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Cervical Cerclage in Pregnancy

The cervix, normally closed during pregnancy, provides vital support to the growing fetus. Cervical insufficiency occurs when the cervix weakens prematurely, increasing the risk of adverse outcomes. Indications for Cervical Stitch: Cervical stitch, or cerclage, is recommended for women at risk due to: 1. **History of Preterm Birth:** Especially in the second trimester. 2. **Previous Pregnancy Losses:** Recurrent second-trimester losses may indicate cervical strength issues. 3. **Anatomical Factors:** An unusually short cervix or other factors increasing the risk of cervical insufficiency. 4. **Previous Cervical Trauma:** Trauma or surgery, like a cone biopsy, can weaken cervical tissues. Procedure: Done between the 12th and 14th week, it involves: 1. **Evaluation:** Thorough assessment, including a pelvic exam and ultrasound, to determine candidacy. 2. **Placement of Stitch:** A stitch around the cervix for added support, either transvaginally or transabdominally. 3. **Monitoring:** Regular ultrasound and assessments post-procedure to ensure the stitch holds and pregnancy progresses well. Risks and Considerations: While generally safe, considerations include: 1. **Infection:** Strict hygiene and sterilization protocols at Sukhayu Hospital minimize infection risks. 2. **Preterm Rupture of Membranes:** Rare, but carefully considered before recommending cerclage. 3. **Cervical Laceration:** Minimal risk, managed by experienced healthcare professionals. 4. **Allergic Reactions:** Thorough medical history assessments to identify potential allergies. Sukhayu Hospital's Approach: Ensuring safety is a priority with: 1. **Expert Consultation:** Detailed evaluation considers medical history and existing risk factors. 2. **State-of-the-Art Facilities:** Advanced technology ensures precision in every aspect of the procedure. 3. **Comprehensive Monitoring:** Regular monitoring through ultrasound and diagnostic tools. 4. **Patient Education:** Detailed information empowers informed decision-making. Conclusion: Pregnancy is transformative, and Sukhayu Hospital recognizes the importance of comprehensive care. Cervical insufficiency can be managed effectively with procedures like cervical stitch. Sukhayu's expert team is committed to personalized care, advanced technologies, and prioritizing patient education for a safe journey to motherhood. For concerns, reach out to Sukhayu Hospital. They are dedicated to supporting your journey every step of the way.

Consultation and Treatment Parkinson’s disease

Welcome to Sukhayu Hospital, where we understand the unique challenges posed by Parkinson's disease and are dedicated to providing comprehensive care and support for individuals facing this neurological condition. Our specialized Parkinson's Disease Service is designed to address the complex needs of patients with Parkinson's, offering a multidisciplinary approach that combines medical expertise, advanced technology, and a commitment to enhancing quality of life. Understanding Parkinson's Disease: Parkinson's disease is a progressive neurodegenerative disorder that affects movement control. It is characterized by symptoms such as tremors, stiffness, slowness of movement, and impaired balance. At Sukhayu Hospital, we recognize the impact Parkinson's can have on both the individual and their loved ones. Our Parkinson's Disease Service aims to provide a holistic and personalized approach to managing the various aspects of this condition. Medical Expertise: Our team of experienced neurologists, led by specialists like Dr. Anuj Nehete, brings a wealth of knowledge and expertise in the field of Parkinson's disease. With over a decade of experience, Dr. Nehete is not only a seasoned neurologist but also a Movement Disorders Specialist. His dedication to staying at the forefront of advancements in neurology ensures that patients receive the most up-to-date and effective treatments available. From accurate diagnosis to personalized treatment plans, our medical team is committed to guiding patients through every step of their Parkinson's journey. We employ a comprehensive range of diagnostic tools, including clinical assessments, neuroimaging, and specialized tests, to tailor our approach to each individual's unique needs. Comprehensive Treatment Options: At Sukhayu Hospital, we believe in a multifaceted approach to managing Parkinson's disease. Our treatment options go beyond traditional methods and include a combination of medication management, physical therapy, and surgical interventions when necessary. For individuals requiring medication, our neurologists carefully prescribe and monitor medications to alleviate symptoms and improve overall quality of life. Physical therapy, under the guidance of our rehabilitation specialists, plays a crucial role in enhancing mobility, flexibility, and muscle strength. For select cases, where medications and therapies may not provide sufficient relief, our hospital is equipped to offer advanced treatments such as Deep Brain Stimulation (DBS). Dr. Nehete, with his expertise in DBS programming, ensures precise and effective interventions for patients with Parkinson's disease, tremor, and dystonia. Innovative Approaches: Sukhayu Hospital is committed to exploring and implementing innovative approaches to Parkinson's care. Our services include gait and balance analysis, autonomic function testing, and neurorehabilitation specifically tailored for individuals with Parkinson's disease. These cutting-edge approaches aim to address not only the motor symptoms but also the non-motor symptoms that significantly impact the overall well-being of individuals with Parkinson's. Patient-Centric Care: At the heart of our Parkinson's Disease Service is a patient-centric approach. We understand that each individual's journey with Parkinson's is unique, and our team works collaboratively to develop personalized care plans. Regular follow-ups, ongoing assessments, and adjustments to treatment plans ensure that our patients receive continuous and tailored support. Support Beyond Medical Treatment: Living with Parkinson's disease involves not just medical management but also emotional and social support. Sukhayu Hospital is committed to providing a holistic approach to care that extends beyond the clinic. We offer support groups, educational resources, and counseling services to help patients and their families navigate the challenges of Parkinson's disease. Parkinson's disease requires a comprehensive and compassionate approach to care, and Sukhayu Hospital is dedicated to providing just that. Our Parkinson's Disease Service combines medical excellence, innovative approaches, and patient-centric care to empower individuals with Parkinson's to lead fulfilling lives. If you or a loved one is facing Parkinson's disease, trust Sukhayu Hospital for expert care and support. Our team is here to guide you through every step of the journey, offering hope, understanding, and a commitment to enhancing the quality of life for individuals with Parkinson's disease.

