Laparoscopic Surgery
(Gold Standard Surgical Treatment)
Dr. Priya Shikha Modi
Modilifeline Women’s Clinic
Redefining Women’s Health.
MBBS, MS, DNB (gynecology and obstetrics), FMAS (Fellowship in Minimal Access Surgery), laparoscopic surgeon, Infertility Specialist
Topper of World Laparoscopy Hospital
Best Laparoscopic Surgeon in Noida
Why to choose Dr. Priya Shikha Modi for Your Gynecological Laparoscopic Surgery?
About Gynecological Laparoscopic Surgery?
- Gynecological laparoscopic surgery is a minimally invasive surgical technique that uses small incisions and a camera to perform various procedures on the female reproductive organs.
- Some of the common gynecological laparoscopic surgeries include hysterectomy, ovarian cystectomy, endometriosis excision, fibroid removal, tubal ligation, and pelvic organ prolapse repair.
- Gynecological laparoscopic surgery has many benefits over traditional open surgery, such as faster recovery, less pain, less blood loss, less scarring, lower risk of infection, and shorter hospital stay.
- If you are looking for a gynecological laparoscopic surgeon in noida who has the expertise, experience, and reputation to perform your surgery with utmost safety, precision, and efficiency, then Dr. Priya Shikha Modi is the best choice for you.
- She will provide you with a comprehensive and individualized consultation, diagnosis, and treatment plan, and will explain to you the benefits and risks of the surgery in detail.
- She will use the latest and most advanced laparoscopic equipment and techniques and will ensure that you have a smooth and comfortable surgical experience.
- She will follow up with you after the surgery and will monitor your recovery and progress closely.
- She will treat you with compassion, respect, and professionalism, and will address any of your concerns or queries promptly and satisfactorily.
Laparoscopic Surgeries.
- Dr. Priya Shikha Modi is a pioneer and a leader in the field of gynecological laparoscopic surgery in the country.
- She has performed laparoscopic surgeries, such as laparoscopic radical hysterectomy, laparoscopic sacrocolpopexy, laparoscopic myomectomy, and laparoscopic adenomyomectomy.
- Dr. Priya Shikha Modi has been practicing gynecological surgery for over 9 years. She is an expert in various types of gynecological surgeries, including laparoscopic, hysteroscopic, and open surgeries. She specializes in treating conditions such as uterine fibroids, endometriosis, ovarian cysts, pelvic organ prolapse, urinary incontinence, cervical cancer, and uterine cancer. She is also proficient in performing cosmetic and reconstructive surgeries, such as vaginoplasty, labiaplasty, hymenoplasty, and vaginal rejuvenation.
- She has a remarkable track record of success and excellence in her field. She has performed over thousands of gynecological surgeries.
About Laparoscopic Surgeries
Laparoscopic surgery, also known as minimally invasive surgery, is a technique that uses small incisions and a camera to perform various procedures on the reproductive organs. Some of the advantages of laparoscopic surgery are faster recovery, less pain, less scarring, and lower risk of infection.
Some of the common laparoscopic surgeries that we perform include:
– Hysterectomy: removal of the uterus
– Myomectomy: removal of uterine fibroids
– Oophorectomy: removal of the ovaries
– Salpingectomy: removal of the fallopian tubes
– Cystectomy: removal of ovarian cysts
– Tubal ligation: permanent sterilization by cutting or blocking the fallopian tubes
We also perform other surgeries that are not laparoscopic, such as:
– Vaginal rejuvenation: cosmetic surgery to enhance the appearance and function of the vagina
– Labiaplasty: cosmetic surgery to reduce the size or shape of the labia minora
– Hymenoplasty: cosmetic surgery to restore the hymen
– Uterine prolapse surgery: surgery to repair the weakened pelvic floor muscles and ligaments that support the uterus
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Uterine Prolapse Surgery
If you have uterine prolapse and conservative treatments such as pelvic floor exercises, pessaries, or hormone therapy do not improve your symptoms, you may need surgery to correct the condition. Uterine prolapse surgery aims to restore the uterus to its normal position and relieve the pressure on the vagina and other pelvic organs.
