What are some of the Most Common Operations that Gynecologists Perform?
There are several types of procedures and surgeries that a gynecologist can perform to correct and treat disorders relating to the female reproductive system. The first one is cervical cryosurgery or cryotherapy in which abnormal or precancerous cells in the cervix is frozen to prevent the onset of cervical cancer. Another one is the LEEP or loop electrosurgical excision procedure which is also used to remove abnormal cell growth on the cervix. Dilation and Curettage or D & C is another operation which is usually done to treat abnormal uterine bleeding. Hysterectomy is a surgery that is frequently carried out by gynecologist where the uterus is removed in various conditions like cancer, abnormal growth etc. Pelvic laparoscopy is another procedure which is done for removal of gall bladder and also to treat hiatal hernia.
What is PEG (Percutaneous Endoscopic Gastrostomy)
Percutaneous endoscopic gastrostomy or PEG is a procedure in which a tube is placed percutaneously inside your stomach aided by and endoscopic procedure. This is a very common procedure these days that is used for patients who are unable to ingest food on their own ie move food from the mouth to their stomach. Here patients who have undergone surgeries of the gastrointestinal tract or respiratory tract, patients with neurological disorders like stroke, brain injury and people with chronic or end stage cancer are those who usually undergo PEG. This endoscopic procedure is also used to achieve gut decompression which occurs in patients with gastrointestinal malignancies and also people with small bowel obstruction. Different variations of this technique are available like the pull technique, Versa, push and introducer method.
What is Hysteroscopic Myomectomy?
Hysteroscopic myomectomy is a procedure that is employed for the removal of uterine fibroids. In this procedure, a hysteroscope is inserted into the uterus via the vagina and cervix. This instrument is quite versatile as it is very thin and hence no dilation is required to enter the cervix and into the uterus. A big advantage of this treatment procedure is that there is no need for any surgeries or abdominal incisions which drastically reduces recovery time for the patient. While a hysteroscope is used by the gynecologist to view the fibroid, the resectoscope is used to cut off the fibroid. The latter is basically a hysteroscope which is fitted at one end with a wire loop and makes use of high frequency electrical current to remove the fibroids.
What is Laparoscopic Adhesiolysis?
Laparoscopic adhesiolysis is a technique which is commonly used for the treatment of acute bowel obstructions. This procedure was earlier used by gynecologists for treating infertility and chronic pelvic pain. But today, it has become the treatment of choice for bowel obstructions as it has many benefits over invasive surgery. One of the largest benefits of this procedure is that very less recovery time is required as the patient has to experience relatively less postoperative pain. The incidence of ventral hernia is drastically reduced and there are also few post operative complications. The return to normal bowel function is faster when compared to a surgery and the severity of intra abdominal adhesions after laparoscopic adhesiolysis is much less. People with complete or chronic bowel obstructions are usually advised to undergo this procedure.