Symptoms of fibroids

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Excessive bleeding during periods

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Feelings of heaviness and lethargy

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Abdominal pain

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Lump in the abdomen in the cases of large fibroids

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Difficulty in passing urine

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Constipation

Solution

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Laparoscopic Myomectomies (Fibroid Removals) are very patient-friendly surgeries. The fibroid is detached from the uterus, the capsule is sutured and then finally, the fibroid is removed with the help of an instrument called a Morcellator

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Surgery, bleeding and post-operative procedures take only about a day. Post-operation pain is minimal

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The fibroid may also be removed with a single incision near the umbilicus (navel), but this depends on the surgeon’s expertise and the size of the fibroid

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Myomectomies are quick, relatively painless, and patient-friendly. It is the best solution for women with fibroids. The expertise of our surgeons, the safety of our anesthesia, the teamwork and the quality of our equipment remain the hallmarks and guarantee of a good and surgical outcome

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Symptoms

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Severe pain

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Bleeding during menstruation

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Other damaged organs

Causes

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The presence of fibroids

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The prolapse of the uterus (where the Uterus is shifted from its usual position)

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Endometriosis (Presence of the uterus lining in nearby organs which causes pain and bleeding)

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Uterine or cervical cancer

Solution

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In most cases, the surgery is done through a tiny incision in the abdomen except in a few exceptional cases where the uterus is so large that there isn’t enough room to insert the laparoscopic equipment

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In the hysterectomy, the uterus and the surrounding supportive tissue are separated with special tools which maximize efficiency while minimizing blood loss and time of surgery

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The uterus is then removed through the birth canal, or, in special instances, by morcellation.

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After hysterectomy, a woman will no longer have her periods

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Symptoms

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Fullness in the abdomen

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Painful periods and abnormal bleeding

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Problems passing urine completely

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Pain with fever and vomiting

Solution

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Surgery can be done for most of these ovarian cysts except in later-stage ovarian cancerous cysts.

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In surgery, the laparoscope (a flexible surgical device equipped with a camera, forceps, scissors and more) is used to locate the cyst. Once located, one or two more tiny incisions are made, through which surgical instruments are inserted to remove the cyst. The cyst can be extracted intact or it can be aspirated and cyst wall can be either cut off or eroded. The removed tissue should be sent for biopsy.

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Pelvic prolapse is a weakness or laxity in the supporting structures of the pelvic organs.

Tissue from the bladder, uterus or rectum may protrude into the vagina or into other organs. Pelvic Organ Prolapse is actually a rather common condition amongst older 

women. Indeed, it is estimated that nearly half of the women with children will experience some sort of prolapse in later years. It is also possible that many organs may be prolapsed. Organs susceptible to collapse include :

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Bladder

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Rectal Walls

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Small Bowel

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Uterus

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Vaginal vault

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Symptoms

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Severe, one-sided and persistent abdominal pain is a common symptom

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Unconsciousness or collapse, preceded by weakness and dizziness

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Diarrhea or vomiting

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Vaginal bleeding (You may not know that you’re pregnant and mistaken this for a period, but this blood is usually different from the menses - it is often dark and watery)

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Shoulder-tip pain- This may indicate internal bleeding that irritates other organs

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Pain during urination or defecation

Long Term Risks

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Severe abdominal pain

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If unrecognized, fallopian tubes may rupture, causing internal bleeding. This is a medical emergency and may be fatal.

Causes

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Pelvic infection

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Endometriosis in the fallopian tubes (where the uterine lining is present against the fallopian tubes)

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Any previous abdominal surgeries

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Intra uterus contraceptive devices

Solutions

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In the case of ectopic pregnancies, one may require observation, a laparoscopy or maybe even a laparotomy

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For those who require surgical intervention, the most common treatment is surgery, in which case, laparoscopies are preferred due to the tiny incisions used and the speedy recovery afterwards. Under ideal conditions, an incision can be made, and the pregnancy removed, leaving the fallopian tube intact

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In some serious cases, the damage may require the removal of a portion of the tube, the entire tube, the ovary perhaps and maybe even the uterus

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However, certain conditions make laparoscopy less effective or unavailable as an alternative. These include massive pelvic scar tissue and excessive blood in the abdomen or pelvis

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Here, we surgically observe and check for any abnormalities in the uterus, fallopian tubes and ovaries, such as scar tissue, endometriosis, fibroids, cysts, congenital defects or others

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In some women, the fallopian tubes are blocked, which prevents the fusion of sperm and egg cells, causing infertility. With laparoscopy, any defects that are found may be corrected

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Sterilization can be done with laparoscopy or mini-laparotomy

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In the laparotomy, the abdomen is cut about 3-4 cm

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In laparoscopy, complete sterilization can be made with a small incision near the navel. A special device for grasping the fallopian tubes is inserted through a second, small incision made at the pubic hairline. The fallopian tubes are sealed either with an electric current that makes the tube clot (electrocoagulation) or with a band or clip that is placed over the tubes or they may be cut. After the fallopian tubes have been sealed, the instruments are removed and a small bandage is applied over the incisions

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Sterilization or Tubal ligation (also known as "tying the tubes") is a surgery that is used to close a woman's fallopian tubes so that she can no longer get pregnant.

The fallopian tubes are on either side of the uterus and extend toward the ovaries. They receive eggs from the ovaries and transport them to the uterus. Once the fallopian tubes are closed, the man's sperm can no longer fuse with the egg, making conception impossible.