There are different types of uterine prolapse surgery, depending on your age, reproductive plans, severity of prolapse, and personal preference. The main options are:
Hysterectomy: This is the surgical removal of the uterus, either through the vagina or through an incision in the abdomen. Hysterectomy can permanently treat uterine prolapse, but it also means that you will no longer be able to get pregnant and may experience hormonal changes. You may also need to have your ovaries removed if they are affected by the prolapse or if you have a high risk of ovarian cancer.
Pelvic floor repair: This is a procedure that involves stitching the weakened or damaged tissues and muscles that support the uterus, such as the vaginal wall, the uterosacral ligaments, or the perineum. Pelvic floor repair can preserve the uterus and your fertility, but it may not prevent the recurrence of prolapse in the future. You may also need to have a mesh or graft inserted to reinforce the repaired tissues.
Sacrohysteropexy: This is a procedure that involves attaching the cervix or the uterus to the sacrum (the bone at the base of the spine) with a synthetic mesh. Sacrohysteropexy can lift the uterus back to its normal position and prevent it from falling into the vagina. This procedure can also preserve the uterus and your fertility, but it requires a laparoscopic (keyhole) surgery and may pose a risk of infection or erosion of the mesh.
Uterine suspension: This is a procedure that involves suspending the uterus from the abdominal wall or the pubic bone with sutures or a mesh. Uterine suspension can also lift the uterus back to its normal position and prevent it from falling into the vagina. This procedure can also preserve the uterus and your fertility, but it may cause pain or discomfort in the abdomen or the groin area.
The type of uterine prolapse surgery that is best for you will depend on your individual situation and preferences.
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Laparoscopic Hysterectomy
What is laparoscopic hysterectomy?
Laparoscopic hysterectomy is a surgical procedure that uses a thin, lighted instrument called a laparoscope to remove the uterus (womb) through small incisions in the abdomen. The laparoscope is inserted through one of the incisions and it allows the surgeon to see the pelvic organs on a monitor. The surgeon then uses special tools to detach the uterus from the surrounding tissues and cut it into smaller pieces that can be removed through the incisions. The ovaries and fallopian tubes may or may not be removed, depending on the reason for the surgery and the patient’s preference.
Why is laparoscopic hysterectomy done?
Laparoscopic hysterectomy may be done to treat various conditions that affect the uterus, such as:
– Uterine fibroids: benign (noncancerous) tumors that grow in the wall of the uterus and can cause heavy bleeding, pain, and infertility.
– Endometriosis: a condition where the tissue that normally lines the inside of the uterus grows outside the uterus and can cause pain, bleeding, and infertility.
– Adenomyosis: a condition where the tissue that normally lines the inside of the uterus grows into the muscular wall of the uterus and can cause heavy bleeding and pain.
– Uterine prolapse: a condition where the uterus drops down into the vagina due to weakened pelvic muscles and can cause urinary problems, pelvic pressure, and sexual dysfunction.
– Abnormal uterine bleeding: a condition where the bleeding from the uterus is heavier, longer, or more frequent than normal and can cause anemia, fatigue, and interference with daily activities.
– Cancer or precancer of the uterus, cervix, or ovaries: a condition where abnormal cells grow and multiply in the tissues of the reproductive organs and can spread to other parts of the body.
A laparoscopic hysterectomy is an effective and safe way to treat various uterine conditions that cause pain, bleeding, or cancer. It has many benefits over a traditional open surgery, such as less pain, faster recovery, and smaller scars. However, it is not suitable for everyone and it has some risks and complications that should be discussed with the surgeon before deciding to undergo the procedure. A laparoscopic hysterectomy is a permanent and irreversible operation that ends the ability to bear children and may affect the hormonal balance. Therefore, the patient should weigh the pros and cons carefully and make an informed choice.
Laparoscopic hysterectomy has some advantages over the traditional open surgery (abdominal hysterectomy), such as:
– Smaller incisions and scars.
– Less blood loss and – infection.
– Less pain and need for pain medication.
– Shorter hospital stays and recovery time.
– Faster return to normal activities and work.
– Better cosmetic results.
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Hysteroscopic Myomectomy
Hysteroscopic myomectomy is a minimally invasive surgical procedure that uses a thin, lighted instrument called a hysteroscope to remove uterine fibroids. Uterine fibroids are noncancerous growths of the muscle tissue of the uterus. They can cause heavy menstrual bleeding, pelvic pain, pressure, and infertility. Hysteroscopic myomectomy is performed through the vagina and cervix, without any incisions on the abdomen.
