Gynecology
Accupuncture
Intimate Aesthetic
Surgery
Sub specialities of Surgery
Abortion Curettage
Overview of Miscarriage Miscarriage occurs in approximately 15-20% of all pregnancies. These events are mostly due to complications associated with the pregnancy itself. Miscarriage Forms A miscarriage can manifest in different ways: - Complete Miscarriage: Where the body expels all pregnancy tissue. - Incomplete Miscarriage: Where parts of the pregnancy, typically the placenta, remain in the uterus. - Missed Miscarriage: The pregnancy has ceased, but the tissue remains entirely within the uterus. In cases of incomplete or missed miscarriages, surgical intervention is generally required to remove the remaining pregnancy tissue, known as abortion curettage. Surgical Procedure Depending on the stage of the pregnancy, the removal of residual tissue from the uterus is performed using either the vacuum aspiration method or curettage. Dilation of the cervix is a necessary part of this procedure. For women who have never given birth, medication may be administered to soften the cervix beforehand. The procedure is typically performed under general anesthesia for maximum comfort. Post-Operative Care After the procedure, it's common to experience light bleeding and mild abdominal cramps, similar to menstrual pain. Showering is permitted post-operation; however, baths, swimming, and sexual intercourse should be avoided until bleeding has fully ceased. This surgical method is a critical component of women's healthcare, particularly in managing the different types of miscarriage. It ensures that women's health is prioritized, minimizing the risk of complications and aiding in the recovery process. If you have experienced a miscarriage and need support or more information, please do not hesitate to reach out to your doctor, who are ready to provide compassionate care and guidance.
Cervical conization
Introduction to Cervical Health The boundary between the endometrium of the uterus and the external cervical os varies with age—it may be superficially located in the part of the cervix that protrudes into the vagina or situated deeper inside the cervical canal. Cellular changes in this region can evolve into precancerous conditions, known as dysplasia, which necessitate thorough examination and diagnosis for early detection of cervical cancer. When is Conization Necessary? Conization is indicated when there is suspicion of cervical or cervical os disease based on previous medical findings. Conization Surgical Procedure Conization is performed under anesthesia or regional anesthesia spinal or epidural. After disinfection, the vagina is dilated, and the physician removes tissue from a small area of the cervix or excises a cone-shaped piece of tissue using a special knife or electrical tool. The depth and width of the cone are determined by the patient's age and previous medical findings. Normally, this procedure does not affect the function of the cervical os. The resultant small wound is typically cauterized and may be sutured with a special technique. In almost all cases, this procedure, initially designed for diagnostic purposes, also serves as a treatment since it completely removes the area with cellular changes. Why is important? For women, understanding and proactively managing cervical health is crucial. Conization is a highly effective procedure that not only aids in the early detection of potential cervical cancer but often serves as a definitive treatment. If you have been advised to undergo conization or wish to learn more about maintaining optimal cervical health, you can book an appoitment for a personalised advice and care.
Sterilisation
Understanding Sterilisation Women considering sterilisation must understand that it is generally an irreversible procedure. Surgical reconnection of the fallopian tubes is possible but not always successful and comes with risks associated with surgery. Surgical Methods for Sterilisation The various surgical methods include: - Electrocoagulation burning of the fallopian tubes, with or without cutting, - Removal or partial removal of both fallopian tubes, - Closure of the fallopian tubes with clips. These procedures can be performed through: - Laparoscopy, - Vaginal access, - Abdominal incision more commonly post-delivery. Considerations and Effectiveness Tubal ligation is a highly effective form of birth control, yet out of every 1,000 women who undergo the procedure, three to seven may still conceive even if the surgery was technically flawless. Among these pregnancies, 30-60% may be ectopic tubal pregnancies. Hormonal Balance and Menstruation Post-Sterilisation It's important to note that the hormone production of the ovaries remains unchanged after tubal ligation; women will continue to have their menstrual periods. Making an Informed Decision Choosing sterilisation is a significant decision that requires thorough consideration and consultation with a healthcare provider. If you are contemplating this procedure, it's vital to discuss all aspects, including the permanence and implications for your reproductive health. For more information or to schedule a consultation, you could make an appoitment and receive a personalised care and explanation.
