Gynae Surgeries (Gynecological Surgical Procedures)

Gynecological surgeries are performed to treat conditions related to the uterus, ovaries, fallopian tubes, fibroids, and other reproductive organs.
These procedures help relieve pain, control excessive bleeding, treat fibroids, manage infections, and restore normal reproductive function.

1. Hysterectomy (Removal of the Uterus)

A hysterectomy is a surgical procedure in which the uterus is removed. It is recommended for women suffering from:

  • Heavy or prolonged menstrual bleeding

  • Large uterine fibroids

  • Endometriosis

  • Chronic pelvic pain or infections

  • Uterine cancer or pre-cancerous conditions

Types of Hysterectomy (3 Methods as Noted by Doctor)

① Abdominal Hysterectomy (Open Surgery)

A surgical incision is made on the abdomen to remove the uterus.
This method is preferred in cases such as:

  • Very large fibroids

  • Complex anatomy

  • Suspicion of cancer

  • Multiple previous surgeries

Recovery: Slightly longer healing time due to the larger incision.

② Vaginal Hysterectomy

The uterus is removed through the vaginal route — no abdominal incision is required.

Benefits:

  • Less pain

  • Faster recovery

  • Minimal scarring

  • Shorter hospital stay

③ Laparoscopic Hysterectomy (Minimally Invasive Technique)

Performed through small incisions using a camera (laparoscope).
It is the most advanced and widely preferred method.

Advantages:

  • Minimal blood loss

  • Less postoperative pain

  • Very small scars

  • Quicker recovery

  • Early return to routine activities

2. Myomectomy (Fibroid Removal Surgery)

Myomectomy is a fertility-preserving surgery where fibroids (non-cancerous growths) are removed without removing the uterus.
It is ideal for women who wish to conceive in the future.

When is Myomectomy Needed?

  • Heavy or irregular menstrual bleeding

  • Persistent pelvic pain or pressure

  • Large or multiple fibroids

  • Infertility due to fibroids

  • Recurrent miscarriages

  • Enlarged uterus because of fibroids

Types of Myomectomy

① Laparoscopic Myomectomy

Fibroids are removed through tiny incisions using laparoscopic instruments.
Best for: Medium-sized and accessible fibroids.

② Hysteroscopic Myomectomy

The fibroid is removed from inside the uterus through the vaginal route —
no abdominal incision required.
Used for fibroids located inside the uterine cavity.

③ Open (Abdominal) Myomectomy

Recommended for very large fibroids or multiple deep fibroids.
A single incision is made on the abdomen to safely remove them.

Benefits of Myomectomy

  • Uterus is preserved

  • Fertility can be maintained

  • Better menstrual cycles

  • Reduced pain and pressure

  • Long-term relief from symptoms

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