Monthly Archives: February 2019

Can Fibroids Be Removed Laparoscopically?

Laparoscopically

Fibroids are benign growths within the muscle wall of the uterus. Over 80% of women between 30 and 50 years of age have uterine fibroids. Depending on their size and location, fibroids can be completely asymptomatic or can cause various symptoms.

These may include heavy periods causing anemia or a large lump pressing on the bladder and other organs. Abnormal bleeding is usually caused by fibroids adjacent to the uterine cavity. Patients who have smaller serosal fibroids may be completely asymptomatic or report only one symptom. Less than 1% of fibroids are malignant.

There’s no need for treatment of malignant fibroids unless they affect the patient’s quality of life.

Your doctor may perform Myomectomy, to remove fibroid tumors (myomas) from the uterus. This is an alternative treatment to hysterectomy and is the more preferred choice. It preserves the uterus and hence the reproductive choice for the patient.

Other advantages of laparoscopic myomectomy include:-

  • Small incisions and less scarring
  • Gentler handling of the body tissues and organs during the operation
  • Less postoperative pain
  • Less postoperative narcotic use for pain relief
  • Shorter hospitalization
  • Faster overall recovery with an earlier return to normal activity
  • Lower risk of infection

The surgical procedure involves 3-4 incisions in the abdomen under general anesthesia. The fibroids are located through a laparoscope. The fibroids are cut into small pieces and taken out of the small incision, a post which the doctor sutures the wounds. You’ll be recommended discharge in usually after 48 hours. Pain is controlled by analgesics. You can return to normal activities in around 4-6 weeks.

Dr. Navdeep kaur, at our hospital, proves to be the best gynecologist in Chandigarh and Mohali. Visit her for the treatment of uterine fibroids.

Duration of Stay in Laparoscopic Procedures

Laparoscopic Procedures

Each of the procedure performed laparoscopically benefits from decreased postoperative pain, early ambulation, and early return to oral feeds, early discharge and early return to work.

Various studies prove the fact that the length of hospital stay is reduced in all laparoscopic procedures.

Be it hysterectomy, cholecystectomy, appendectomy, colectomy or any other procedure done laparoscopically, the patient is released in 24-48 hours. The recovery time is short as the wound heals quickly and there are not many incisions made.

Postoperative complications are the predicting factors responsible for the evaluation of the hospital stay. There are barely any complications that can occur after a surgical procedure done laparoscopically.

Only 1 or 2 out of every 100 cases following laparoscopy are estimated to have minor complications which include:

• Infection
• Minor bleeding
• Vomiting

Serious complications are very rare finding after laparoscopy. They include:

  • Organ damage, such as your bowel or bladder
  • Damage to a major artery
  • Complications arising from the use of carbon dioxide during the procedure, such as the gas bubbles entering your veins or arteries
  • Allergic reaction to the general anesthetic
  • A blood clot developing in a vein, usually in one of the legs (deep vein thrombosis or DVT), causing pulmonary embolism

Only 1 out of every 1,000 cases are estimated to have serious complications. Further surgery may be required to treat many of these more serious complications.
You can visit CMC, Mohali to get proper diagnosis and treatments done laparoscopically. With a proficient team of doctors and health care individuals, we assure you quick recovery with a lesser stay at the hospital.

Also Read: What is Diagnostic Laparoscopy?

Keyhole Surgeries in Gynaecology

Keyhole Surgeries

Keyhole surgery, also known as minimally invasive surgery, is a modern surgical technique. It involves operations done either with no cut to the body or through very small incisions of about 1cm with a help of laparoscopy.

There are two types of Keyhole surgeries:

Keyhole procedures within the abdomen or pelvis are known as laparoscopy, whilst those on the uterus are hysteroscopy.

Hysteroscopy

Common operations performed at hysteroscopy include:

  • Exploratory assessment
  • Biopsies of abnormal areas
  • Rule out cancers
  • Removal of polyps (small growths in the womb that grow & bleed)
  • Removal of small-medium fibroids that are poking into the cavity of the womb (myomectomy)
  • Reshaping the interior shape of the womb thus improving fertility (septoplasty)

Laparoscopy

Common operations performed at laparoscopy include:

  • Hysterectomy
  • Removal of ovarian cysts
  • Removal of the fallopian tubes
  • Removal of fibroids
  • Treatment of endometriosis
  • Removal of adhesions and scar tissue
  • Infertility surgery

There are several advantages of keyhole surgery compared with traditional operations for the patient:

  •  Smaller incisions reducing pain and recovery time
  • Reduced bleeding
  • Reduced exposure to infections
  • Shorter time in the hospital due to the faster recovery period
  • Reduction in internal scarring
  • No visible external scar

Serious complications are extremely uncommon in laparoscopy. The most important risk is that of damage to bowel or a major blood vessel at the time the laparoscope is inserted at the start of the operation. This is said to occur in about 1:500 laparoscopy cases. Other risks are an infection, bruising, bleeding, and specific complications of the particular operation.

