HIGH RISK PREGNANCY
PRE ECLAMPSIA
Pre eclampsia is a serious condition in pregnancy marked by high blood pressure and often protein in the urine, usually appearing after 20 weeks gestation. It risks damage to organs like the liver and kidneys, and can be life-threatening for both mother and baby if untreated. Early detection and management, often through delivery and medications, are crucial to prevent complications such as eclampsia (seizures) and organ failure.
Multiple pregnancy
A multiple pregnancy occurs when a woman carries more than one baby, such as twins or triplets. It can result from fertilization of several eggs (fraternal) or splitting of one egg (identical). Factors like older maternal age and fertility treatments increase risk. These pregnancies carry higher chances of complications, including premature birth and low birth weight, and require closer monitoring throughout gestation for maternal and fetal health.
Previous cesarean pregnancy
A previous cesarean pregnancy refers to a pregnancy in a woman who has previously delivered a baby through a cesarean section (C-section) surgery. This history is important because it may influence the current pregnancy's management, risks, and delivery approach. Women with a prior cesarean have a higher chance of uterine rupture, placenta previa, or adhesions during subsequent pregnancies. Healthcare providers may recommend a repeat cesarean or consider a trial of labor after cesarean (TOLAC), depending on individual circumstances.
laparoscopy
Laparoscopy
Laparoscopy is a minimally invasive surgical procedure that uses a thin, lighted telescope called a laparoscope inserted through small incisions in the abdomen. It allows doctors to examine and treat conditions affecting the pelvic reproductive organs such as the uterus, fallopian tubes, and ovaries. This procedure is often used to diagnose causes of infertility, including endometriosis, ovarian cysts, fibroids, and blocked fallopian tubes. Laparoscopy typically takes 30 to 45 minutes and involves inflating the abdomen with gas to provide better visibility. It offers quicker recovery and less pain compared to open surgery, making it a valuable tool in fertility treatment and gynecological care.
laparoscopic surgeries
Total Laparoscopic Hysterectomy
Total laparoscopic hysterectomy (TLH) is a surgical procedure to remove the uterus using small incisions in the abdomen and a laparoscope, a camera-equipped instrument. The operation typically involves these steps: after general anesthesia, small incisions are made to insert trocars, and CO2 gas is introduced to inflate the abdomen for better visualization. The round ligaments, uterine arteries, and other supporting tissues are carefully cauterized and cut. The bladder is mobilized away from the uterus. The uterus is detached and removed, often through the vagina. The vaginal cuff is sutured laparoscopically. This minimally invasive method results in less pain, quicker recovery, and shorter hospital stay compared to open surgery.
Laparoscopic myomectomy
Laparoscopic myomectomy is a minimally invasive surgery to remove uterine fibroids while preserving the uterus. It involves small incisions in the abdomen through which a laparoscope and surgical tools are inserted. The fibroids are carefully dissected and enucleated from the uterine muscle. The uterine wall is then sutured laparoscopically to restore its shape and strength. This procedure offers advantages like less pain, minimal scarring, faster recovery, and preservation of fertility compared to open surgery. It is suitable for women who want to keep their uterus and potentially conceive in the future.
Diagnostic Hystero-Laparoscopy
Diagnostic hystero-laparoscopy is a minimally invasive procedure combining hysteroscopy and laparoscopy to evaluate female reproductive organs. Hysteroscopy involves inserting a thin, lighted telescope through the cervix to view the inside of the uterus, identifying abnormalities such as fibroids, polyps, or scarring. Laparoscopy involves making small incisions in the abdomen to insert a laparoscope to look at the outside of the uterus, fallopian tubes, and ovaries, detecting conditions like endometriosis, cysts, or pelvic adhesions. This procedure helps diagnose causes of infertility, pelvic pain, or abnormal bleeding and can also allow treatment of some conditions during the same surgery.