Hysteroscopy (Uterine Cavity Examination)
Overview of Hysteroscopy Hysteroscopy is a procedure for diagnosing and treating abnormalities within the uterus. Indications for Hysteroscopy - Infertility in women desiring children - Repeated miscarriages - Suspected adhesions in the uterine lining - Exclusion of congenital uterine malformations - Recurrent menstrual disorders - Bleeding post-menopause - Suspicion of fibroids or polyps in the uterine lining Procedure The process involves dilating the cervix and gently inserting a slender optical device hysteroscope into the uterus. The uterus is filled with a liquid that separates the uterine walls, making any abnormalities visible. Direct visualization allows for precise localization of changes within the uterine cavity. Additional instruments can be utilized to take tissue samples, remove polyps, or perform endometrial ablation. Endometrial Ablation for Treatment of Heavy Menstrual Bleeding Endometrial ablation can be an effective treatment for excessive menstrual bleeding, which can often lead to anemia and associated symptoms. There are three different methods of ablation: - Using an electrosurgical loop - Using an electrosurgical loop repeated for emphasis - Hot water balloon technique This procedure is generally performed under light anesthesia. There is a high likelihood that women will not be able to have children following the procedure. It is crucial to thoroughly consider whether your family planning is complete before proceeding. For further information on hysteroscopy and endometrial ablation, you could schedule a consultation.
Breast Surgery
Introduction to Breast Health and Surgery Breast surgery encompasses a variety of procedures, both oncologic and aesthetic, addressing different conditions and personal health goals. While the prospect of surgery can be daunting, understanding the options and advancements in treatment can provide reassurance and clarity. Breast Cancer Surgery Breast cancer surgery is a key component of treatment for many types of breast cancer, tailored to the individual's condition and stage of cancer. Types of Breast Cancer Surgery: Lumpectomy - Also known as breast-conserving surgery or wide local excision - Only the cancerous tissue and a margin of surrounding tissue are removed - Often followed by radiation therapy to eliminate any remaining cancer cells Mastectomy - Complete removal of breast tissue, sometimes including the nipple and areola - Options for immediate or delayed breast reconstruction using implants or autologous tissue Sentinel Lymph Node Biopsy - Removal of the first lymph nodes into which a tumor drains to check for cancer spread - Can help avoid more extensive lymph node surgery if nodes are cancer-free Axillary Lymph Node Dissection - Removal of many lymph nodes in the armpit area when cancer has spread to these nodes - More extensive than sentinel lymph node biopsy Reconstructive Surgery Post-mastectomy breast reconstruction can restore the shape of the breast and is an integral part of the healing journey for many women. Options for Breast Reconstruction - Implant-Based Reconstruction: Utilizes silicone or saline implants to recreate breast shape - Autologous or Flap Reconstruction: Uses tissue transplanted from another part of the body, such as the abdomen or back - Nipple Reconstruction: Rebuilds the nipple and areola area, often the final phase of reconstruction Aesthetic Breast Surgery For non-cancer-related concerns, aesthetic breast surgery can address various personal desires or physical discomforts. Types of Aesthetic Breast Surgery - Breast Augmentation: Enhances breast size and shape typically using implants - Breast Reduction: Removes excess breast tissue and skin to alleviate discomfort from overly large breasts - Breast Lift Mastopexy: Raises and firms the breasts by removing excess skin and tightening surrounding tissue - Gynecomastia Surgery: For men with enlarged breasts, this surgery removes breast tissue to create a flatter chest Supportive Care and Follow-Up Post-surgical care is crucial for recovery and monitoring. Follow-up appointments, physical therapy, and support groups can aid in managing the physical and emotional aspects of recovery. Whether addressing a medical condition like breast cancer or a personal choice for aesthetic change, breast surgery is a deeply personal decision. Consultation with a board-certified surgeon who specializes in breast procedures is essential for achieving the best outcomes aligned with your health needs and personal goals. For more information or to schedule a consultation, please contact our clinic. Your health and peace of mind are our utmost priorities.
