Thermal Balloon Endometrial Ablation Therapy
Abnormal uterine bleeding affects large number of women in the reproductive and perimenopausal age group. Conservative management of AUB includes endometrial ablation. Endometrial ablation is a day care procedure performed to remove a thin layer of tissue lining the uterus.
During thermal balloon endometrial ablation therapy, the doctor passes an instrument with balloon attached through vagina into the uterus and inflates with heated fluid which in turn destroys the lining of the uterus.
Hysteroscopy is a day care procedure used to examine the inside of uterus through an instrument called hysteroscope. Hysteroscope is a thin optical device inserted into the vagina to diagnose and treat specific conditions of the uterine cavity. Hysteroscopy can be either diagnostic or operative. Hysteroscopy helps in diagnosing and treating abnormal uterine bleeding, removal of fibroids, treatment of uterine abnormalities, investigation of infertility.
- Diagnostic Hysteroscopy is used to diagnose the problems of the uterus.
- Operative Hysteroscopy is intended to correct the problems identified by inserting the instruments through hysteroscope
Hysterectomy is a surgical procedure whereby a woman’s uterus is removed. A woman may need hysterectomy for many reasons like fibroids, abnormal vaginal bleeding, chronic pelvic pain, uterine prolapse, cancer etc. Depending on the reason for surgery, doctor may choose to remove total or part of the uterus. Hysterectomy for non-cancerous reasons would be considered only when other treatment options are not available or have been unsuccessful.
Hysterectomy is performed under general or regional anesthesia. Surgery can be performed in several ways:
In abdominal hysterectomy, surgeon makes a vertical or horizontal incision across the abdomen through which the uterus is removed.
In this type of surgery, uterus is removed through a small incision made inside the vagina.
Laparoscopic surgery is a minimally invasive surgery done using a laparoscope which is a long and thin tube with a light source & a tiny camera that allows the surgeon to see the internal organs. Laparoscopic surgery is associated with less pain, has low risk of infection and recovery is fast.
Laparoscopic Assisted Vaginal Hysterectomy (LAVH)
LAVH is a surgical procedure performed using a laparoscope to guide the removal of uterus through the vagina.
Total Laparoscopic Hysterectomy
Total Laparoscopic Hysterectomy is an advanced laparoscopic procedure also known as key-hole surgery. It is done using small incisions in your abdomen through which a laparoscope is inserted and other instruments through which, the surgeon cuts the uterus into small pieces to remove it.
After Surgery, the patient will remain in the recovery room for few hours. Once the patient is stable, she will be shifted to the ward and may generally require hospital stay of 3 to 5 days. Patient is advised rest for about six weeks after the surgery.
Colposcopy is a simple procedure where a magnifying device named colposcope is used to examine cervix, vagina and vulva. This procedure is recommended when a pap smear test has shown abnormal results. It is an outpatient procedure and takes around 15 to 20 mins.
An instrument named speculum is placed in the vagina and a colposcope is moved near to vagina in order to examine the cervix. The doctor may apply acetic acid with cotton swab to highlight any abnormal areas. If any abnormal areas are found, a small sample of tissue (biopsy) is removed for closer examination in the laboratory. After the procedure, the patient may have spotting or dark vaginal discharge for one or two days. The results would help determine if one requires treatment or any additional tests.