For instance, removal of fibroids can lead to bleeding, scar tissue forming afterward and the slight weakening of the womb during pregnancy.

We at CMC are fully equipped to carry out Keyhole surgeries with all precision. Visit Dr. Navdeep Kaur, the best gynecologist in Mohali and Chandigarh at our hospital, under whose hands we ensure you the best treatment.

 

What is Diagnostic Laparoscopy?

Diagnostic Laparoscopy

A procedure wherein a doctor uses a laparoscope to look into the organs and tissues of the abdomen is referred to as a diagnostic laparoscopy. The procedure involves placing a telescope-like instrument through a small incision in the abdomen. The laparoscope is then attached to a high-resolution TV monitor so that proper diagnostic evaluation can be interpreted.

When can Diagnostic Laparoscopy be recommended?

Diagnostic laparoscopy can be very helpful for infertile patients. It becomes easier for the gynecologist to find out the reason for infertility. The doctor can determine whether there are any defects such as endometriosis, ovarian cysts, ectopic pregnancy, tubal disease, genital tuberculosis, fibroid tumors and other abnormalities of the uterus. If any defects are found then they can often be corrected with operative laparoscopy.

Laparoscopy aids in the diagnosis of both acute and chronic abdominal pain. Some of these causes include appendicitis, adhesions or intra-abdominal scar tissue, pelvic infections, endometriosis, abdominal bleeding and, less frequently cancer.

Physicians use laparoscopy to obtain tissue or biopsy to discover the diagnosis of the abdominal mass. The cause of the fluid accumulation (ascites) in the abdominal cavity can be found with laparoscopy.

Why is diagnostic laparoscopy better?

One of the best advantages of laparoscopic diagnosis is the patient can go home a few hours after the surgery. In addition, recovery times are much shorter than when large abdominal incisions are performed. The incisions made are smaller and do not require stitches. The scar also heals early with no noticeable mark. The procedure involves little or no pain and has very few post-op complications.

How is Diagnostic Laparoscopy performed?

Most diagnostic laparoscopy procedures are performed as an outpatient and you can go home the same day the procedure is performed. Prepare yourself prior to the procedure. You should have nothing to eat or drink for six to eight hours before the procedure. Standard blood, urine, or X-ray testing may be required before your operative procedure.

Laparoscopy is done under general anesthesia. After anesthesia, a needle is inserted through the navel, and the abdomen is filled with carbon dioxide gas. As the gas enters the abdomen, it creates a space inside the pelvic area allowing a view of the reproductive organs. The laparoscope is then inserted through the same incision. The laparoscope is connected to the monitor that makes the images larger and easier for the doctor to see. These images are recorded for later viewing and a copy of the same will be given to you on a compact disc.

The following parts can be visible:-

  • Uterus
  • Fallopian tubes
  • Ovaries
  • Bladder
  • Intestines
  • Liver
  • Spleen
  • Appendix
  • Surfaces of the abdominal cavities themselves.

To determine if the fallopian tubes are open a blue solution is injected through the cervix.
If no abnormalities are noted, the instruments are removed and the gas is released. On the contrary, if defects or abnormalities are discovered, the doctor will proceed to operative laparoscopy. After the procedure is done, the doctor may advise a two to three hours stay for anesthesia to wear off.

Laparoscopic diagnosis is available at CMC. You can get accurate diagnosis along with the best possible treatment under the hands of a skilled team of doctors.

Surgical Procedures Done Laparoscopically

Laparoscopic surgery

Laparoscopic surgery is a minimally invasive surgery. The cause of symptoms such as abdominal pain, pelvic pain or swelling of the abdomen or pelvic region can be diagnosed with laparoscopy. Laparoscopic surgery is preferred by most doctors and patients and today owing to the advantages like being less painful and less time consuming. Also the time of recovery is less which makes the hospital stay shorter for the patient. Even the surgery leaves with a smaller scar.

A laparoscope is an instrument with a light source used by doctors to magnify the structures inside the abdomen. Laparoscopic surgery is usually done under general anaesthesia. One or more separate small incisions may be made in the abdominal skin, depending on the surgery. Nowadays only one incision is made through which operation is done as well as the laparoscope is passed.This procedure is known as single port laparoscopy where no additional cuts are made.

Some common when laparoscopic surgery is recommended are:

  • Gall bladder removal (cholecystectomy)
  • Kidney removal (nephrectomy)
  • A part of colon removal (colectomy)
  • Appendicitis

Laparoscopic surgery was introduced mainly for purposes of diagnosis and simple procedures in gynecologic applications.

Common gynecological conditions where surgeries are done laparoscopically involve:-

  • Endometriosis
  • pelvic inflammatory infection
  • ectopic pregnancy
  • ovarian cyst
  • cases of female sterilization

Laparoscopic surgery can be used for taking biopsies of any structures inside the abdomen.

Visit CMC, Mohali for the best laparoscopic surgeries in town.


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