Y: Key Hole Surger
Problems One Stop Treatment for Gynae
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.