Occasional menstrual irregularities, spotting, bouts of cramping and abdominal pain are facts of life for many women. In most cases, these are transient issues that settle themselves without the need for medical intervention. However, along with other seemingly slight or insignificant problems, they could also be the signs of a more serious medical condition –…
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Laparoscopic Surgeries
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Laparoscopic Surgeries

Laparoscopic Hysterectomy
A hysterectomy is a surgical procedure to remove the uterus. In laparoscopic surgery, only a small incision is made and special surgical tools and imaging devices that are used by the surgeon to guide his movements, are inserted into the incision. The uterus is removed with minimal blood loss and the recovery period is significantly reduced. The scarring and post surgical pain are also greatly reduced. The doctor will decide if a patient is a suitable candidate for laparoscopic surgery.
There could be many reasons for this procedure to be performed, including:
- Severe pelvic pain that is not relieved by medication
- Difficulty in getting pregnant
- A growth is noticed in the pelvic region.
Endometriosis resection is the term for surgery to remove the unwanted tissue. The surgery, although fairly common, may affect a woman’s ability to get pregnant in the future. The specialists at NMC will first diagnose the extent of the problem and examine treatment options. Patients are briefed on the treatment choices available to them and helped to make a decision that is right for them.
Laparoscopic Myomectomy
Laparoscopic Cystectomy
A woman may, in the course of her life, develop an ovarian cyst. It may be symptomless and require no treatment.
If a diagnosis of ovarian cysts is confirmed, and , depending on the nature of the cyst, if the doctor decides that surgery is required, a laparoscopic procedure, if viable, may be the right course of action.
Laparoscopic Torsion Surgery
This condition is said to be present when an ovary becomes twisted around the ligaments that hold it in place. Although the condition can affect women of any age, it is most common among the 20 to 40 age group. Common causes for the condition include:
- The ovarian ligament that connects the uterus and ovary is longer than normal. This allows the ovary to move and become twisted.
- The weight of a cyst or other growth in the ovary can cause imbalance and result in it becoming twisted.
- Higher hormone levels during pregnancy that cause tissue relaxation can allow the ligaments that hold the ovaries in place to flex.
The condition normally affects only one ovary. If the twisting caused the blood flow to the ovary to be cut off, severe pain can result. If the blood flow is cut off for a lengthy period, tissue death is possible.
The symptoms of ovarian torsion include, but are not limited to:
- Nausea
- Vomiting
- Severe pelvic pain
Because the symptoms of the conditions are similar to kidney stones, urinary tract infections and other ailments, diagnosis and treatment require the highly skilled doctors and medical facilities available at NMC. The decision to opt fora laparoscopic procedure will be made by the surgeon, based on what is medically right for the patient.
Laparoscopic Surgery for Ectopic Pregnancy
Normal pregnancy begins with the woman’s egg being fertilized and then being attached to the lining of the uterus. If the fertilized egg becomes attached outside the uterus, it is called an ectopic pregnancy. The most common place for this to happen is the fallopian tube, although an ectopic pregnancy may also occur in the ovary, the cervix or the abdominal cavity. In an ectopic pregnancy, the egg cannot survive and the growing tissue may cause life-threatening bleeding and other complications for the woman.
In an ectopic pregnancy, the initial stages of the pregnancy will be normal, but as the egg grows, serious complications arise. The symptoms of this condition may vary greatly, but in general, they include:
- Vaginal bleeding
- Pelvic pain
- Shoulder pain
- Lightheadedness or fainting
- Frequent urges for a bowel movement
If the egg continues to develop in the fallopian tube, the tube itself may rupture and lead to life-threatening bleeding and other consequences. Surgery is one of the management options for this condition which is serious. The specialists and world-class treatment and care available at NMC come together to keep the patient as safe as possible and open the door to a speedy recovery.
Laparoscopic Ovariectomy for Ovarian Tumours
- Malignant – This is an abnormal mass of tissue that is made up of cancerous cells.
- Benign – This is an abnormal mass of tissue that is made up of non-cancerous cells.