Who is a candidate for hysteroscopic myomectomy?
Hysteroscopic myomectomy is suitable for women who have fibroids that are located inside the uterine cavity or protruding into the cavity (submucosal fibroids). It is not recommended for women who have fibroids that are mainly outside the uterus (subserosal fibroids) or within the uterine wall (intramural fibroids). Your doctor will perform an ultrasound or MRI to determine the size, number, and location of your fibroids.
What are the benefits of hysteroscopic myomectomy?
Hysteroscopic myomectomy has several advantages over other methods of fibroid removal, such as abdominal or laparoscopic myomectomy. These include:
– Shorter recovery time. You can usually go home the same day or the next day after the surgery. You can resume your normal activities within a few days.
– Less pain and bleeding. You do not need any stitches or scars on your abdomen. You may have some cramping and spotting for a few days after the surgery, but these can be managed with painkillers and pads.
– Lower risk of complications. Hysteroscopic myomectomy has a lower risk of infection, damage to the uterus or other organs, blood loss, or blood clots than other types of surgery.
– Improved fertility. Hysteroscopic myomectomy can improve your chances of getting pregnant if your fibroids were causing infertility or miscarriages. However, you may need to wait for a few months before trying to conceive, as your uterus needs time to heal.
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Laparoscopic Endometriosis Surgery
What is endometriosis?
Endometriosis is a condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus, causing pain and inflammation. It can affect the ovaries, fallopian tubes, bowel, bladder, or other organs in the pelvis. The symptoms of endometriosis vary from person to person, but may include:
- Pelvic pain, especially before or during periods
Heavy or irregular bleeding. - Pain during or after sex.
Painful or difficult urination or bowel movements. - Infertility or difficulty getting pregnant.
- Fatigue, bloating, nausea, or mood changes.
What are the expected outcomes of laparoscopic surgery?
Laparoscopic surgery can improve the quality of life for many women with endometriosis. It can reduce or eliminate the pain and other symptoms of endometriosis, and may also improve the chances of getting pregnant. However, the results may vary depending on the severity and location of the endometriosis, the type of surgery, and the individual response. Some women may need more than one surgery, or may need to take hormonal medications or other treatments to prevent the recurrence of endometriosis. Laparoscopic surgery is not a cure for endometriosis, and it may not be suitable or effective for everyone. You should discuss the benefits and risks of laparoscopic surgery with your doctor, and consider your personal goals and preferences.
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SALPINGECTOMY PROCEDURE
A salpingectomy is a surgical procedure that involves removing one or both of the fallopian tubes. The fallopian tubes are the tubes that connect the ovaries to the uterus. They are where the eggs travel from the ovaries to the uterus each month.
Why is salpingectomy done?
Salpingectomy may be done for various reasons, such as:
– To treat ectopic pregnancy, which is when a fertilized egg implants outside the uterus, usually in the fallopian tube.
– To prevent ovarian cancer, which may start in the fallopian tubes in some cases.
– To reduce the risk of pelvic inflammatory disease (PID), which is an infection of the reproductive organs that can damage the fallopian tubes and cause infertility.
– To treat other conditions that affect the fallopian tubes, such as endometriosis, hydrosalpinx, or tubal ligation reversal.
What are the benefits of salpingectomy?
Salpingectomy may have some benefits, depending on the reason for the surgery. These may include:
– Relief of symptoms, such as pain or bleeding
– Prevention of life-threatening complications, such as rupture of an ectopic pregnancy or spread of ovarian cancer
– Reduction of the risk of future ectopic pregnancies or ovarian cancer
– Improvement of the chances of pregnancy with in vitro fertilization (IVF), if one fallopian tube is removed and the other one is healthy.
What to expect after salpingectomy?
After salpingectomy, you will be taken to a recovery room, where your vital signs will be monitored. You may feel some pain, nausea, or discomfort in your abdomen, shoulder, or throat. These are normal and can be relieved with medications.
You may be able to go home the same day or the next day, depending on the type of surgery and your recovery. You will need to follow your doctor’s instructions about wound care, pain management, activity, diet, and follow-up visits.
