At ISHA, following surgeries are conducted for Obstetrics & Gynaecology department:

  • Total Laparoscopic Hysterectomy
  • Op. Laparoscopy with TL reversal
  • TCRE for synechiae / polyp / menorrhagia
  • Oncosurgery up to Wertheim’s Hysterectomy are successfully done with help of gynaec-onco surgeon
  • Hysterectomy – Abdominal and Vaginal
  • Op. Laparoscopy with Myomectomy
  • Laparoscopic management of ectopic pregnancy
  • Minor operations – D & E, Os tightening, Embryo reduction, TL (Tubectomy), Mirena insertion etc.
  • Operative Laparoscopy

    LAVH – Laparoscopic assisted Vaginal Hysterectomy
    TLH Total Laparoscopic Hysterectomy

    Removal of the uterus can be done by two types-

    • LAVH – Both cornua are cauterized by the help of a laparoscope. Rest method is used of Vaginal Hysterectomy.
    • TLH – Uterus is removed totally by laparoscopy. Uterus is delivered through vagina.

    Myomectomy

    Uterine fibroid is one of the causes of menorrhagia. Even fibroids of bigger sizes can be removed by laparoscopy operation. Morcellator is used for big sized fibroids – it peels the fibroid and makes small pieces to bring out from port.

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    Ectopic Pregnancy

    Ectopic pregnancy means implantation, which occurs outside uterus. Generally tubal ectopic is seen, wherein products are removed from the tube, if it is not ruptured. Part of the tube or whole is removed in case of ruptured ectopic.

    Tubectomy (TL) –

    TL reversal

    This is a laparoscopic microsurgery where the tubes are recanalized. The old TL’s site is cut and healthy tissue – tubes are re-anastomosed using 6-0 prolene. The chances of success depend upon remaining length of healthy tube.

    TCRE

    Trans Cervical Resection of Endometrium – Resectoscope and loop is inserted in the uterine cavity through cervix, to remove the endometrium from its root. It is opted in case of menorrhagia, to avoid removal of uterus. Menstrual bleeding reduces to minimum or only spotting. 90% patients recover by this method. The benefit is no scar on abdomen.

    Suspension operation for prolapsed

    Prolepses of uterus also effects bladder and rectum. It is repaired by laparoscopy method.

    Stress Urinary Incontinence (S.U.I.)

    Urine incontinence is corrected by laparoscopy method.

  • Operative Laparoscopy For Fertility Management

    Adhesiolysis

    If uterus, fallopian tubes and ovaries are stuck with other organs, it can be separated by blunt / sharp dissection.

    Operation for endometriosis and endometrioma

    Growth of ectopic endometrial tissues outside the uterus is called endometriosis. This is a progressive disease. It is cauterized by cautery endometriosis, cyst wall is tried to be removed and if not possible it is also cauterized with bipolar cautery.

    Ovarian cyst removal

    Ovarian cyst wall is removed to prevent recurrence.

    PCO drilling

    A special needle is used for drilling on ovary, when pt. is suffering from polycystic ovarian disease. Tubal Patency – Patency of the tubes can be confirmed by injecting methylene blue dye through the cervical canal, and spill of the same through the fimbria being visualized through the laparoscope.

    Myomectomy

    Uterine fibroid, of even bigger size, can be removed by laparoscopy operation. Morcellator is used for big size fibroid – it peels the fibroid and makes small pieces to bring out from the port.

    Adenomyoma removal

    Adenomyoma is removed by laparoscopic myomectomy, but it is quite difficult because adenomyoma is encapsulated and dissected by sharp dissection.

    Salpingiolysis – Hydrosalpinx

    Inflammation of distal end of fallopian tubes is called hydrosalpinx. Debris is removed from the tube and is repaired.

  • Operative Hysteroscopy

    Septal resection

    Resectoscope is used to cut intrauterine septum.

    Lateral Metroplasty

    It is performed in ‘T’ shaped uterine cavity, which is the cause of infertility or abortion. Intrauterine walls are cut with resectoscope to get enough space.

    Adhesiolysis for Asherman’s Syndrome

    This condition usually is the result of curettage following pregnancy, resulting in intrauterine scarification. Adhesions may be partial or complete and can also occur following uterine surgery. These patients can present with amenorrhea, hypo menorrhea, dysmenorrhea, abortions. It is called Asherman‟s Syndrome. Adhesions are removed with the help of hysteroscopy.

    Polypectomy

    Intrauterine polyp can be removed.

    Submucous myomectomy

    Resectoscope is introduced through hysteroscopy and fibroid is peeled with the help of loop.

    Cornual Cannulation

    Cornua is the opening of fallopian tubes in uterine cavity. Malleable catheter is introduced through hysteroscopy in the blocked cornua to open it.

    Foreign body removal

    Sometimes remaining bones of the foetus from a previous abortion or displaced IUD is found in the uterine cavity. This foreign body is removed under guidance of hysteroscopy.

  • Technology

    The service is well-supported by the most modern operating instruments and state-of-the-art operation theaters. The equipment’s are kept updated with the advent of new technologies.