- Feeling full more quickly than usual when eating
- Painful cramps during menstruation
- Lower back pain
- Nausea or vomiting
- Pain during sex
- Vaginal bleeding after menopause
- Stomach bloating
- Increased belly size
- Stomach or pelvic pain
- Constipation
- Either difficulty urinating or urinating frequently
- Ovarian cancer
- Endometriosis
- Benign (noncancerous) cysts or tumours in the ovaries
- A pre-emptive procedure that is done on those women who are at higher risk of breast or ovarian cancer
- A tubo-ovarian abscess – a pus-filled pocket in the ovary and/or fallopian tube
- Ovarian torsion – the twisting of an ovary
Laparoscopic Endometriosis Resection
Endometriosis is a condition that occurs when the tissue that lines the inside of a woman’s uterus also grows outside it. The symptoms of the condition include:
- Severe pelvic pain that is not relieved by medication
- Difficulty in getting pregnant
- A growth is noticed in the pelvic region.
Endometriosis resection is the term for surgery to remove the unwanted tissue. Endometriosis is a serious condition that should not be ignored. The surgery, although fairly common, may affect a woman’s ability to get pregnant in the future. The specialists at NMC will first diagnose the extent of the problem and examine treatment options. Patients are briefed on the treatment choices available to them and helped to make a decision that is right for them.
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Gynaecologic Cancer Surgeries
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Radical Hysterectomy

A hysterectomy is a surgery for the removal of the uterus. A radical hysterectomy is a procedure for the removal of the uterus along with the cervix, a part of the vagina and, if required, the ovaries, fallopian tubes and nearby lymph nodes. This surgery is done if cancer has spread to these organs. It is typically done when other cancer treatment options like chemotherapy have not produced satisfactory results. The operation may be performed in several ways including:
- An abdominal approach in which the surgeon makes a horizontal or vertical incision on the lower abdomen to remove the affected organs.
- A laparoscopic approach that requires only a small incision through which a laparoscope is inserted to allow the surgeon to use special small instruments to perform the surgery while viewing a large monitor on the operation theatre.
The surgeon will decide on the type of surgery after taking all the relevant factors and information on the patient into account. The highly qualified and experienced surgeons at NMC have the advantage of being able to access the most modern medical technology to give patients the best possible surgical outcome.
Debulking Surgeries
Surgery and chemotherapy are the main treatment options for ovarian cancer. The objective is to surgically remove as much of the cancer as is possible. Because screening for ovarian cancer is not easy and many women do not bother with it, diagnosis of the condition is often late. In such cases, the cancer may have spread to other organs and a large amount of malignant tissue will need to be removed. This removal of a large volume of cancerous tissue is known as debulking.
The critical aspect of this procedure is to be sure that it is the right approach. The highly experienced and qualified surgeons at NMC will use their abilities and the cutting-edge medical technology at their disposal to decide if debulking surgery is the best option for a patient. If other treatment options are viable, the patient will be fully informed on the choices before her and helped to make the decision that is right for her.
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Urogynaecologic Surgeries
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Incontinence Laparoscopic procedures

Urinary incontinence is a condition when physical activity can result in the leakage of urine. Although both men and women may suffer from this condition, it is more common among women. If lifestyle changes and medication have not resulted in the condition being cured or at least significantly improving, then surgery for repair of the weak tissue or added support with mesh repair can be considered . The surgeon will decide on what surgical procedure is right for a patient. Laparoscopic and transvaginal surgery are popular options because it produces less scarring and pain and has a shorter recovery time as compared to traditional surgery.
Prolapse Surgery
Prolapse is a term used to describe a medical condition where the muscles that hold internal organs in place become weak, allowing the organs to slip out of their normal position. For women, the most common types of prolapse are uterine and vaginal prolapse. The symptoms of prolapse may vary greatly depending on the type of prolapse and the extent of the problem. The causes of a prolapse also vary depending on where it has occurred. A prolapse can be very painful and because it affects the functioning of vital internal organs like the uterus and vagina, the condition must not be ignored. Because of the different prolapse conditions that may occur and the wide range of symptoms, accurate diagnosis of the condition, followed by the most effective treatment and surgical options, are essential and the earlier a condition is diagnosed, the better in terms of faster recovery from the surgery. A vaginal approach is the preferred option in most cases, but the surgeon will decide what is best for each patient.
