’s a safer option for early endometrial cancer. Laparoscopy for cervical cancer will be done with or without robotic technology depending upon the location of the tumor and cancer stage.

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    All About Pregnancy-Related Stroke, Something That You Must Know Well For Healthy Pregnancy

    Pregnancy in every woman is a phase that comes with immense happiness and excitement and a lot of fear. It is a stage where a woman has to be extra cautious about both her physical and mental health and must be aware of an imminent risk that may affect her baby inside the womb. Interestingly, the risk of a type of stroke that causes bleeding in the brain has been found to be higher among women during pregnancy and in the weeks following the delivery, as per a new study. It has shown that women have an increased risk for stroke-causing blood clots during pregnancy and the postpartum period and have three times the risk of intracerebral haemorrhage compared to women who are not pregnant. The approximate rate of pregnancy-related stroke stands at 30 per 100,000 pregnancies. Though it is not common, it is a matter of concern for women and newborn health that needs to be addressed at the earliest. 
     
    Risk factors leading to pregnancy-induced stroke
     
    With an increasing prevalence of obesity, pregnant women are found to be at a greater risk of getting hit by a stroke during the gestational period or immediately after delivery. Other risk factors of pregnancy-related stroke include:

    • Hypertension

    • Diabetes

    • Valvular heart disease

    • Hypercoagulable disorders

    • Sickle cell disease

    • Lupus

    • Abuse of tobacco 

     
    High blood pressure during pregnancy: It is one of the leading risk factors that may lead to stroke during pregnancy. Interestingly, women with otherwise healthy blood pressure level may develop high blood pressure during pregnancy and may result in stroke among pregnant women or women who have recently given birth. 
     
    Preeclampsia: It is a severe kind of high blood pressure during pregnancy and can cause vision problems, headaches, swelling in the hands and face, premature delivery, and a baby with low birth weight. Severe preeclampsia may also cause seizures and lead to stroke during or after pregnancy. 
     
    Gestational Diabetes: Women with gestational diabetes, a condition where pregnant women develop problems with blood sugar during pregnancy are more prone to the risk of getting high blood pressure during pregnancy and stroke, in severe cases. 
     
    Blood clots: During pregnancy, there are more chances of a blood clot which can lead to stroke. Pregnancy may lead to swelling in certain parts that curb the blood flow, typically to the lower legs. When there's less blood circulation, the chances of developing blood clots get higher. Also, towards the end of pregnancy, the body produces a substance that helps the blood to clot. While that reduces the chance of excessive bleeding while delivery, it also increases the risk of getting a stroke.
     
    Consult the best gynaecologist in Bangalore if you have any doubt related to pregnancy. There are high-risk pregnancy doctors in Bangalore who are expert in dealing with high-risk pregnancies.
     
    Deciphering the signs of pregnancy-related stroke
     
    The keystroke symptoms during or immediately after pregnancy include sudden numbness or weakness in the face, arm or leg, especially on one side of the body, sudden confusion, trouble while speaking or difficulty in understanding speech, sudden difficulty in seeing, walking, dizziness, balance loss, lack of coordination and sudden severe headache without a known cause. 
     
    Ways of preventing stroke during pregnancy
     
    Pregnancy is a hyper-coagulable state due to hormonal changes associated. History of stroke or severe migraine with aura after taking hormonal medication such as oral contraceptives increases chances of stroke in pregnancy. Importance of pre-conceptional consultation to assess risk factors before planning a pregnancy. Here are some tips for a healthy pregnancy that would help in preventing stroke. 
     
    Quit smoking: Using tobacco products before or during pregnancy may increase the risk of stroke. It is essential to quit smoking at that time. 
     
    Maintain healthy body weight: Having a well-balanced and healthy body weight to help get healthy blood pressure and blood sugar levels during pregnancy. It is important to aim for a healthy body weight during pregnancy. 
     
    Eat healthy foods: Have a diet that is rich in whole grains, nuts, healthy fats, fruits and vegetables and low in sodium that can support healthy blood pressure and sugar levels. 
     
    Be physically active: About 30 minutes of moderate exercise and activities are a must for pregnant women to get healthy pregnancies. 
     
    Coordinate well with the healthcare team: One must talk to the doctor about the risk of stroke or other problems at the time of pregnancy and should monitor blood pressure and blood sugar well throughout the pregnancy. 
     
    Talk to the gynaecologist in Bangalore to know more about do’s and don’ts during pregnancy.

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    ENT and Head Neck Surgery

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    Endocrinology Diabetes Thyroid and Osteoporosis

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