Tuesday, 25 December 2018

Real Women -Real Experiences- 26.12.18

Real Women -Real Experiences- 26.12.18 

A woman aged 46 years, a resident of Kharghar, Navi Mumbai has been suffering from irregular heavy menstrual bleeding since 6-7 years. She has had two deliveries , both by Caesarean section. She underwent D & C a couple of times to manage her condition. She has been put on medicinal management for this time period for which she has responded inadequately.

She has been advised to undergo a hysterectomy as her condition is not controlled. And she has been refusing the decision for a couple of years now, making her management very difficult.

She also suffers from multiple other medical issues like hypertension and diabetes making her a high risk case surgically.

She required repeated counselling sessions to make her understand that she needs to undergo laparoscopic hysterectomy as soon as possible as the vaginal irregular bleeding was not controlled.
A couple of weeks ago she finally agreed for a hysterectomy.

The case proved to be a challenging one as  when we entered the peritoneal cavity , laparoscopically, we realized that there were a lot of adhesions between intestinal mesentry and uterus and adnexa.
The uterus per se also had increased to quite a massive size. The normal weight of the uterus is around 50-60 gm. The specimen that we took out weighed close to half a kilogram. It required a special laparoscopic instrument called morcellator to remove the specimen in bits and pieces taking almost 45 minutes of additional general anaesthesia time.

Very capable laparoscopic surgeon - Dr Santosh Jaybhaye  completed this surgery in 3.5 hours.

The uterus specimen had all the findings of having severe adenomyosis.

The beauty of laparoscopic surgery is that the post operative recovery is very smooth and quick. Patient can be mobile the next day and fully eating by day after. After completion of 72 hours of IV antibiotics, patient can be sent home.


By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
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Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

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