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Major Open Surgeries
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Hysterectomy

A hysterectomy is a surgical procedure to remove the uterus. There could be many reasons for this procedure to be performed, including:
- Bleeding, pain or other problems caused by uterine fibroids and adenomyosis
- Uterine prolapse which is when the uterus moves from its normal position into the vaginal canal
- Cancer of the ovaries, uterus or cervix
- Endometriosis
There are different types of hysterectomies:
- In the case of a supracervical or subtotal hysterectomy, only the upper part of the uterus is removed and the cervix is left in place.
- In a total hysterectomy, the complete uterus and cervix are removed.
- If a radical hysterectomy is done, the whole uterus, the adjacent tissue, the cervix and the upper portion of the vagina are removed. This is generally done when cancer has been diagnosed.
In an open surgery hysterectomy, an incision, vertical or horizontal, is made across the lower abdomen and the organs are removed through it. The normal post-operative stay at the hospital is 2 to 3 days.
Myomectomy
A myomectomy is a surgery that is performed to remove uterine fibroids. These are non-cancerous growths that commonly appear in the uterus, most often in women of childbearing age. Unlike a hysterectomy, where the whole uterus is removed, in the case of a myomectomy, only the fibroids are removed and the uterus is reconstructed if required. The procedure is performed when fibroids have been diagnosed and the condition affects a woman’s normal activities. Subject to medical viability and the patient’s safety and health, this procedure is preferred over hysterectomies for women who are of childbearing age and plan to have children.
An open myomectomy is generally done with a horizontal incision low down on the abdomen. This will allow the surgeon to access the uterus and remove the fibroids. The typical post-operative hospital stay is 2 to 3 days, followed by 4 to 6 weeks of rest and recovery at home.
Cystectomy
- The ovarian ligament that connects the uterus and ovary is longer than normal. This allows the ovary to move and become twisted.
- The weight of a cyst or other growth in the ovary can cause imbalance and result in it becoming twisted.
- Higher hormone levels during pregnancy that cause tissue relaxation can allow the ligaments that hold the ovaries in place to flex.
The condition normally affects only one ovary. If the twisting caused the blood flow to the ovary to be cut off, severe pain can result. If the blood flow is cut off for a lengthy period, tissue death is possible.
The symptoms of cystectomy torsion include, but are not limited to:
- Nausea
- Vomiting
- Severe pelvic pain
- Fever
Because the symptoms of the conditions are similar to kidney stones, urinary tract infections and other ailments, diagnosis and treatment require the highly skilled doctors and medical facilities available at NMC.
Ectopic Pregnancy
- Vaginal bleeding
- Pelvic pain
- Shoulder pain
- Lightheadedness or fainting
- Frequent urges for a bowel movement
If the egg continues to develop in the fallopian tube, the tube itself may rupture and lead to life-threatening bleeding and other consequences. There are various modalities of management available. Conservative non-surgical management include expectant management and also the use of injections to dissolve the ectopic pregnancy. Surgery is also an option. The specialists and world-class treatment and care available at NMC come together to keep the patient as safe as possible and open the door to a speedy recovery.
Ovariotomy
- Ovarian cancer
- Endometriosis
- Benign (noncancerous) cysts or tumours in the ovaries
- A preemptive procedure that is done on those women who are at higher risk of breast or ovarian cancer
- A tubo-ovarian abscess – a pus-filled pocket in the ovary and/or fallopian tube
- Ovarian torsion – the twisting of an ovary
Ovarian Tumours
- Malignant – This is an abnormal mass of tissue that is made up of cancerous cells.
- Benign – This is an abnormal mass of tissue that is made up of non-cancerous cells.
- Feeling full more quickly than usual when eating
- Painful cramps during menstruation
- Lower back pain
- Nausea or vomiting
- Pain during sex
- Vaginal bleeding after menopause
- Stomach bloating
- Increased belly size
- Stomach or pelvic pain
- Constipation
- Either difficulty urinating or urinating frequently
Endometriosis
- Severe pelvic pain that is not relieved by medication
- Difficulty in getting pregnant
- A growth is noticed in the pelvic region.