Laparoscopy
Overview of Laparoscopy Laparoscopy, a minimally invasive surgical technique widely used in gynecology, serves as a preferred approach for both diagnostic and therapeutic procedures. This advanced technology offers significant benefits over traditional open surgery, such as reduced scarring, shorter hospital stays, and minimized post-operative complications and discomfort. When is Laparoscopy Recommended? Laparoscopy may be considered for various conditions, including: - Investigative diagnosis for unexplained pelvic pain - Ovarian cysts management - Removal of fallopian tubes or ovaries - Tubal ligation for permanent birth control - Ectopic pregnancies in the fallopian tubes or pelvic cavity - Fibroids myomas in the uterus - Pelvic adhesions - Fertility assessments and surgical interventions - Endometriosis treatment - Hysterectomy removal of the uterus The Procedure Typically performed under general anesthesia, laparoscopy involves inflating the abdomen with carbon dioxide gas through a small needle puncture. This inflation allows for enhanced visibility and safety during the procedure. A laparoscope, a slender instrument with a camera, is inserted to explore the abdominal cavity, take tissue samples, and conduct minor surgeries. Additional small incisions are made to introduce surgical tools as needed. For patients seeking fertility solutions, laparoscopy can check the patency of the fallopian tubes by introducing a colored dye into the uterus and observing its flow through the tubes using the laparoscope. Advantages of Laparoscopy Laparoscopy is significantly less taxing on the body compared to traditional open surgery. It requires only minimal incisions, resulting in smaller scars and a quicker recovery, allowing patients to return to their daily activities sooner. Choosing Laparoscopy for Women's Health For women facing gynecological issues, laparoscopy represents a modern and less invasive option that aligns with our commitment to patient care and well-being. Our experienced surgical team utilizes the latest techniques to ensure the best outcomes with the least impact on your body. For more information on laparoscopic surgery or to discuss whether it is the right option for you, please contact our clinic. We're dedicated to providing comprehensive care tailored to your individual health needs.
Dilation and Curettage (D&C) - Diagnostic and Therapeutic
Dilation and Curettage D&C, also known as "Curettage," is a procedure used to address certain gynecological issues. Indications for D&C This procedure may be indicated for: - Unclear or irregular bleeding - Miscarriages - Myomas - Evaluation of abnormal Pap smear results - Endometrial carcinomas Diagnostic D&C In diagnostic dilation and curettage, tissue is extracted from the uterine cavity to diagnose or rule out specific conditions. The removed tissue is subsequently examined histologically. Therapeutic D&C Therapeutic dilation and curettage involve the removal of tissue from the uterine cavity that may adversely affect health. This can include myomas or excess uterine lining tissue following a miscarriage. Both diagnostic and therapeutic D&C procedures are typically performed on an outpatient basis and are usually of short duration. The Procedure During the procedure, the cervix is dilated widened, and a curette a thin, spoon-shaped instrument is used to scrape away the uterine lining. This allows for the examination of the removed tissue for abnormalities or to stop abnormal bleeding. D&C is typically performed in a hospital or clinic setting and may be done under general or local anesthesia, depending on the specific case. After the Procedure Following a D&C, patients may experience mild cramping and bleeding for a few days. Recovery is usually quick, and most women can resume their normal activities within a few days to a week. It's important to note that a D&C is a common and safe procedure used for both diagnostic and therapeutic purposes in gynecology. Your healthcare provider will discuss the reasons for the procedure and any potential risks or complications with you before the surgery.