Gynecology

Our surgical team is performing all routine and complicated surgeries related to female genital tract. Minimally invasive surgical procedures include

• Uterine surgeries - myomectomy, rudimentary horn excision, adenomyomectomy, total laparoscopic
• hysterectomy, laparoscopic assisted vaginal hysterectomy.
• Tubal surgeries  - adhesiolysis, tubal surgeries for ectopic gestation, salpingectomy.
• Ovarian surgeries - follicular puncture, ovarian biopsy, cystectomy, adhesiolysis, ovariotomy.
• Hysteroscopic procedures - septum resection, myomectomy, polypectomy, tubal cannulation.

Special Facilities

• Disorders like primary amenorrhoea, hirsutism, hyperprolactinemia, polycystic ovarian disease, premature menopause are dealt with by special coordination between the gynecologist and endocrinologist.
• Interventional radiological procedures such as uterine artery embolization available for the treatment of uterine fibroids.
• Gynopsychiatric consultation : Psychologic support for patients with gynaecological ailments such as chronic pelvic pain, post menopausal syndrome, infertility etc.

Diagnostic Tests and Procedures

Cervical cancer screening by PAP smear and HPV DNA testing

All patients are screened for cervical neoplasia by Pap smear collection. An Ayre's spatula is used to scrape cells from ectocervix and then a thin smear is prepared on a glass slide. The smear is immediately fixed and sent for cytologic analysis. Any abnormality of Pap smear is further evaluated with colposcopy.

Colposcopy and colposcopy-guided biopsy

Colposcopy is the procedure by which cervix is visualized under magnification by using a colposcope. It is usually indicated once there are abnormal cells detected on Pap smear testing. It helps to identify the abnormal areas on the cervix and to direct the biopsy from those specific areas.

LEEP biopsy

LEEP utilizes a thin wire loop to remove the cervical transformation zone through electrocautery. It allows samples to be collected for additional tissue analysis and treats the condition in the same sitting.

Cryocauterization

This is a simple and safe procedure to treat cervical erosion and does not require any anaesthesia. A cryoprobe is first cooled by nitrous oxide and then touched to the abnormal cervical area. This freezes and kills the cells, resulting in the sloughing of the abnormal tissue. Patient is sent home the same day.

Ultrasound-guided procedures

In addition to the routine pelvic and obstetric scan, various ultrasound-guided procedures are done on routine basis. This includes sonohysterography and sonosalpingography, where saline is instilled in the uterine cavity and the fluid helps in outlining the intracavitary uterine pathology and also to establish tubal patency in infertile patients. Ultrasound-guided amniocentesis is done to procure a sample of amniotic fluid for metabolic and chromosomal analysis in patients who have bad obstetric history or inherited disorders.

Pipelle sampling

Endometrial biopsy is taken by Pipelle device. It is a 2-mm slender plastic curette. It is introduced in the uterine cavity and a strip of endometrium is obtained for histopathology. This is a painless and quick procedure which has replaced the conventional D&C. Endometrial biopsy is used in the assessment of abnormal uterine bleeding in perimenopausal patients for the assessment of the endometrium during tamoxifen therapy and for the investigation of amenorrhoea or infertility. In women, the combined use of pipelle sampling and ultrasound has a high detection rate for endometrial carcinoma.