Y: Key Hole Surger

Prob­lems One Stop Treat­ment for Gy­nae

Woman's Era - - Short Story -

Dr Usha M Kumar MS, MRCOG (London), Dip Adv En­do­scopic Surg­eries (Ger­many) Se­nior Con­sul­tant & Gy­nae En­do­scopic Sur­geon

ovar­ian cysts ( choco­late cyst in En­dometrio­sis). All th­ese Fer­til­ity En­hanc­ing pro­ce­dures have dual ad­van­tage of very good suc­cess rate, min­i­mum risk of com­pli­ca­tion and can be done in one go. Most of th­ese pa­tients con­ceive within 6 to 9 months of un­der­go­ing th­ese pro­ce­dures.

In some girls pe­ri­ods don’t start even up to the age of 18 years. In ul­tra­sound, it turns out that fe­male or­gans are ab­sent. This can be a very dis­ap­point­ing sit­u­a­tion for the girl and her fam­ily. But, such sit­u­a­tion can be helped with cre­ation of fe­male or­gan with key­hole surgery and they can lead a nor­mal mar­ried life. Th­ese women can have ba­bies through sur­ro­gacy ( rent­ing the womb) or uter­ine trans­plan­ta­tion.

Mid­dle age group (30 to 50 years)

Usual prob­lems in this group of are: • Hav­ing heavy/ painful pe­ri­ods • Back­ache and lower ab­dom­i­nal pain. In ul­tra­sound re­ports, the com­monly found prob­lem is Fi­broids (non-can­cer­ous tu­mour of uterus) and swelling all over the uterus (Ade­no­myosis). Sur­pris­ingly 60 to 80 % of women do have Fi­broids but for­tu­nately, not all the women need treat­ment. Only symp­to­matic women need treat­ment. Key­hole surgery ( La­paroscopy and Hys­teroscopy) is again a great help for deal­ing such prob­lems.

We can eas­ily re­move all sizes of tu­mour with key­hole in­ci­sion. Small cut and min­i­mum trauma to the body is in­stru­men­tal in re­duc­ing pain, min­i­mum use of medicines and short hos­pi­tal stay of 1 to2 days. There is min­i­mum blood loss so chances of blood trans­fu­sion and re­lated prob­lem of trans­mis­sion of se­ri­ous in­fec­tions like HIV and hep­atis are all min­imised.

Women who have com­pleted their fam­ily and look­ing for­ward for per­ma­nent so­lu­tion, Hys­terec­tomy (re­moval of uterus) can also be done with key­hole surgery.

50 years and older Pa­tients Com­mon prob­lems in this age are: • Sag­ging down of uterus (Pro­lapse) with leak­age of urine and dif­fi­culty in pass­ing mo­tion Post-menopausal bleed­ing Pro­lapse is the usual prob­lem among women above 50 years and is caused due to lower ab­dom­i­nal mus­cle weak­ness. Medicines usu­ally don’t work in this case. Best treat­ment is repo­si­tion­ing of th­ese or­gans us­ing key­hole surgery.

Post- menopausal bleed­ing is a warn­ing sign of Cer­vi­cal and Uter­ine can­cer in this age group. Early de­tec­tion of th­ese cases is of ut­most im­por­tance. Early de­tec­tion leads to com­plete cure. if treated prop­erly. Th­ese early can­cers of uterus, cervix and ovary can be cured com­pletely with the help of key­hole surgery.

Key­hole surgery or Min­i­mum In­va­sive surgery us­ing en­do­scopes has re­placed the tra­di­tional way of surgery in the most of the case. It is very re­ward­ing and can be done even in over­weight and di­a­betic pa­tients where wound heal­ing is an is­sue.

Pre­ven­tion: Pre­ven­tion is bet­ter than cure. It is very im­por­tant for ev­ery wo­man to have reg­u­lar health check­ups. The screen­ing is rec­om­mended once in ev­ery two years.

el­e­vated Bhagyam to the sta­tus of a celebrity. Her stu­dents looked at her with re­newed awe and ad­mi­ra­tion, veg­etable ven­dors, gro­cery shop own­ers, bank staff – even the tailor at the corner shop – greeted her with great re­spect, some with an elab­o­rate na­maste, some with a broad, un­der­stand­ing grin and some oth­ers with a look which said, “Sorry, very sorry for un­der­es­ti­mat­ing you, ma'am.”

ven her part-time maid, who came at odd hours af­ter fin­ish­ing her work in the busy young, work­ing mem­saabs' houses, started stick­ing to an early slot. What's more, she worked qui­etly with­out her usual, very noisy clat­ter and clash of wash­ing uten­sils, along with the grum­bling about her drunken hus­band which dis­turbed Bhagyam con­sid­er­ably. How I wish amma were alive! She would've en­joyed this pub­lic­ity, this at­ten­tion. ‘Why even I can­not help a fool­ish thrill now…’ thought Bhagyam, sip­ping her steam­ing hot black cof­fee with a zzz­zll sound…

Wip­ing the cof­fee drib­bling down her chin with the back of her palm, Bhagyam re­mem­bered how a sin­gle phone call, just a fort­night ago, brought her this sud­den, un­ex­pected fame.

