Reproductive Surgery: Dr Rama Sofat Hospital

Reproductive Surgery: Dr Rama Sofat Hospital

Reproductive health is an essential component of women's general health. Reproductive health care is considered as a precondition for women's social, economic and human development. When our ladies lack access to safe and secure reproductive health care, the consequences can be quite damaging as explained by Dr Rama Sofat.

When women try conceiving and find it difficult and seek help for infertility, they discover a wide array of available tests and treatments. While the whole thought process of a surgery could be frightening, reproductive surgery is one of the most successful options that we now have, to help achieve pregnancy.

How Can Surgery Help?

In few cases, an anatomic problem would prevent a couple from conceiving. Reproductive Surgery in most cases can help fix the obstruction, whether it's a scarred tube or an abnormally shaped uterine cavity. In men, varicoceles condition can often be a problem. Men and women who have undergone sterilization (vasectomy or tubal ligation) may also undergo surgery to try to regain fertility as explained by Dr Rama Sofat.

Which Surgery Is Done For Which Problem?

Doctors may recommend a surgical treatment based on the patient, women fertility problem, and the method with which the surgeon is most comfortable. If the surgery goes smoothly, most fertility procedures can be done on an outpatient basis.

• Fallopian Tube Abnormalities :Tuboplasty
• Uterine Abnormalities :Metroplasty / Unification
• Ovarian Cysts : Ovarian Cystectomy
• Endometriosis : Conservative Surgery for Endometriosis
• Fibroids : Myomectomy
• Adhesions :Adhesiolysis
• Tubal Recanalisation / Reversal of Tubal Ligation

Fallopian Tube Abnormalities: Tuboplasty

The Fallopian tubes, also known as oviducts, uterine tubes, and salpinges are two very fine tubes, leading from the ovaries into the uterus. The fallopian tubes are the path that the sperm and egg must take to achieve fertilization and successfully implant in the uterine cavity. Disorders of the fallopian tubes can lead to the inability to conceive, because the sperm and egg cannot meet as explained by Dr Rama Sofat.. 

Uterine Abnormalities :Metroplasty / Unification:

The reproductive function of the uterus is to accept a fertilized ovum.The uterus is the organ where the embryo implants and develops throughout a pregnancy. The embryo implants into the endometrium, and derives nourishment from blood vessels which develop exclusively for this purpose. Uterine abnormalities can contribute to decreased fertilization, miscarriage, or pregnancy complications. Common uterine abnormalities requiring surgical treatment include polyps, scarring, fibroids and septums. Many of these abnormalities can be treated using hysteroscopy and/or laparoscopy, but some may require more extensive surgery depending on the patient's condition as explained by Dr Rama Sofat..

Ovarian Cysts : Ovarian Cystectomy:

Ovarian cysts are a frequent finding in women of reproductive age. Many of them resolve on their own and do not require surgery. Cysts that are large or persistent, lasting more than 2 to 3 months may require surgery. Most ovarian cysts are non-cancerous and may be due to endometriosis or other benign processes. Cancer is rarely found in women of reproductive age with simple ovarian cysts, but surgical removal and microscopic examination is the only way to definitively diagnose the type of cyst. 

Endometriosis : Conservative Surgery for Endometriosis:

Endometriosis is a gynecologic condition characterized by endometrial tissue from the inner lining of the uterus, growing outside of the endometrial cavity. Typical symptoms of endometriosis are painful menstrual periods, vaginal bleeding between periods, and infertility; however, some women with infertility associated with endometriosis have no symptoms. Laparoscopy can be used to diagnosis and treat endometriosis in a single procedure.

Tubal Recanalisation/ Reversal of Tubal Ligation:

For women who wish to reverse a previous sterilization, the surgeon may use laparoscopy or laparotomy with microsurgery. At present, around the World, tubal sterilization is the most popular form of birth control. However such a woman may seek reversal due to unexpected events such as death of the child. Advanced microsurgical techniques for reversal of tubal ligation minimize injury to delicate tissue in and around fallopian tubes and helps to ensure clear passage within the tubes for the sperm and the ovum. This improved surgical technique has resulted in live births in more than 50% of cases at our hospital.