'vaginal cuff dehiscence'

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.

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.

If you have an anal fissure that hasn’t healed with self-help measures and medical treatments, we may suggest you a procedure to treat it. An anal fissure is a small tear or ulcer (open sore) in your skin around the opening of your anus. There are several different types of procedures available, including injections with botulinum toxin, removal of the fissure (excision or fissurectomy) and sphincterotomy. We may suggest you have a procedure called a fissurectomy alongside Botox injections. This involves cutting away the damaged skin from around your anal fissure, along with any ‘sentinel’ skin tags (lumps of skin associated with the fissure).