Treatment of Ectopic Pregnancy
Hysteroscopy is a procedure that allow us look inside your womb (uterus). This is done using a narrow tube-like instrument called a hysteroscope. The hysteroscope is very slim (about 3 to 5 millimetres in diameter). It's carefully passed through the vagina and neck of the womb (cervix) and into your uterus. The hysteroscope has a video camera inside which sends pictures to a computer screen. This allows us to check for any abnormalities in the lining of the uterus.
The hysteroscope has special channels which allow the doctor to pass various instruments into the uterus. This means that as well as being able to look inside the uterus, we can perform certain · Remove polyps - small lumps of tissue growing on the lining of the womb (uterus).
⇒ Remove scar tissue in the uterus.
⇒ Perform endometrial ablation - a procedure where the lining of the womb is made thinner in order to prevent heavy periods.
⇒ Remove adhesions (areas where the walls of the uterus are sticking together).
⇒ Remove non-cancerous growths (fibroids) in the uterus.
⇒ Locate a 'lost' or stuck contraceptive device, such as an intrauterine contraceptive device (IUCD) - also known as a 'coil'.procedures like
Hysterectomy means Removal of the uterus or womb.
A hysterectomy can be done in different ways: through the vagina, through the abdomen, or with laparoscopy. Several factors are considered before opting for the most suitable method for the individual patient. Sometimes, the decision is made after the surgery begins and the surgeon is able to see whether other problems are present. The methodology should be left to the surgeon. . In the open method the hospital stay is also only two nights, but rest at home is advised for one month. In laparoscopy also hospital stay is about 2 nights but return to work is between 7 to 10 days later. Laparoscopic surgery, also known as minimally invasive surgery is a highly specialised method of performing surgery Unlike traditional surgeries, where a single large incision is done, laparoscopic surgery can involve creating multiple small incisions called "port" that are of 0.5 to 1 cm in diameter. A tubular instrument called trochar is inserted into each port. Once trochars are inserted, certain specialized instruments such as a special camera known as the laparoscope are passed through them into the surgical area. Before beginning the procedure, the abdomen is inflated with carbon dioxide in order to provide a sufficiently large working space. The laparoscope can relay the images of the surgical area to the high-resolution video monitors in the operation theatre. The surgeon can use these detailed images to perform the same operation that a traditional surgery involves. Compared with abdominal hysterectomy, laparoscopic surgery results in less pain, has a lower risk of infection, and requires a shorter hospital stay. You may be able to return to your normal activities sooner.
In a vaginal hysterectomy, the uterus is removed through the vagina. There is no abdominal incision. Not all women are able to have a vaginal hysterectomy. For example, women who have adhesions from previous surgery or who have a very large uterus may not be able to have this type of surgery.
Vaginal hysterectomy generally causes fewer complications than abdominal or laparoscopic hysterectomy. Healing time may be shorter than with abdominal surgery, with a faster return to normal activities. It is recommended as the first choice for hysterectomy when possible.
In an abdominal hysterectomy, the uterus is removed through an incision in your lower abdomen. The opening in your abdomen gives the surgeon a clear view of your pelvic organs.
Abdominal hysterectomy can be performed even if adhesions are present or if the uterus is very large. However, abdominal hysterectomy is associated with greater risk of complications, such as wound infection, bleeding, blood clots, and nerve and tissue damage, than vaginal or laparoscopic hysterectomy. It generally requires a longer hospital stay and a longer recovery time than vaginal or laparoscopic hysterectomy.
Laparoscopic Tubal Ligation (Female Surgical Sterilization)
Tubal ligation is an operation to stop a woman from getting pregnant. It is PERMANENT. Therefore, you should only consider this procedure if you are sure you will never want another child. The Fallopian tubes, which carry the eggs from the ovary to the womb (uterus), are burned, clipped, cut or tied (the tubes are sealed). The tubes are therefore closed so the sperm and egg do not meet. The egg then dissolves and is absorbed by the body. It is done as outpatient procedures, which means you can go home the same day. The patient is usually put to sleep with a general anesthetic.
At laparoscopy, a lighted telescope (called laparoscope) is placed through a cut under the belly button, to look at the uterus, tubes, ovaries and other organs. A second instrument is placed through a cut above the pubic bone using specialized instruments. The tubes are blocked by clips, rings (band) or burning with an electrical current. It takes about 30 minutes. The surgery has few side effects and the patient can usually go home the day of the surgery. The patient cannot drive a car and will need to go home with someone. Recovery usually takes two to five days.
