Gynecology & Obstetrics

This is a surgical procedure of removal of the uterus in women suffering from heavy menstrual bleeding, fibroids in the uterus or early stages of uterine, cervical and ovarian cancers. It can be performed vaginally, abdominally or laparoscopically based on the indication, and uterine size.

This is a surgical procedure that involves the removal of large, persistent, probably malignant cysts in the ovaries. It can be performed abdominally or laparoscopically, based on the nature of the cyst.

This is a surgical procedure involving tightening of the loose vaginal wall causing urinary or stool continence problems. It is usually performed under regional anesthesia and requires inserting a tube (catheter), to drain the urinary bladder.

Transobturator tape insertion is a surgical procedure in women suffering from stress urinary incontinence, and not improving with medical options of treatment. It involves placing a mesh tape at the junction of the urinary bladder and urethra, which tightens whenever the abdominal wall pressure increases, as during coughing, sneezing, straining, or loud laughing.

This is a surgical procedure that involves putting a small keyhole scope through the vagina into the uterus to visualise the entire uterine cavity from within and identify probable pathologies such as submucous fibroids, polyps, excessive growth of uterine lining or suspected foreign bodies such as a missing IUCD.

This is a short surgical procedure where a small suspicious area of tissue from the lower portion of the uterus (called the cervix), is excised and sent for testing to rule out precancerous stages or carcinoma of the cervix.

This is a surgical form of family planning whereby the women’s fallopian tubes are either clipped, banded, cut to block them and prevent pregnancy. It can be done laparoscopically using Silastic rings/ bands or through a small open incision over the lower abdomen (called minilaparotomy).

This procedure involves surgical evacuation of pus discharging from an abscess (large boil) over the breasts or near the vaginal opening, which are extremely painful and do not disappear or heal by oral/ topical medications.

This surgical procedure involves examining the uterus from the outer and inner sides along with ovaries and tubes, to check for any abnormalities. This procedure is done in patients suffering from infertility, persistent lower abdominal pain, heavy menstrual bleeding, recurrent miscarriages.

Labour is the phase of uterine contractions and pain the pregnant woman has to go through for the passage of the baby through the birth canal till it is delivered through the vagina. Although most of the times, this is a natural process, but it often requires careful monitoring of the labouring woman and the unborn baby, and sometimes even assistance to augment the labour process.

It is a more popular term for Epidural analgesia. This is a form of anaesthesia, in which the woman in labour is given medications in the epidural space (through an injection in the back) and provides nearly painless labour, lesser maternal exhaustion, better maternal health and co-operation for normal delivery.

Better known as C-section, is a surgical procedure by which the baby is delivered by an incision over the mother’s lower abdomen and another incision over the mother’s uterus. It requires the pregnant woman to be given suitable anaesthesia , which is usually regional anaesthesia which only makes a particular region of your body to go numb for few hours. It may be a planned before time of labour in case you develop any complications during pregnancy or in case of a previous C-section not wanting a trial of vaginal birth. In most cases, the decision of C-section cannot be made until normal labour is underway.

This is the surgical procedure in which the lower end of the uterus (called cervix) is tightened with a tape/ stitch in the event of shortening / opening of the cervix in the early months of pregnancy. This procedure is also done in cases of women who have had a history of previous midtrimester miscarriages, or those carrying multifetal pregnancies.

This is a day care surgical procedure to dilate and empty the uterus of a failed or an unwanted pregnancy. It can be done up to the first 3 months of pregnancy. It requires hardly any rest post procedure and the woman can get back to routine in a day or two.

This is a form of assisted vaginal delivery where the expectant mother requires some help in pushing the baby out of her birth canal. These include use of Outlet forceps or ventouse cup or Kiwi cups. These instruments may have to be used for either maternal indications such as maternal heart disease, hypertension, or extreme exhaustion to reduce straining of the mother, and at times for indictations in the baby such as reducing heart rate, growth restricted baby or baby who’s already passed stools while in the womb. Although, these operative deliveries have their side effects, they’re appropriate use is an art, and both time and lifesaving to both mother and baby.

This is a key-hole surgical procedure that some women require during pregnancies complicated with acute / chronic gall bladder inflammations, acute appendicitis , twisting of ovarian cysts, or even pregnancies situated outside the uterus (better known as ectopic pregnancies).

This is a procedure done in the cath lab in women whose pregnancies are complicated by adherent placentae – known as placenta accreta. Adherent placenta is known to cause torrential bleeding in the mother during delivery, so much so as to require removal of the uterus , called caesarean hysterectomy . The UAE procedure involves putting two intra- arterial tubes (catheters) in the arteries of both thighs of the pregnant woman to block the uterine arteries with an inflated balloon, thus reducing the bleeding during delivery of the baby, and reducing the blood loss of the mother.

Zen Hospital has an excellent cath lab with equipment to perform interventional radiology procedures such as UAE.

Any good obstetric centre must have a high dependency unit (HDU) to carefully monitor high risk pregnant women such as those with hypertension, gestational diabetes and low lying placentae known to cause excessive bleeding post delivery. This is essential to ensure the safe and rapid recovery and prevent further complications in the new mothers.

It is an opd procedure to insert an Intrauterine Contraceptive Device (IUCD) for temporary long term contraception or an Intrauterine System (LNG-IUS) for long term medical management of abnormal uterine bleeding. It is an excellent, low cost method of family planning with minimal side effects. It is extremely suitable to new mothers, with no adverse effects on the breastfed babies.