It was a Fri­day morn­ing, one of the weekly three days of her coach­ing class for post­grad­u­ate stu­dents in English Lit­er­a­ture.

Bhagyam was elo­quently lec­tur­ing on Mil­ton's Par­adise Lost and as usual, all her 10 stu­dents were lis­ten­ing with rapt at­ten­tion, Satan’s tempt­ing eve with the for­bid­den fruit. Just then, the pierc­ing shrill of the tele­phone on the corner, in­ter­rupted the spell­bound stu­dents.

nraged, she picked up the phone and said in a harsh voice, much louder than the in­tended mum­ble, “Yes, yes, I am Dr Bhagyalak­shmi Menon, re­tired English pro­fes­sor.” Sud­denly, her voice rose to an anx­ious high pitch, "What? From Raj Bha­van...why? Why does the gov­er­nor want to visit me?"

Then the po­lite voice at the other end in­formed her that the new gov­er­nor, HM Sri­vas­tava, her old stu­dent in the Univer­sity Col­lege would like to pay his re­spects to her on 5 Sep­tem­ber, Teach­ers Day....

That was two weeks ago. But Bhagyam's life did not re­turn to nor­malcy even af­ter that ‘gov­er­nor's home visit’ fort­night. She spent sleep­less nights try­ing to fig­ure out the iden­tity of her most dis­tin­guished stu­dent HM Sri­vas­tava, the con­sti­tu­tional head of the state.

In the long span of her four decades' teach­ing ca­reer, she had taught sev­eral stu­dents but lost track of all of them ex­cept the mul­ti­mil­lion­aire, spir­i­tual guru, Swamy Akhi­lananda with thou­sands of dis­ci­ples all over the world, and Ananya, a fa­mous Malay­ali ac­tress whose pic­tures ap­peard in mag­a­zines and dailies with un­fail­ing reg­u­lar­ity. No teacher can pos­si­bly re­mem­ber all her stu­dents. Still, isn’t it weird that nei­ther the name HM Sri­vas­tava nor his face struck her mem­ory chord, how­ever hard she tried?

kip­ping the 4 o’clock news, a de­ter­mined Bhagyam switched on the recorded Asianet News chan­nel and watched the gov­er­nor's swear­ing-in cer­e­mony, paus­ing and watch­ing closely the gov­er­nor's face loom­ing large on the screen over and over again. She heard the boom­ing, in­cred­i­bly youth­ful voice of the gov­er­nor, "I, Hari Mo­han Sri­vas­tava... Ente Gu­ru­vayu­rappa!” Bhagyam gasped with shocked dis­be­lief. "This com­pletely bald, be­spec­ta­cled, age­ing man with a slight paunch , is that tall, strik­ingly hand­some Hari with a thick mop of hair and charm­ing man­ner­isms of a slight jerk of head, to con­trol the un­ruly strand of hair fall­ing on his fore­head, the heart­throb of all the girls of his batch? Un­be­liev­able!”

Sti­fling a yawn, Bhagyam stretched her legs while her mind raced back to 40 long years ...Alas! The flood gate of mem­o­ries was pushed open...

Bhagyam was born of an in­ter­caste mar­riage of Ra­machan­dran Menon, sup­posed to be an up­per­caste Hindu, with his stu­dent, Kalyani, a very charm­ing, lower-caste girl, break­ing the un­writ­ten but strong ‘mar­riage laws’ of a caste- rid­den so­ci­ety which dic­tates who should marry whom.

But the young cou­ple lived a happy, quiet, non­de­script mar­ried life, till Prof Menon was killed in a tragic road ac­ci­dent...bhagyam was barely 13 then, and Kalyani’s decade-long lone bat­tle against a hos­tile world, ended only when Bhagyam got a lec­turer's job in the Univer­sity Col­lege af­ter her post­grad­u­a­tion in English Lit­er­a­ture with first rank. Her bril­liant suc­cess break­ing the univer­sity record was not at all a sur­prise, as Bhagyam Menon had a bril­liant aca­demic record through­out her school and col­lege.

alyani, her amma, used to say, sigh­ing deeply , "Bhagyam, you're just like your fa­ther and his pas­sion for read­ing , dark com­plex­ion, lanky looks, gait – why, even his astig­ma­tism which ne­ces­si­tated your wear­ing thick glasses.” Eyes gleam­ing with pride, she would con­tinue, "Your fa­ther was from the CMS Col­lege, Kot­tayam, where his pro­fes­sors were all Brits, that's why he had a per­fect ac­cent. He was so fond of his mother Bhagyalak­shmi. That’s why he named you Bhagyam, an old-fash­ioned

Bhagyam was born of an in­ter­caste mar­riage of Ra­machan­dran Menon, sup­posed to be an up­per- caste Hindu, with his stu­dent, Kalyani, a very charm­ing, lower- caste girl, break­ing the un­writ­ten but strong ‘ mar­riage laws’ of a caste- rid­den so­ci­ety.

Newspapers in English

Newspapers from India

© PressReader. All rights reserved.