|Discussion in 'All Categories' started by kapil kumar - Feb 18th, 2012 1:28 am.|
|sir please tell me about total fee charge incured in operation for adenomyosis,is there any relexation for poor people.|
re: adenomyosis (increse in uterus size) to my mother by Dr M.K. Gupta - Feb 19th, 2012 12:00 pm
Dr M.K. Gupta
|Dear Mr Kapil Kumar
Adenomyosis (ad-uh-no-my-O-sis) is really a condition in which endometrial tissue, which normally lines the uterus, exists within and grows into the muscular walls of the uterus. This is probably to happen late in childbearing years and after you have had children. Although not harmful, the pain sensation and excessive bleeding associated with adenomyosis may have a negative impact on patient lifestyle. Patient could find avoiding activities that previously enjoyed because patient have no idea when or where she might start bleeding. Painful periods may cause to overlook work and may strain relationships. Recurring pain can lead to depression, irritability, anxiety, anger and feelings of helplessness. This is exactly why it's important to seek medical evaluation if suspect patient might have adenomyosis.
Adenomyosis usually disappears after menopause, so treatment may depend on how close patients will be to that stage of life.
Treatments for adenomyosis include:
Anti-inflammatory drugs. If patients nearing menopause, patients doctor might have try anti-inflammatory medications, for example ibuprofen (Advil, Motrin, others), to control the pain. By starting an anti-inflammatory medicine two to three days before period begins and continuing to consider it during period, patients can reduce menstrual blood flow in addition to relieving pain. Hormone medications. Controlling patients menstrual cycle through combined estrogen-progestin oral contraceptives or through hormone-containing patches or vaginal rings may decrease the heavy bleeding and pain related to adenomyosis. Progestin-only contraception, such as an intrauterine device containing progestin or perhaps a continuous-use contraception pill, often results in amenorrhea - the absence of your menstrual periods - which might provide relief. Hysterectomy. If patients pain is severe and menopause is years away, patients doctor may suggest surgery to get rid of uterus (hysterectomy). Removing your ovaries isn't essential to control adenomyosis.
Using the growth and development of the laparoscopic approaches to the 1970-1980s, the laparoscopic-assisted vaginal hysterectomy (LAVH) has gained great popularity among gynecologists because in contrast to the abdominal procedure it is less invasive and the post-operative recovery is a lot faster. It also allows better exploration and a little more complicated surgeries then your vaginal procedure. LAVH begins with laparoscopy and it is completed such that the ultimate removal of the uterus (with or without taking out the ovaries) is via the vaginal canal. Thus, LAVH is also a total hysterectomy, the cervix must be removed using the uterus. Total laparoscopic hysterectomy (TLH) is much more advanced than a LAVH and does not require a double-setup, laparoscopic and vaginal.
The laparoscopic-assisted supracervical hysterectomy (LASH) was later developed to take away the uterus without taking out the cervix using a morcellator which cuts the uterus into small pieces that may be removed from the abdominal cavity through the laparoscopic ports.
Total laparoscopic hysterectomy (TLH) is conducted solely through the laparoscopes in the abdomen, starting towards the top of the uterus. The entire uterus is disconnected from its attachments using long thin instruments with the ports. Then all tissue to be removed is passed with the small abdominal incisions Supracervical (subtotal) laparoscopic hysterectomy (LSH) is performed like the total laparoscopic surgery but the uterus is amputated between the cervix and fundus.
If you have BPL card we can perform surgery free of cost for your mother.
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