The Department of Obstetrics and Gynaecology offers a broad spectrum of women health care services involving unborn children and pregnant women along with efficient management of related diseases. The department also renders state-of-the-art technologies with superlative care providing a full range of healthcare services such as painless deliveries, minimally invasive surgeries, treatment of gynecological cancers by performing radical surgeries, chemotherapy and/or radiotherapy, management of high-risk pregnancies/late pregnancies, fertility care, among others. Fortis provides expert gynecological and obstetric treatment along with specialist services for special disease groups. Women of different age groups have different health concerns, which are appropriately assessed and addressed with the utmost care. The hospital provides comprehensive treatment for fibroids including open myomectomies unsuitable for endoscopic (keyhole) surgery. Fortis ensures the total safety and comfort of women patient as well as their children. Our team performs procedures that are completely safe and are well tested. The procedures performed include amniocentesis, Ultrasonography and chorionic villus sampling, which help in early detection of many problems. The department also focuses on expert counseling and quality care on matters related to infertility management, family welfare, menopause management, prenatal diagnosis, reconstructive surgery and pelvic floor medicine.
Robotic Surgery in General Surgery
Robotic assisted Gynecologic Surgery is a minimally invasive surgery
The introduction of Robotic Surgery to the field of Gynaecology has resulted in large changes in surgical management. FDA approved Robotic Surgical System in 2005 for gynaecological surgery. It has been rapidly adopted by Gynae Onco Surgeons (Gynae Oncologists) and Gynaecologists.
Robotic arms are designed such as to provide the operating surgeon, an instrument with finer movements and better reach to complex areas thus greater precision, further enhancing their dexterity.
The robot comprises of three components: A surgeon’s console, a patient-side cart with four robotic arms and a high-definition three-dimensional (3D) vision system. Your robotic surgeon operates on you! She uses the narrow, lighted scope and miniature instruments which are controlled through the robotic system. Due to this system, surgeons can treat several conditions that are related to women’s reproductive organs.
WHICH ARE THE SURGERIES PERFORMED USING MINIMALLY INVASIVE ROBOT?
1. Total hysterectomies, simple/ complex with or without salpingo-oophorectomy
2. Radical hysterectomy
3. Retroperitoneal lymph node dissection
4. Omentectomy
5. Excision of ovarian mass /Cyst (Simple/complex)
6. Excision of recurrent /residual tumor
7. Sentinel Lymph node mapping and excision
8. Fertility preserving surgery
9. Staging surgery
10. Completion surgery
11. Radical Trachelectomy
12. Inguinofemoral Node dissection
13. Surgeries for premalignant lesions of uterus and cervix
14. Risk reducing surgery of salpingo-oophorectomyCONDITIONS WHERE MINIMALLY INVASIVE ROBOT ASSISTED SURGERY CAN BE DONE
1. Endometrial cancer
2. STUMP (uterine smooth muscle tumor of uncertain malignant potential)
3. Uterine sarcoma
4. Ovarian mass/ Tubal mass (Simple/Complex)
5. Borderline ovarian cancer
6. Early ovarian cancer
7. Early cervical cancer
8. Premalignant lesions of Cervix
9. Premalignant lesions of EndometriumCONDITIONS WHERE MINIMALLY INVASIVE ROBOT ASSISTED SURGERY CAN BE DONE
1. Fibroid uterus
2. Endometriosis
3. TO mass
4. Tubal/Ovarian cyst
5. Endometrial hyperplasia / other benign pathologies
6. Tubal sterilization
7. Pelvic organ prolapsesWHICH ARE THE SURGERIES PERFORMED USING MINIMALLY INVASIVE ROBOT?
1. Simple / Complex hysterectomy
2. Excision of tubal /ovarian cyst / TO mass
3. Myomectomy
4. Sacro colpopexy
5. Tubal anastomosis after sterilization
6. Surgery for endometriosis
Other Specialities
Fortis Robotic Surgery Institutes
Fortis Hospital, Mulund, Mumbai
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FAQs
WHAT IS HYSTERECTOMY?
Hysterectomy is an operation to remove a woman's uterus.
Types of hysterectomy:
• Simple total hysterectomy- removal of uterus, cervix, and possibly ovaries and fallopian tubes
• Complex Hysterectomy- removal of uterus, cervix and possibly ovaries and fallopian tubes when associated with endometriosis, adenomyosis or large fibroids and some malignancies of Uterus, Ovaries and Fallopian tube.
• Radical hysterectomy- removal of uterus, cervix, tissues surrounding the uterus, upper portion of vagina, possibly ovaries and fallopian tubes usually done for Uterine cancer, Cervical Cancer, Vaginal CancerWHAT ARE THE SURGERY OPTIONS FOR HYSTERECTOMY?
Open surgery- with open surgery doctors operate though a long incision from the pubic bone to above the naval. The incision must be large enough for the surgeon's hand and instruments to reach the target organ.
• Minimally invasive da Vinci robot assisted surgery – This surgery is done through 4 or 5 small incisions of about 7mm instead of long incision (cut). The da Vinci Surgical System has a 3D HD vision system that gives the operating surgeon a magnified view inside the body. It also has tiny instruments that bend and rotate far greater than the human hand. These features enable surgeons to operate with enhanced vision, precision, and control.
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