Surgical Procedures

At Life Specialist Hospital, we combine high class medical technology and expertise in therapeutic management of our patient. Some of our services includes:

  • Appendectomy. …
  • Breast biopsy. …
  • Cesarean section. …
  • Myomectomy
  • Hysterectomy
  • Adhesiolysis
  • Endometrial Ablation
  • Etc…

 

Myomectomy

What is a myomectomy?

myomectomy-2A myomectomy is a surgical procedure to remove uterine fibroids, noncancerous tumors, without removing the uterus.

Depending on the location of the fibroids, the myomectomy can be done through the pelvic area or through the vagina and cervix.

Removing fibroids may enable a woman to get pregnant after the surgery.

 

Why would a woman need to undergo a myomectomy to treat fibroids?

A woman may choose to undergo a myomectomy to remove her uterine fibroids if she is experiencing aggravating symptoms from those fibroids, and she would like to retain her uterus for personal or reproductive reasons.

Depending on the location and size of a woman’s fibroids, these growths can interfere with conception, prevent implantation of a fertilized egg, or obstruct the Fallopian tubes, preventing the embryo from passing into the uterine cavity and implanting on the endometrial lining.

Fibroids can also cause problems during pregnancy, including affecting the blood flow and preventing the fetus from growing properly and causing pre-term labor and birth.

To prevent these problems, women with fibroids who want to become pregnant should consider a myomectomy to remove the fibroids. In many cases, infertility specialists will refer patients for this surgery before attempting In vitro fertilization (IVF).

What are the different ways that myomectomy is performed?

Depending on the size, number and location of your fibroids, physicians use different surgical approaches such as open abdominal surgery or minimally invasive laparoscopic surgery.

  • Open myomectomy – the most commonly performed surgery – is often not the best solution. It requires either making a horizontal incision above the pubic bone or a vertical incision from just below the navel to the pubic bone. The benefit of open procedures is all fibroids can be removed from all locations, and the uterus can be properly closed to heal prior to attempting to conceive a child. However, a major disadvantage is a much larger incision, resulting in more pain and longer recovery times of 6 to 8 weeks. There is a much higher rate of complications as well.
  • Laparoscopic or robotic myomectomies are minimally invasive procedures that can remove fibroids on stalks or from the outside the uterus without too much difficulty, when performed by a well-trained laparoscopic surgeon. However, these procedures present challenges when the fibroids are very large or there are large numbers of fibroids in the uterus. Other disadvantages include the time involved in performing these surgeries, the potential for heavy bleeding and the potential that all the fibroids will not be removed. There is also the risk that the uterus will not heal properly due to lack of access to incisions for effective repair.

Visit us today for your myomectomy or call 08034044189.

 

Hysterectomy:

hysterectomyA hysterectomy is an operation to remove a woman’s uterus. A woman may have a hysterectomy for different reasons, including:

  • Uterine fibroids that cause pain, bleeding, or other problems
  • Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
  • Cancer of the uterus, cervix, or ovaries
  • Endometriosis
  • Abnormal vaginal bleeding
  • Chronic pelvic pain
  • Adenomyosis, or a thickening of the uterus

Hysterectomy for noncancerous reasons is usually considered only after all other treatment approaches have been tried without success.

Types of Hysterectomy

Depending on the reason for the hysterectomy, a surgeon may choose to remove all or only part of the uterus. Patients and health care providers sometimes use these terms inexactly, so it is important to clarify if the cervix and/or ovaries are removed:

  • In a supracervial or subtotal hysterectomy, a surgeon removes only the upper part of the uterus, keeping the cervix in place.
  • A total hysterectomy removes the whole uterus and cervix.
  • In a radical hysterectomy, a surgeon removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina. Radical hysterectomy is generally only done when cancer is present.
The ovaries may also be removed — a procedure called oophorectomy — or may be left in place. When the tubes are removed that procedure is called salpingectomy. So, when the entire uterus, both tubes, and both ovaries are removed, the entire procedure is called a hysterectomy and bilateral salpingectomy-oophorectomy.
Surgical Techniques for Hysterectomy
Surgeons use different approaches for hysterectomy, depending on the surgeon’s experience, the reason for the hysterectomy, and a woman’s overall health. The hysterectomy technique will partly determine healing time and the kind of scar, if any, that remains after the operation.There are two approaches to surgery – a traditional or open surgery and surgery using a minimally invasive procedure or MIP.
Open Surgery Hysterectomy
An abdominal hysterectomy is an open surgery. This is the most common approach to hysterectomy, accounting for about 65% of all procedures.To perform an abdominal hysterectomy, a surgeon makes a 5- to 7-inch incision, either up-and-down or side-to-side, across the belly. The surgeon then removes the uterus through this incision.Following an abdominal hysterectomy, a woman will usually spend 2-3 days in the hospital. There is also, after healing, a visible scar at the location of the incision.
Laparoscopic Hysterectomy
There are several approaches that can be used for laparoscopic hysterectomy:

  • Vaginal hysterectomy: The surgeon makes a cut in the vagina and removes the uterus through this incision. The incision is closed, leaving no visible scar.
  • Laparoscopic hysterectomy: This surgery is done using a laparoscope, which is a tube with a lighted camera, and surgical tools inserted through several small cuts made in the belly or, in the case of a single site laparoscopic procedure, one small cut made in the belly button. The surgeon performs the hysterectomy from outside the body, viewing the operation on a video screen.
  • Laparoscopic-assisted vaginal hysterectomy: Using laparoscopic surgical tools, a surgeon removes the uterus through an incision in the vagina.
  • Robot-assisted laparoscopic hysterectomy: This procedure is similar to a laparoscopic hysterectomy, but the surgeon controls a sophisticated robotic system of surgical tools from outside the body. Advanced technology allows the surgeon to use natural wrist movements and view the hysterectomy on a three-dimensional screen.

