Gynaecology

Gynaecology

Gynecology is a specialty of medicine that deals with complete women’s health, while obstetrics limits itself to mother’s health and childbirth.

General Gynecologic Surgery

The general gynecologic surgeries performed are:

Hysterectomy: The surgery is performed to remove the uterus from the woman and is used to treat uterine bleeding, fibroids and cyst formation, and uterine cancer.
Endometrial ablation: The surgery is performed to remove the internal lining of the uterus or the endometrium. Sometimes, the procedure may be used to prevent uterine bleeding. It is usually performed in the outpatient setting.

Removal of ovarian and fallopian cyst: The surgery is performed to remove the cyst from the ovaries and the fallopian tubes. This surgery is performed when medicines are not effective to treat the condition.
Breast surgery: The surgery is performed for the removal of cysts or lumps, tumor and complete breast from the woman. It also helps to prevent the spread of infection to the surrounding tissues and organs.
Cancer: The surgery is performed to remove tumors from the uterus, endometrium, vagina and the ovaries.
Obstetrics and Gynecology surgery

The general OB-GYN surgeries performed are:

Cesarean section: The surgery is performed to deliver the child when the mother experiences complications while delivering the child through normal delivery. A ‘C-shaped’ incision is made on the abdomens, to access the uterus and extract the baby.

In-vitro fertilization: The surgery is performed to implant the embryo in the uterus when the woman is not able to fertilize the egg under normal conditions. The egg and the sperm are fertilized in a test tube under specific conditions, and then implanted.

Pregnancy termination: The surgery is performed to terminate the pregnancy or childbirth. The surgery may be performed to prevent the medical complication to the mother or prevent unwanted pregnancies. Surgical termination depends on the choice of contraception and the stage of pregnancy.

Fetal Surgery: The surgery is performed on the growing fetus in the uterus. It is performed to prevent congenital disorders and genetic disorders of the fetus that can be rectified before childbirth.
Preparing for the surgery

Before the surgery, the doctor may recommend the patient to undergo a set of diagnostic procedures such as complete blood count, hormone level examination, imaging scan, hysteroscopy and other diagnostic procedures essential for the surgery.
The patient is also advised to avoid the use of over-the-counter medicines, aspirin and blood-thinning drugs that may increase the risk of surgical bleeding.
Inform the doctor about the use of medicines to treat various medical conditions such as hypertension, diabetes, thyroid and other chronic conditions.
The patient must fast overnight and stay on empty stomach and undergo gastric emptying
Post-surgery complications

The common post-surgical complication experienced after surgery may include:
• Decreased appetite
• Lethargy
• Decreased physical activity
• Weight loss
• Numbness of hands and feet
• Bleeding at surgical site

After care

The patient should follow the post-surgical instructions to avoid further medical complications.
Limit physical movement and do not take fast steps while walking until complete recovery from the condition.
Consume soft diet and fiber rich diet for a free bowel movement.
Avoid sexual intercourse for at least two weeks.

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