Some of the things you may need to do or avoid after salpingectomy are:
– Rest and avoid strenuous activities, such as lifting, bending, or driving, for a few days or weeks.
– Wear loose-fitting clothes and avoid tight or restrictive garments.
– Keep the incision site clean and dry and change the dressing as directed.
– Take antibiotics and painkillers as prescribed.
– Avoid sexual intercourse, tampons, douching, or swimming until your doctor says it is safe.
– Watch for signs of infection, such as fever, chills, redness, swelling, pus, or foul-smelling discharge from the incision site.
– Seek medical attention if you have severe pain, heavy bleeding, difficulty breathing, chest pain, or any other unusual symptoms.
How will salpingectomy affect your fertility and health?
Salpingectomy can have different effects on your fertility and health, depending on the reason for the surgery and whether one or both fallopian tubes are removed.
If you have salpingectomy to treat an ectopic pregnancy, you may still be able to get pregnant naturally if you have one healthy fallopian tube and ovary. However, you may have a higher risk of having another ectopic pregnancy in the future.
If you have salpingectomy to prevent or treat ovarian cancer, you may not be able to get pregnant naturally if both fallopian tubes are removed. You may also experience menopause if both ovaries are also removed. In this case, you may need hormone replacement therapy (HRT) to manage the symptoms of menopause, such as hot flashes, mood swings, vaginal dryness, or osteoporosis.
If you have salpingectomy for other reasons, such as endometriosis, hydrosalpinx, or tubal ligation reversal, you may or may not be able to get pregnant naturally, depending on the condition of your remaining fallopian tube and ovary. You may also have a lower risk of developing ovarian cancer or PID in the future.
If you want to have a child after salpingectomy, you may consider IVF, which is a procedure that involves fertilizing an egg with a sperm in a laboratory and transferring the resulting embryo to the uterus. IVF can bypass the need for fallopian tubes and increase the chances of pregnancy. However, IVF is not a guarantee of success and has its own risks and costs.
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Vaginal and Uterine Septum Corrective Surgery
A vaginal septum is a thin wall of tissue that divides the vagina into two parts. A uterine septum is a similar wall of tissue that divides the uterus into two parts. Both septa are congenital anomalies, which means they are present at birth. They are caused by incomplete fusion of the embryonic structures that form the female reproductive organs. They are not inherited, and they are not related to any chromosomal or genetic disorders.
What are the symptoms and complications of vaginal and uterine septa?
– Vaginal and uterine septa may not cause any symptoms or problems until puberty or later in life.
– Some possible symptoms and complications are:
– Painful or difficult insertion of tampons, menstrual cups, or sexual intercourse.
– Abnormal or heavy menstrual bleeding.
– Recurrent urinary tract infections or vaginal infections.
– Infertility or difficulty conceiving.
– Increased risk of miscarriage, preterm labor, or malpresentation of the fetus.
– Obstructed labor or delivery, requiring cesarean section or assisted delivery.
– The severity and frequency of these symptoms and complications vary depending on the size, location, and shape of the septa.
Some women with vaginal and uterine septa may not have any symptoms or problems at all.
Benefits of Vaginal and Uterine Septum Corrective Surgery
The main benefit of having a vaginal or uterine septum corrective surgery is that it can improve your sexual and reproductive health and well-being. Some of the possible benefits include:
– Reduced pain and discomfort during sexual intercourse or menstruation
– Easier insertion and removal of tampons or menstrual cups
– Lower risk of urinary tract infections or vaginal infections
– More regular and lighter menstrual periods
– Increased chances of conceiving and carrying a pregnancy to term
– Safer and easier delivery of a baby
– Improved self-esteem and confidence in your body
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Tubal Ligation and Reversal
Tubal ligation is a surgical procedure that blocks the fallopian tubes, which carry eggs from the ovaries to the uterus. This prevents pregnancy by stopping the sperm from reaching the egg. Tubal ligation is also known as “tying the tubes” or “female sterilization”.
Tubal ligation is a permanent form of birth control that is very effective, but it is not suitable for everyone. Some women may regret having their tubes tied, especially if their life circumstances change, such as losing a partner, remarrying, or wanting more children. In some cases, tubal ligation can be reversed by reconnecting the fallopian tubes. This is called tubal reversal or tubal reanastomosis.