Risks of Hysterectomy

Most women who undergo hysterectomy have no serious problems or complications from the surgery. However, hysterectomy is considered a major surgery and is not without risks. Those complications include:

  • Urinary incontinence
  • Vaginal prolapse (part of the vagina coming out of the body)
  • Fistula formation (an abnormal connection that forms between the vagina and bladder)
  • Chronic pain

Other risks from hysterectomy include wound infections, blood clots, hemorrhage, and injury to surrounding organs, although these are uncommon.

What to Expect After Hysterectomy

After a hysterectomy, if the ovaries were also removed, a woman will enter menopause. If the ovaries were not removed, a woman may enter menopause at an earlier age than she would have otherwise.

Most women are told to abstain from sex and avoid lifting heavy objects for six weeks after hysterectomy.

After a hysterectomy, the vast majority of women surveyed feel the operation was successful at improving or curing their main problem (for example, pain or heavy periods).

 

Cesarean Section

c-section-560x410

What is a c-section?

A c-section, or cesarean section, is the delivery of a baby through a surgical incision in the mother’s abdomen and uterus. In certain circumstances, a c-section is scheduled in advance. In others, it’s done in response to an unforeseen complication.

Why would I have a scheduled c-section?

Sometimes it’s clear that a woman will need a c-section even before she goes into labor. For example, you may require a planned c-section if:

  • You’ve had a previous cesarean with a “classical” vertical uterine incision (this is relatively rare) or more than one previous c-section. Both of these significantly increase the risk that your uterus will rupture during a vaginal delivery.
  • If you’ve had only one previous c-section with a horizontal uterine incision, you may be a good candidate for a vaginal birth after cesarean, or VBAC. (Note that the type of scar on your belly may not match the one on your uterus.)
  • You’ve had some other kind of invasive uterine surgery, such as a myomectomy (the surgical removal of fibroids).
  • You’re carrying more than one baby. (Some twins can be delivered vaginally, but most of the time higher-order multiples require a c-section.)
  • Your baby is expected to be very large (a condition known as macrosomia). This is particularly true if you’re diabetic or you had a previous baby of the same size or smaller who suffered serious trauma during a vaginal birth.
  • Your baby is in a breech (bottom first) or transverse (sideways) position. (In some cases, such as a twin pregnancy in which the first baby is head down but the second baby is breech, the breech baby may be delivered vaginally.)
  • You have placenta previa (when the placenta is so low in the uterus that it covers the cervix).
  • You have an obstruction, such as a large fibroid, that would make a vaginal delivery difficult or impossible.
  • The baby has a known malformation or abnormality that would make a vaginal birth risky, such as some cases of open neural tube defects.
  • You’re HIV-positive, and blood tests done near the end of pregnancy show that you have a high viral load.

Note that your caregiver will schedule your surgery for no earlier than 39 weeks — unless there is a medical reason to do so – in order to make sure the baby is mature enough to be born healthy.

 

 Breast Biopsy

What Is a Breast Biopsy?

A breast biopsy is a simple medical procedure in which a sample of breast tissue is removed and sent to a laboratory for testing. A breast biopsy is the best way to evaluate if a suspicious lump or portion of your breast is cancerous.

It’s important to remember that breast lumps aren’t always cancerous. There are several conditions that can cause lumps or growths in the breast. A breast biopsy can help determine if a lump in your breast is cancerous or benign, which means non-cancerous.

Why a Breast Biopsy Is Performed?

 A breast biopsy is typically performed to investigate a lump in the breast. Most breast lumps are non-cancerous.

Your doctor will usually order a biopsy if they become concerned about the results of a mammogram or breast ultrasound, or if a lump was found during a physical exam.

A biopsy may also be ordered if there are changes in your nipple, including:

  • bloody discharge
  • crusting
  • dimpling skin
  • scaling

These are all symptoms of a tumor in the breast.

How Is a Breast Biopsy Performed?

 Before the breast biopsy, your doctor will examine your breast. This could include:
  • a physical examination
  • an ultrasound
  • a mammogram
  • an MRI

During one of these tests, your doctor may place a thin needle or wire into the area so the surgeon can easily find the area. You’ll be given local anesthesia to numb the area around the lump.

Results of a Breast Biopsy

 Your test results can come back as benign, pre-cancerous, or cancerous.

If the sample is cancerous, the biopsy results will also be able to reveal the type of cancer. Types of breast cancer that can be detected include:

  • ductal carcinoma, which is cancer of the breast ducts
  • inflammatory breast cancer, which is a rare form that makes the skin of the breast appear infected
  • lobular carcinoma, which is a cancer of the lobules, or the glands that produce milk
  • Paget’s disease, which is a rare cancer that affects the nipples

Your doctor will use the type of cancer and other information from the biopsy to help plan your treatment. This may include one or more of the following:

  • a lumpectomy, which is the surgical removal of the tumor
  • a mastectomy, which is the surgical removal of the breast
  • radiation therapy
  • chemotherapy
  • hormone therapy

However, several non-cancerous conditions can also cause lumps in the breast. They include:

  • adenofibroma, which is a benign tumor of the breast tissue
  • fibrocystic breast disease, which involves painful lumps in the breasts caused by hormone changes
  • intraductal papilloma, which is a small, benign tumor of the milk ducts
  • mammary fat necrosis, which is a lump formed by bruised, dead, or injured fat tissue