Umbilical Hernia Surgery

Umbilical hernia surgery is a small, quick operation to push the bulge back into place and to strengthen the abdominal wall. In most cases, the person receiving surgery will be able to go home on the same day. Surgery involves making an incision at the base of the belly button and pushing either the fatty lump or bowel back into the abdomen. In open surgery, our surgeon will open the site and repair the hernia by using mesh and stitching the muscle together. In laparoscopic surgery or keyhole, surgery, mesh and sutures will be passed through small incisions. Muscle layers are stitched over the weak area in the abdomen wall, fortifying it. Dissolvable stitches or special glue are used to close the wound. The surgeon will sometimes apply a pressure dressing on the hernia, which remains in place for 4 to 5 days. An umbilical hernia operation usually takes about 20 to 30 minutes.

Lipoma Surgery

A lipoma is a lump under the skin that occurs due to an overgrowth of fat cells. Doctors consider lipomas to be benign tumors, which means that they are non-cancerous growths. However, people may wish to remove a lipoma that causes pain, complications, or other symptoms. Some people also have concerns about the cosmetic appearance of lipomas. Lipomas can occur anywhere on the body where fat cells are present, but they tend to appear on the shoulders, chest, trunk, neck, thighs, and armpits. In less common cases, they may also form in internal organs, bones, or muscles. Lipomas feel soft and may move slightly under the skin when people press down on them. They usually grow slowly over a period of months or years and typically reach a size of around 2–3 centimeters (cm). Occasionally, people have giant lipomas, which can grow to more than 10 cm. At Sukhayu Hospital we have successfully treated many patients with lipomatosis

Bartholin's Cyst Surgery

The Bartholin's glands are located on each side of the vaginal opening. These glands secrete fluid that helps lubricate the vagina. Sometimes the openings of these glands become obstructed, causing fluid to back up into the gland. The result is relatively painless swelling called a Bartholin's cyst. If the fluid within the cyst becomes infected, you may develop a collection of pus surrounded by inflamed tissue (abscess). A Bartholin's cyst or abscess is common. Treatment of a Bartholin's cyst depends on the size of the cyst, how painful the cyst is and whether the cyst is infected. Sometimes home treatment is all you need. In other cases, surgical drainage of the Bartholin's cyst is necessary. If an infection occurs, antibiotics may be helpful to treat the infected Bartholin's cyst.

Hysterectomy Surgery

A 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 54% for all benign disease. 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. Abdominal hysterectomy. Most women go home 2-3 days after this surgery, but complete recovery takes from six to eight weeks. During this time, you need to rest at home. You should not be doing housework until you talk with your doctor about restrictions. There should be no lifting for the first two weeks. Walking is encouraged, but not heavy lifting. After 6 weeks, you can get back to your regular activities, including having sex. Vaginal or laparoscopic assisted vaginal hysterectomy (LAVH). A vaginal hysterectomy is less surgically invasive than an abdominal procedure, and recovery can be as short as two weeks. Most women come home the same day or the next. Walking is encouraged, but not heavy lifting. You will need to abstain from sex for at least 6 weeks. Laparoscopic supracervical hysterectomy (LSH). This procedure is the least invasive and can have a recovery period as short as six days to two weeks. Walking is encouraged, but not heavy lifting.

Cholecystectomy (Removal of Gall Bladder)

You’ve had painful attacks caused by gallstones. To treat the problem, your doctor advised to remove your gallbladder? This surgery is called cholecystectomy. Removing the gallbladder can relieve pain. It will also prevent future attacks. You can live a healthy life without your gallbladder. You may also be able to go back to eating foods you enjoyed before your gallbladder problems started. There are 2 methods for removing the gallbladder. We will choose which method is best for you: Laparoscopic cholecystectomy. This is most common. During surgery, 2 to 4 small incisions are made. A thin tube with a camera is used. This is called a laparoscope. The scope is put through one of the incisions. It sends images to a video screen. Surgical tools are put through other incisions. The gallbladder is removed using the scope and these tools. Open cholecystectomy. One larger incision is made. The surgeon sees and works through this incision. Open surgery is most often used when scarring or other factors make it a better choice for you. In some cases, safety requires a change from laparoscopic to open surgery during the procedure.

Appendix Surgery (Appendicectomy)

Appendicitis means inflammation of the appendix. When the appendix is inflamed it causes pain and makes you feel unwell. What are the benefits of surgery? You will no longer get appendicitis. Surgery should prevent you from having serious complications that appendicitis can cause. Are there any alternatives to surgery? Antibiotics can be used to treat inflammation or an abscess, but only if you are well enough. If an abscess continues or if you become unwell even with antibiotics, you will need an operation. What does the operation involve? An appendicectomy is usually performed under a spinal anaesthetic. The operation usually takes between half an hour and an hour. We will remove the appendix either by using the laparoscopic (keyhole) technique or by an open cut in the abdomen.

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