What are the benefits and risks of tubal ligation and reversal?
Tubal ligation and reversal have both advantages and disadvantages that should be carefully considered before deciding to undergo either procedure. Some of the benefits and risks are:
– Tubal ligation is a highly effective and permanent way of preventing unwanted pregnancies, which can reduce the need for other forms of contraception, lower the risk of ectopic pregnancy and ovarian cancer, and improve the quality of life for some women.
– Tubal reversal can restore the fertility of women who have had their tubes tied and wish to conceive again, which can fulfill their personal or family goals, enhance their emotional well-being, and offer a chance of having a biological child with a new partner.
– Tubal ligation and reversal are both invasive surgeries that carry the potential for complications, such as bleeding, infection, injury to nearby organs, anesthesia reactions, and postoperative pain. Tubal ligation can also cause side effects, such as menstrual changes, hormonal imbalance, or regret. Tubal reversal can also fail to restore fertility, increase the risk of tubal pregnancy, or require additional treatments, such as in vitro fertilization (IVF).
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OOPHERECTOMY PROCEDURE
What is oophorectomy?
Oophorectomy is a surgical procedure to remove one or both of your ovaries. Your ovaries are the organs that store and release eggs in your reproductive system. They also produce hormones such as estrogen and progesterone.
Why do you need oophorectomy?
There are different reasons why you may need oophorectomy, such as:
– To treat ovarian cancer or prevent it if you have a high risk of developing it
– To treat benign ovarian tumors or cysts that cause pain or bleeding
– To reduce the risk of breast cancer if you have a gene mutation that increases your risk
– To treat endometriosis, a condition where the tissue that lines your uterus grows outside of it
– To treat pelvic inflammatory disease, an infection that affects your reproductive organs.
What are the types of oophorectomy?
There are two main types of oophorectomy:
– Unilateral oophorectomy, where only one ovary is removed
– Bilateral oophorectomy, where both ovaries are removed
The type of oophorectomy you have depends on your medical condition and preference. Your doctor will discuss the benefits and risks of each option with you.
What can you expect after oophorectomy?
After oophorectomy, you will be taken to a recovery room where your vital signs will be monitored. You may feel some pain, nausea, or discomfort in your abdomen. You will be given painkillers and anti-nausea medications as needed. You will also have a catheter to drain urine from your bladder.
You may stay in the hospital for one or two days, depending on the type of surgery and your recovery. Your doctor will check your incision, remove your catheter, and give you instructions on how to care for yourself at home. You should follow these instructions carefully to prevent infection and promote healing.
Some of the things you should do at home are:
– Rest and avoid strenuous activities for four to six weeks
– Take painkillers as prescribed by your doctor
– Keep your incision clean and dry
– Wear loose-fitting clothes and cotton underwear
– Avoid lifting anything heavier than 10 pounds
– Avoid sexual intercourse until your doctor says it is safe
– Eat a balanced diet and drink plenty of fluids
– Seek medical attention if you have signs of infection, such as fever, redness, swelling, or pus around your incision, or severe pain, bleeding, or discharge from your vagina.
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LEEP PROCEDURE & COLD KNIFE CONE BIOPSY
What is cervical dysplasia?
- Cervical dysplasia is a condition where abnormal cells grow on the surface of the cervix, the lower part of the uterus that connects to the vagina.
- Cervical dysplasia is not cancer, but it can develop into cervical cancer if left untreated.
- Cervical dysplasia is usually caused by human papillomavirus (HPV), a common sexually transmitted infection that can affect the genital area.
- Cervical dysplasia is detected by a Pap smear, a test that collects cells from the cervix and examines them under a microscope.
- Cervical dysplasia is classified into three grades: low-grade (CIN 1), moderate (CIN 2), and high-grade (CIN 3).
- The higher the grade, the more abnormal the cells and the higher the risk of cancer.
What are LEEP procedure and cold knife cone biopsy?
– LEEP procedure and cold knife cone biopsy are two surgical methods to remove the abnormal cells from the cervix.
– LEEP stands for loop electrosurgical excision procedure. It uses a thin wire loop that carries an electric current to cut out a cone-shaped piece of tissue from the cervix.
