Page - GYNECOLOGY
GYNECOLOGY
Dr.J. Jeyachitra
M.D.,(O&G)
Place of Qualification
Jun 1996 – MBBS – Annamalai University, Tamil Nadu, India
Jun 2000 – MD (Obs and Gyn) – Sri Ramachandra Medical College & Deemed University, Porur, Chennai, Tamil Nadu, India
Special Training
Feb 2007 – Basic laparoscopic training – Indian Institute of Laparoscopic Surgery, Coimbatore
Feb 2012 – Fellowship in Reproductive Medicine and Embryology – 21st Century Hospital Surat, India
Mar 2013 – Diploma In Reproductive Medicine and Embryology, University Clinics Schleswig – Holstein, Kiel- Germany
Jun 2014 – ART Course for Clinicians – National University, Singapore
Field of Interest
Infertility – IVF and ICSI
We at Nithilaa Nursing Home provide comprehensive compassionate women`s health services for your routine and specialized needs, including the following:
- Menstruation problems
- Menopausal problems
- Disorders including pelvic pain, uterine fibroids, endometriosis, urinary incontinence, vaginal prolapse
- Cancer related conditions including cervical dysplasia (precancerous condition of the cervix)and gynecological cancer(endometrial, cervical and ovarian)
Common Gynecological Procedures done in Our centre are
Cervical Cancer Screening
A Pap smear involves collecting cells from your cervix. Detecting cervical cancer early with a Pap smear gives a greater chance at a cure. A Pap smear can also detect changes in the cervical cells that suggest cancer may develop in the future. Detecting these abnormal cells early with a Pap smear is the first step in halting the possible development of cervical cancer.
A cervical biopsy is a procedure to remove tissue from the cervix to test for abnormal or precancerous conditions, or cervical cancer. Cervical biopsies can be done in several ways. The biopsy can remove a sample of tissue for testing. It can also be used to completely take out abnormal tissue. It can also treat cells that may turn into cancer.
It is a way to diagnose uterine conditions including, uterine cancer or polyps, and the precancerous condition endometrial hyperplasia. Dilation and curettage, commonly called a D &C, is a non-surgical procedure where the doctor removes the uterine lining with a curette that is sharp or uses suction.
Hysteroscopy provides a non-surgical way for your gynecologist to diagnose or treat uterine problems, including remove adhesions, to locate an intrauterine device or to determine the cause of repeated miscarriage. During this procedure, hysteroscopy, which is a thin, lighted, telescope-like instrument is inserted into the uterus through the vagina and sends pictures of terus onto a screen for further examination.
Laparoscopy is a surgical procedure usually performed under general anesthesia. The typical pelvic laparoscopy involves a small (1/2″ to 3/4″) incision in the belly button or lower abdomen, followed by pumping carbon dioxide into the abdomen to help the surgeon see the organs more easily. Depending on the conditions, the doctor may take tissue samples, remove scar tissue, repair the uterus or remove the ovaries.
Gynecological Laparoscopic Procedures done in Our centre are
Diagnostic & Operative Laparoscopy
Laparoscopic Sterilization
For women who no longer want children, sterilization by laparoscopy provides a safe and convenient form of contraception. Laparoscopic tubal ligation is a surgical sterilization procedure in which a woman’s Fallopian tubes are either clamped and blocked or severed and sealed. This is a permanent method of sterilization.
Laparoscopic Ovarian Cystectomy
A laparoscopic ovarian cystectomy is a minimally invasive surgery during which a laparoscope, a long thin instrument with a camera attached at one end is used to remove the cyst in the ovary. The procedure is usually done under general anaesthesia. This technique is usually used to remove only the cyst leaving the ovaries intact. However, if the cyst is too large or connected to ovarian tissue, the surgeon removes all or part of the ovary.
Laparoscopic Ovariopexy
Laparoscopic ovariopexy is the operation of elevating and fixing an ovary to the abdominal wall. It can be performed by a minimally invasive technique that can be offered to any age premenopausal women with an appropriate indication.
- ovarian torsion- Laparoscopic ovariopexy should be considered in selected cases to prevent recurrence in ovarian torsion cases.
- preservation of ovarian function in women undergoing pelvic irradiation or chemotherapy for malignancy.
Laparoscopic Procedures for Ectopic Pregnancy
An ectopic pregnancy occurs when the fertilized egg attaches itself in a place other than inside the uterus. Almost all ectopic pregnancies occur in the fallopian tube and are thus sometimes called tubal pregnancies. Laparoscopic surgery under general anesthesia can be performed. This procedure involves a surgeon using a laparoscope to remove the ectopic pregnancy and repair or remove the affected fallopian tube.
Laparoscopic Hysterectomy
A Laparoscopic Hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the belly button and a tiny camera is inserted. The surgeon watches the image from this camera on a TV screen and performs the operative procedure. Two or three other tiny incisions are made in the lower abdomen. Specialized instruments are inserted and used for the removal process.
