Laparoscopic Surgery Specialist in Kolkata, India

Best Infertility Specialist in Kolkata

by Dr. Sankar Dasmahapatra

What is vaginal hysterectomy and pelvic floor repair?

A vaginal hysterectomy is an operation to remove the uterus (womb) and cervix (neck of the womb) through the vagina. One or both ovaries and fallopian tubes may also be removed during the operation which may involve performing laparoscopic (keyhole) surgery.

What is Viginal hysterectomy?

A Viginal hysterectomy is an operation to remove the uterus through the Vagina. One or both ovaries and Fallopian tubes can sometimes be removed during the procedure, as well as the uterus and cervix, but your surgeon will discuss this with you at the time.

How does a Pelvic floor repair work?

A pelvic floor repair is an operation done when a part of the vagina is prolapsing and causing troublesome symptoms. A cut is made in the front and / or back wall of the vagina to allow the underlying supporting tissue to be identified. This tissue is then stitched to strengthen the support and prevent the prolapse from returning.

What is Vaginal Prolapse?

Vaginal Prolapse is caused by weakness of the supporting tissues of the pelvic floor in a similar way that a hernia is formed. The pelvic floor is made of muscles, collagen, connective tissue and fascia. Weakness in any of these allows the tissues and organs surrounding the vagina to bulge into the vagina resulting in prolapse.

What is PFR surgery?

A pelvic floor repair is the most common surgery for prolapse. It is a broad term used to describe simple surgical repairs of the pelvic floor. More specifically, the term anterior repair refers to correction of the front wall of the vagina; and posterior repair refers to correction of the back wall of the vagina.
Introduction and hypothesis: Vaginal hysterectomy (VH) and pelvic floor repair (PFR) for the surgical management of pelvic organ prolapse (POP) are usually performed under regional anesthesia.

Is pelvic floor repair major surgery?

Laparoscopic colposuspension is a minimally invasive surgical technique that provides a safe and durable method for reconstruction of the pelvic floor and its contents without the need for a large abdominal incision.
Preoperative 3-dimensional transvaginal ultrasound is helpful for the diagnosis of T-shaped uterus, and the assessment of the uterine cavity shape. Intraoperatively, retrieval and identification of the fallopian tubal ostia is essential because they are the anatomical markers during the hysteroscopic metroplasty.

What is hysteroscopy for T-shaped uterus?

Hysteroscopic hysteroplasty uses 5-FR surgical scissors to make two lateral incisions on the lateral wall of the uterus to avoid electrosurgical operation. Under the naked eye, from the isthmus to the fundus, the myometrium is cut through on both sides perpendicular to the lateral wall of the uterus.

What is lateral metroplasty?

Metroplasty is used to treat women who are suffering from uterine septum, which is one of the most common congenital malformations (birth defect); it is characterized by a uterus which is completely or partially divided into two parts. It is known to cause infertility and recurring miscarriages.

What is hysteroscopic metroplasty?

hysteroscopic metroplasty is a minimally invasive procedure that incises the uterine septum and unifies the uterine cavity.

Can you get pregnant with a T-shaped uterus?

Although fertility is impaired, T-shaped uterus sufferers can bear children. However, they carry a greater risk of complications, such as miscarriages, reduced fertility and preterm births, both before and after any treatment.

What are the risks of metroplasty?

Damage to the womb or cervix during the procedure. complications during the procedure, such as excessive bleeding or fluid collecting in the lungs. scar tissue forming in the womb after the procedure. the womb rupturing during pregnancy or delivery.

What is the effect of hysteroscopic metroplasty?

Observational data support the beneficial effect of hysteroscopic septum incision, particularly for women with recurrent pregnancy loss. The meta-analysis and systematic review demonstrated a reduction in the risk of miscarriage following hysteroscopic metroplasty of the septum.