– Cold knife cone biopsy uses a scalpel or a laser to remove a cone-shaped piece of tissue from the cervix.
– Both procedures are done in a hospital or a clinic, usually under local anesthesia.
– Both procedures aim to remove all the abnormal cells and a margin of normal tissue around them.
– Both procedures can also be used to diagnose cervical cancer by examining the removed tissue for cancer cells.
What are the differences between LEEP procedure and cold knife cone biopsy?
– LEEP procedure is less invasive than cold knife cone biopsy. It does not require stitches and causes less bleeding and scarring.
– LEEP procedure is faster and cheaper than cold knife cone biopsy. It takes about 10 to 20 minutes and costs about $500 to $1000.
– Cold knife cone biopsy is more accurate than LEEP procedure. It preserves the tissue better and allows for a more precise evaluation of the margins and the depth of the abnormal cells.
– Cold knife cone biopsy is more suitable for severe cases of cervical dysplasia or suspected cancer. It can remove a larger and deeper area of tissue than LEEP procedure.
– Both procedures have similar risks and complications, such as infection, bleeding, pain, cramping, and cervical stenosis (narrowing of the cervix).
– Both procedures may affect fertility and pregnancy. They may increase the risk of preterm labor, premature rupture of membranes, and low birth weight.How to prepare for LEEP procedure and cold knife cone biopsy?
– Before the procedure, you should have a consultation with your doctor to discuss the benefits, risks, and alternatives of the procedure.
– You should also have a pelvic exam, a Pap smear, and an HPV test to confirm the diagnosis and the extent of the cervical dysplasia.
– You should avoid sexual intercourse, tampons, douching, and vaginal creams for at least 24 hours before the procedure.
– You should not have the procedure if you are pregnant, have an active infection, or have your menstrual period.
– You should inform your doctor if you have any allergies, medical conditions, or medications that may affect the procedure.
– You should arrange for someone to drive you home after the procedure.
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Laparoscopic Ovarian Cystectomy
What is laparoscopic ovarian cystectomy?
Laparoscopic ovarian cystectomy is a minimally invasive surgery to remove cysts from one or both ovaries. A cyst is a fluid-filled sac that can form on the surface or inside the ovary. Most ovarian cysts are benign (not cancerous) and do not cause any symptoms. However, some cysts may grow large, rupture, or twist the ovary, causing pain, bleeding, or other problems.
Laparoscopic ovarian cystectomy is done through small incisions in the abdomen, using a thin instrument called a laparoscope. The laparoscope has a light and a camera that allow the surgeon to see the ovaries and the cysts. The surgeon then uses special tools to cut out the cysts and seal the wounds. The cysts are removed through the incisions and sent to a laboratory for testing.
Why do I need laparoscopic ovarian cystectomy?
Your doctor may recommend laparoscopic ovarian cystectomy if you have one or more of the following conditions:
– A large or complex ovarian cyst that does not go away after several menstrual cycles
– A cyst that causes severe pain, pressure, or bloating in the lower abdomen
– A cyst that interferes with your fertility or pregnancy
– A cyst that is suspected to be malignant (cancerous) or borderline (has a potential to become cancerous)
Laparoscopic ovarian cystectomy can help relieve your symptoms, prevent complications, and preserve your ovarian function. It can also help diagnose the type and nature of the cyst and rule out ovarian cancer.
What are the benefits and outcomes of laparoscopic ovarian cystectomy?
Laparoscopic ovarian cystectomy has many benefits and outcomes, such as:
– It is less invasive than open surgery, which means less pain, scarring, and risk of infection
– It has a shorter recovery time, which means you can return to your normal activities sooner
– It preserves your ovarian function, which means you can still ovulate and have periods
– It improves your chances of getting pregnant, if the cysts were affecting your fertility
– It reduces your symptoms, such as pain, pressure, or bloating
– It confirms the diagnosis and treatment of the cysts, which may prevent further complications or cancer.
Laparoscopic ovarian cystectomy is a successful procedure for most women with ovarian cysts. However, the results may vary depending on the type, size, and number of the cysts, as well as your age, health, and reproductive goals. You should discuss your expectations and options with your doctor before the surgery.