Laparoscopic Oophorectomy
Laparoscopic oophorectomy is a surgical procedure to remove one or both ovaries. Oophorectomy may be performed for:
- A tubo-ovarian abscess — a pus-filled pocket involving a fallopian tube and an ovary
- Ovarian cancer
- Endometriosis
- Noncancerous (benign) ovarian tumors or cysts
- Reducing the risk of ovarian cancer or breast cancer in women at increased risk
- Ovarian torsion — the twisting of an ovary
- Hysteroscopy Procedures
- Laparoscopic Procedures for Infertility
- Hysteroscopic Procedures for Infertility
Hysteroscopic Guided Endometrial Biopsy
Hysteroscopy guided biopsy is used in the evaluation of abnormal uterine bleeding, heavy menstrual bleeding or postmenopausal bleeding.
Hysteroscopic Foreign body Retrieval
Hysteroscopy can also be used to locate, grasp, and remove the foreign body from the uterine cavity. A retained intrauterine contraceptive device (IUD) is the most common uterine cavity foreign body encountered; however, another rare etiology is a residual fetal bone following pregnancy termination.
Diagnostic and Operative Laparoscopy
Cromotubation
Chromotubation is a procedure usually done during a laparoscopy under anaesthesia to visualize the fallopian tubes in order to see if they are patent or open. It's done during an infertility work-up. It is a procedure where a colored dye is passed through the fallopian tubes to confirm that they are patent.
Laparoscopic ovarian drilling for Polycystic Ovaries
Laparoscopic ovarian drilling is an option for women with polycystic ovary syndrome who are still not ovulating after losing weight and trying fertility medicines. This is a surgical treatment that can trigger ovulation in women who have polycystic ovary syndrome . Electrocautery or a laser is used to destroy parts of the ovaries. Laparoscopic Ovarian drilling is usually done through a small incision under general anesthesia.
Laparoscopic Tubal Clipping for Hydrosalpinx
Laparoscopically removing the hydrosalpinx by cutting them off and taking them out or Ligating or clipping them prior to IVF removal of a damaged tube which has hydrosalpinx reduces the risk of complications of therapy and improves success rates with in vitro fertilization techniques. A hydrosalpinx is a fallopian tube that is filled with fluid which may be toxic to the embryo.
Laparoscopic Ovarian Cystectomy
A laparoscopic ovarian cystectomy is a minimally invasive surgery during which a laparoscope, a long thin instrument with a camera attached at one end is used to remove the cyst in the ovary. The procedure is usually done under general anaesthesia. This technique is usually used to remove only the cyst leaving the ovaries intact. However, if the cyst is too large or connected to ovarian tissue, the surgeon removes all or part of the ovary.
Laparoscopic Adheseolysis
Adhesions are bands of scar tissue that form between adjoining organs and structures, causing them to fuse together. Adhesions can result from disease (such as endometriosis), infection (such as pelvic inflammatory disease), injury (such as following abdominal surgery) or may have no known cause (idiopathic adhesions) Laparoscopic surgery is an operation in which inside of the abdomen is examined by means of a telescope called a laparoscope. The operation is performed by making two or three small punctures on the. When the surgeon encounters adhesions, they can be easily divided using long laparoscopic instruments. The procedure is called adhesiolysis.
Laparoscopic Myomectomy
Laparoscopic myomectomy is the surgical removal of fibroids from the uterus. It allows the uterus to be left in place and, for some women, makes pregnancy more likely than before. After myomectomy, your chances of pregnancy may be improved but are not guaranteed. laparoscopic myomectomy is a minimally invasive procedures where your surgeon accesses and removes fibroids through several small abdominal incisions.
Diagnostic and Operative Hysteroscopy
Hysteroscopic Proximal Cannulation
Hysteroscopic proximal tube cannulation can be performed to open blocked tubes and is typically done concurrently with laparoscopy.
Hysteroscopic Polypectomy
Hysteroscopic polypectomy is a surgical approach of removal of uterine polyps preserving the uterus.
Hysteroscopic Septal Resection
A patient who is unable to carry a pregnancy to term is sometimes found to have a septum in the uterus. In such cases, resection of the septum by hysteroscopy under general anaesthesia often corrects the problem and results in a successful pregnancy.
Hysteroscopic Synechiae Resection
Uterine synechiae are intrauterine adhesion. They may involve small focal area of the endometrium, or they can be so extensive that they obliterate the entire endometrial cavity. This can result in menstrual and fertility problems. Hysteroscopic resection is the standard treatment of symptomatic intrauterine adhesions.
Hysteroscopic Myomectomy
This is a surgery to remove fibroids (submucosal fibroids) without taking out the healthy tissue of the uterus. It is done using an instruments inserted through the vagina and cervix into the uterus. It is best for women who wish to have children after treatment for their fibroids or who wish to keep their uterus for other reasons. You can become pregnant after myomectomy.